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Pre-Med Student: Associations Between Perceived Barriers to Papanicolaou Testing at  Federally Qualified Health Centers in Southwest Georgia
EP30811
Poster Title: Pre-Med Student: Associations Between Perceived Barriers to Papanicolaou Testing at Federally Qualified Health Centers in Southwest Georgia
Submitted on 15 Oct 2019
Author(s): Kristi Guerrero; MaKayla Paulk; Abby Unger; Henry Young, PhD; Everett Jackson
Affiliations: Sowega-AHEC
Poster Views: 163
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Poster Information
Abstract: Screening via the Papanicolaou Test (Pap Test) is an important strategy to reduce cervical cancer death rates. However, there are disparities in the utilization of Pap Tests among underserved women perhaps due to perceived barriers. The purpose of this study was to assess perceived barriers to cervical cancer screening and examine the associations between perceived barriers and the use of Pap Testing among women who receive care at a federally qualified health center in Southwest Georgia. This study was conducted by using a cross-sectional survey. The survey contained items from Medical Expenditure Panel Survey to assess receipt of Pap Testing, and a health beliefs model questionnaire to assess barriers. Descriptive statistics were calculated for all study variables. Odds ratios (OR) were calculated to examine the associations between perceived barriers and receipt of Pap Testing. Thirty-six women participated in this study; 97% were African American and between 18-55 years of age. The most frequently identified barriers were a belief that cervical cancer was unavoidable (56%) and that Pap Tests were painful and unpleasant (42%). Participants who did not know where to receive Pap Tests (OR=0.04, p<0.05) and those who believed Pap Tests took too much time (OR=0.08, p<0.05) were less likely to have received Pap Tests. Study findings indicate women have various perceived barriers to cervical cancer screening. Physicians can use these findings to inform educational messages to promote cervical cancer screening among their patient populations.
Summary: The purpose of our study is to assess perceived barriers to cervical cancer screening and examine the associations between perceived barriers and the utilization of Pap Tests among women who receive care at a federally qualified health center (FQHC) in Southwest Georgia.References: 1Human Papillomavirus (HPV) and Cervical Cancer. (2019). Retrieved from https://www.who.int/news-room/fact-sheets/detail/human-papillomavirus-(hpv)-and-cervical- cancer 2Ma, G. X., Gao, W., Fang, C. Y., Tan, Y., Feng, Z., Ge, S., & Nguyen, J. A. (2013). Health Beliefs Associated with Cervical Cancer Screening Among Vietnamese Americans. Journal of Women’s Health, 22(3), 276–288. 
3McDonald, Y. J., Goldberg, D. W., Scarinci, I. C., Castle, P. E., Cuzick, J., Robertson, M., & Wheeler, C. M. (2017). Health Service Accessibility and Risk in Cervical Cancer Prevention: Comparing Rural Versus Non Rural Residence in New Mexico. The Journal Of Rural Health: Official Journal Of The American Rural Health Association And The National Rural Health Care Association, 33(4), 382–392. 
4The American Cancer Society Guidelines for the Prevention and Early Detection of Cervical Cancer.(2018). Retrieved from https://www.cancer.org/cancer/cervical-cancer/prevention- and-early-detection/cerv
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