Skip to main content

Advertisement

Log in

Beliefs About the Pap Smear Among Mexican Immigrants

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

Few studies have examined Latinos’ beliefs about the Pap smear or what uses they attribute to the procedure. We conducted qualitative interviews with 28 Mexican immigrant women and 23 Mexican immigrant men recruited through snowball sampling. We found that individuals learned about the Pap smear from a wide variety of sources and often understood the exam to be a screening test for sexually transmitted infections in general. They also related the need for Pap smears and the development of cervical cancer to high risk sexual behaviors. Finally, participants considered men to have a significant role as vectors for disease and as barriers to screening. Our results suggest that interventions to improve cervical cancer prevention among Mexican immigrants may be most effective if they include both men and women and if they recognize and address concerns about STI spread and prevention. Furthermore, interventions must recognize that even when women know how to prevent disease, they may feel disempowered with regard to making behavioral changes that will decrease their risk for STIs or cancer.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Swan J, Breen N, Coates RJ, Rimer BK, Lee NC. Progress in cancer screening practices in the United States: results from the 2000 national health interview survey. Cancer. 2003;97(6):1528–40.

    Article  PubMed  Google Scholar 

  2. Somkin CP, McPhee SJ, Nguyen T, et al. The effect of access and satisfaction on regular mammogram and Papanicolaou test screening in a multiethnic population. Med Care. 2004;42(9):914–26.

    Article  PubMed  Google Scholar 

  3. Calle EE, Flanders WD, Thun MJ, Martin LM. Demographic predictors of mammography and Pap smear screening in US women. Am J Public Health. 1993;83(1):53–60.

    PubMed  CAS  Google Scholar 

  4. Ries LAG, Eisner MP, Kosary CL, et al. SEER Cancer Statistics Review, 1975–2001. Bethesda, MD: National Cancer Institute; 2004. http://seer.cancer.gov/csr/1975_2001/. Accessed 30 May 2005.

  5. Downs LS, Smith JS, Scarinci I, Flowers L, Parham G. The disparity of cervical cancer in diverse populations. Gynecol Oncol. 2008;109(2, Supplement 1):S22–30.

    Article  PubMed  Google Scholar 

  6. Coronado GD, Thompson B, Koepsell TD, Schwartz SM, McLerran D. Use of Pap test among Hispanics and non-Hispanic whites in a rural setting. Prev Med. 2004;38(6):713–22.

    Article  PubMed  Google Scholar 

  7. Puschel K, Thompson B, Coronado GD, Lopez LC, Kimball AM. Factors related to cancer screening in Hispanics: a comparison of the perceptions of Hispanic community members, health care providers, and representatives of organizations that serve Hispanics. Health Educ Behav. 2001;28(5):573–90.

    Article  PubMed  CAS  Google Scholar 

  8. Perez-Stable EJ, Otero-Sabogal R, Sabogal F, McPhee SJ, Hiatt RA. Self-reported use of cancer screening tests among Latinos and anglos in a prepaid health plan [see comment]. Arch Intern Med. 1994;154(10):1073–81.

    Article  PubMed  CAS  Google Scholar 

  9. Behbakht K, Lynch A, Teal S, Degeest K, Massad S. Social and cultural barriers to Papanicolaou test screening in an urban population. Obstet Gynecol. 2004;104(6):1355–61.

    Article  PubMed  Google Scholar 

  10. Suarez L, Roche RA, Nichols D, Simpson DM. Knowledge, behavior, and fears concerning breast and cervical cancer among older low-income Mexican-American women. Am J Prev Med. 1997;13(2):137–42.

    PubMed  CAS  Google Scholar 

  11. Fernandez-Esquer ME, Espinoza P, Ramirez AG, McAlister AL. Repeated Pap smear screening among Mexican-American women. Health Educ Res. 2003;18(4):477–87.

    Article  PubMed  CAS  Google Scholar 

  12. Lazcano-Ponce EC, Castro R, Allen B, Najera P, Alonso de Ruiz PA, Hernandez-Avila M. Barriers to early detection of cervical-uterine cancer in Mexico. J Womens Health. 1999;8(3):399–408.

    Article  PubMed  CAS  Google Scholar 

  13. Jennings KM. Getting a Pap smear: focus group responses of African American and Latina women. Oncol Nurs Forum. 1997;24(5):827–35.

    PubMed  CAS  Google Scholar 

  14. Ponce ECL, Aguilar PN, de Ruiz PA, Buiatti E, Avila MH. Programa de deteccion oportuna de cancer cervical en Mexico. I. diagnostico situacional. Rev Inst Nac Cancerol. 1996;42(3):123–40.

    Google Scholar 

  15. Aparicio-Ting F, Ramirez AG. Breast and cervical cancer knowledge, attitudes, and screening practices of Hispanic women diagnosed with cancer. J Cancer Educ. 2003;18(4):230–6.

    Article  PubMed  Google Scholar 

  16. Hyman RB, Baker SlE R, Moadel A, Philip J. Health belief models variables as predictors of screening mammography utilization. J Behav Med. 2005;17(4):1573–3521.

    Google Scholar 

  17. Tolma EL, Reininger BM, Ureda J, Evans A. Cognitive motivations associated with screening mammography in Cyprus. Prev Med. 2003;36:363–73.

    Article  PubMed  Google Scholar 

  18. Sheeran P, Conner M, Norman P. Can the theory of planned behavior explain patterns of health behavior change? Health Psychol. 2001;20:12–9.

    Article  PubMed  CAS  Google Scholar 

  19. Gregg J. Mixed blessings: cervical cancer screening in Recife, Brazil. Med Anthropol. 2000;19(1):41–63.

    Article  PubMed  CAS  Google Scholar 

  20. Becker G. Disrupted lives: how people create meaning in a chaotic world. Berkeley: University of California Press; 1997.

    Google Scholar 

  21. Lock M, Kaufert PA. Introduction. In: Lock M, Kaufert P, editors. Pragmatic women and body politics. Cambridge: Cambridge University Press; 1988. p. 1–28.

    Google Scholar 

  22. Finkler K. Physicians at work, patients in pain: biomedical practice and patient response in Mexico. Boulder: Westview Press; 1991.

    Google Scholar 

  23. Gregg J. Virtually virgins: sexual strategies and cervical cancer in Recife, Brazil. Stanford: Stanford University Press; 2003.

    Google Scholar 

  24. Heurtin-Roberts S, Reisin E. Folk Models of Hypertension among Black Women. In: Coreil J, Mull JD, editors. Anthropology and primary health care. Boulder: Westview Press; 1990.

    Google Scholar 

  25. Larsen JA. Finding meaning in first episode psychosis: experience, agency, and the cultural repertoire. Med Anthropol Q. 2003;17(2):447–71.

    Google Scholar 

  26. Anonymous 2000 Census Profiles for Oregon Accessed March 30 2005. Population Research Center, Portland State University School of Urban Studies and Planning.

  27. Hunsberger B. Immigration raid pushes Oregon into thick of fight. The Oregonian 2007; Sect. News (col. June 13).

  28. Slovic B. Chop shop. Willamette Week 2007; Sect. Cover Story (col. May 2).

  29. Guttman M. Fixing men: sex, birth control, and AIDS in Mexico. Berkeley: University of California Press; 2007.

    Google Scholar 

  30. Bletzer KV. Use of ethnography in the evaluation and targeting of HIV-AIDS education among Latino farm workers. AIDS Educ Prev. 1995;7:178–91.

    PubMed  CAS  Google Scholar 

  31. Hirsch JS, Higgins J, Bentley ME, Nathanson CA. The social constructions of sexuality: marital infidelity and sexually transmitted disease—HIV risk in a Mexican migrant community. Am J Public Health. 2002;92(8):1227–37.

    Article  PubMed  Google Scholar 

  32. Apgar BS, Kittendorf AL, Bettcher CM, Wong J, Kaufman AJ. Update on ASCCP consensus guidelines for abnormal cervical screening tests and cervical histology. Am Fam Physician. 2009;80(2):147–55.

    PubMed  Google Scholar 

  33. Watkins MM. Barriers to cervical cancer screening in rural Mexico. Int J Gynecol Cancer. 2002;12(5):475–9.

    Article  PubMed  CAS  Google Scholar 

  34. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77–101.

    Article  Google Scholar 

  35. Goldman RE, Risica PM. Perceptions of breast and cervical cancer risk and screening among Dominicans and puerto ricans in Rhode Island. Ethn Dis. 2004;14(1):32–42.

    PubMed  Google Scholar 

  36. McMullin JM, De Alba I, Chavez LR, Hubbell FA. Influence of beliefs about cervical cancer etiology on Pap smear use among Latina immigrants. Ethn Health. 2005;10(1):3–18.

    Article  PubMed  Google Scholar 

  37. Scarinci IC, Beech BM, Kovach KW, Bailey TL. An examination of sociocultural factors associated with cervical cancer screening among low-income Latina immigrants of reproductive age. [article]. J Immigr Health. 2003;5(3):119–28.

    Article  PubMed  Google Scholar 

  38. del Carmen MG, Findley M, Muzikansky A, et al. Demographic, risk factor, and knowledge differences between Latinas and non-Latinas referred to colposcopy. Gynecol Oncol. 2007;104(1):70–6.

    Article  PubMed  Google Scholar 

  39. Hubbell FA, Chavez LR, Mishra SI, Valdez RB. Beliefs about sexual behavior and other predictors of Papanicolaou smear screening among Latinas and Anglo women. Arch Intern Med. 1996;156(20):2353–8.

    Article  PubMed  CAS  Google Scholar 

  40. Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. 2006 disease profile. 2008; 9–27.

  41. Erwin DO, Johnson VA, Trevino M, Duke K, Feliciano L, Jandorf L. A comparison of African American and Latina social networks as indicators for culturally tailoring a breast and cervical cancer education intervention. Cancer. 2007;109(2 Suppl):368–77.

    Article  PubMed  Google Scholar 

  42. Wallerstein N. Empowerment to reduce health disparities. Scand J Public Health. 2002;30:72–7.

    Google Scholar 

  43. Rappaport J. In praise of paradox: a social policy of empowerment over prevention. Am J Community Psychol. 1981;9(1):1–25.

    Article  PubMed  CAS  Google Scholar 

  44. Israel BA, Checkoway B, Schulz A, Zimmerman M. Health education and community empowerment: conceptualizing and measuring perceptions of individual, organizational, and community control. Health Educ Q. 1994;21(2):149–70.

    PubMed  CAS  Google Scholar 

  45. Romero L, Wallerstein N, Lucero J, Fredine HG, Keefe J, O’Connell J. Woman to woman: coming together for positive change—using empowerment and popular education to prevent HIV in women. AIDS Educ Prev. 2006;18:390–405.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This publication was made possible with support from the Oregon Clinical and Translational Research Institute (OCTRI), grant number UL1 RR024140 from the National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH), and NIH Roadmap for Medical Research. We would like to thank Alma Rivera, Marco Mejia and Virginia Salinas for the work advising us in the formation and conduct of this study and for their help in disseminating results to the community. Dr. Gregg would also like to thank Thomas Becker MD, PhD, Stephanie Farquhar PhD, Martha Gerrity MD, PhD and Michelle Berlin MD, MPH for mentoring her in this research.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jessica Gregg.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gregg, J., Centurion, T., Aguillon, R. et al. Beliefs About the Pap Smear Among Mexican Immigrants. J Immigrant Minority Health 13, 899–905 (2011). https://doi.org/10.1007/s10903-009-9301-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-009-9301-4

Keywords

Navigation