Journal of Immigrant and Minority Health

, Volume 14, Issue 4, pp 715–720 | Cite as

Cervical Cancer Screening Among Immigrant Hispanics: An Analysis by Country of Origin

  • Rachel C. SheltonEmail author
  • Lina Jandorf
  • Sheba King
  • Linda Thelemaque
  • Deborah O. Erwin
Brief Communication


As the largest and most diverse ethnic minority population in the U.S., it is important to examine differences in and correlates of Pap test adherence among Hispanics by country of origin. The data for these analyses are baseline responses from a Randomized Controlled Trial. Bivariate and multivariable logistic regression models were conducted among Hispanic immigrant women who identified as Mexican, Puerto Rican, Dominican, or Central/South American (n = 1,305). There were significant differences in Pap test adherence: Dominicans (81.6%), Mexicans (77.5%), Central/South Americans (71.2%), and Puerto Ricans (69.3%). In multivariable analyses, there were different correlates of Pap test adherence for each country of origin. For example, marriage status (P = .0001) and younger age (P = .006) were positively associated with adherence among Mexican women. This research provides insight into the variability that exists among Hispanics and can help improve understanding of important determinants that may influence Pap test screening among diverse Hispanics.


Cervical cancer screening Hispanics Pap test Disparities 



The authors thank the participants, Anabella G. Castillo, Michelle Treviño, Frances Harfouche, and Jomary Colon for their assistance in collecting the data. This study was supported by a grant from the American Cancer Society (RSGT 113129) and funding from the John R. Oishei Foundation of Western New York.


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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Rachel C. Shelton
    • 1
    Email author
  • Lina Jandorf
    • 2
  • Sheba King
    • 1
  • Linda Thelemaque
    • 2
  • Deborah O. Erwin
    • 3
  1. 1.Department of Sociomedical Sciences, Mailman School of Public HealthColumbia UniversityNew YorkUSA
  2. 2.Department of Oncological SciencesMount Sinai School of MedicineNew YorkUSA
  3. 3.Department of Cancer Prevention and Population SciencesRoswell Park Cancer InstituteBuffaloUSA

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