Cervical Cancer: Barriers to Screening in the Somali Community in Minnesota
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This study examined barriers to and facilitators of cervical cancer screening among Somali immigrant women in Minnesota. We adopted the socioecological framework to illustrate screening barriers at multiple levels. We conducted 23 semi-structured key informant interviews and used a thematic exploratory approach to analyze the data. Barriers were classified into individual, community or health systems levels. Obstacles included lack of knowledge, religious beliefs, fatalism, fear, embarrassment, and lack of trust in the interpreters. Participants described a need for training of healthcare providers on issues surrounding Somali women’s cultural practices and sexual health. Identifying individual, community, or health system barriers and addressing them concurrently may increase use of cancer screening services among Somali women. Future interventions need to address multilevel barriers with multilevel approaches to improve utilization of cervical cancer screening services in underserved immigrant populations in the United States.
KeywordsCervical cancer Screening Somali women Qualitative
- 1.Ferlay JSH, Bray F, Forman D, Mathers CD, Parkin D. GLOBO-CAN 2008, Cancer Incidence and Mortality Worldwide: IARC Cancer- Base No.10 [Internet]. (2008). http://globocan.iarc.fr.
- 4.World Health Organization. Globocan 2012: Estimated Cancer Incidence Mortality and Prevalence Worldwide in 2012; 2012. Retrieved February 10, 2014, from http://globocan.iarc.fr/ia/World/atlas.html.
- 5.United States Census Bureau. U.S. Immigration: National and State Trends and Actions. U.S. In: Census Working Paper No. 81, ‘‘Historical Census Statistics on the Foreign-Born Population of the United States: 1850–2000,’’ Table 14: Nativity of the population, for regions, divisions, and states: 1850 to 2000; 2013. Retrieved January 15, 2014, from http://www.pewstates.org/research/data-visualizations/us-immigration-national-and-state-trends-and-actions-85899500037.
- 6.U.S. Department of State. Refugee Admissions Program for Africa: Bureau of Population, Refugees, and Migration. Washington, DC: U.S. Department of State; 2013. Retrieved June, 2014, from http://www.state.gov/j/prm/releases/onepagers/202626.htm#.
- 9.Centers for Disease Control and Prevention. Cancer screening—United States, 2010. MMWR. 2012;61(3):4145. http://www.cdc.gov/cancer/breast/statistics/screening.htm.
- 10.American Cancer Society. (2012). Cancer Facts and Figures. Retrieved February 2014, from http://www.cancer.org/acs/groups/content/@epidemiologysurveilance/documents/document/acspc-031941.pdf.
- 24.Green LW, Kreuter MW. Health program planning: an educational and ecological approach. New York: McGraw-Hill; 2005.Google Scholar
- 29.Grieco EM, Rytina NF. US data sources on the foreign born and immigration. Int Migr Rev. 2011;45(4):1001–16.Google Scholar
- 30.Ronningen B. Estimates of selected immigrant populations in Minnesota. Minnesota: Minnesota State Demographic Center. 2004. http://scholar.google.com/scholar?hl=en&q=Ronningen+B.+Estimates+of+selected+immigrant+populations+in+Minnesota.+Minnesota%3A+Minnesota+State+Demographic+Center%3B+2004&btnG=&as_sdt=1%2C24&as_sdtp=.Google Scholar