Awareness of Cervical Cancer Causes and Predeterminants of Likelihood to Screen Among Women in Haiti.
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Cervical cancer is the leading cause of cancer deaths among women in Haiti. Given this high disease burden, we sought to better understand women's knowledge of its causes and the sociodemographic and health correlates of cervical cancer screening.Participants were 410 adult women presenting at clinics in Léogâne and Port-au-Prince, Haiti. We used bivariate and multivariate logic regression to identify correlates of Pap smear receipt.Only 29% of respondents had heard of human papillomavirus (HPV), whereas 98% were aware of cervical cancer. Of those aware of cervical cancer, 12% believed that sexually transmitted infections (STIs) cause it, and only 4% identified HPV infection as the cause. Women with a previous sexually transmitted infection were more likely to have had Pap smear (34% vs 71%, odds ratio = 3.45; 95% CI = 1.57-7.59). Screening was also more likely among women who were older than the age of 39 years, better educated, and employed (all p < .05). Almost all women (97%) were willing to undergo cervical cancer screening.This sample of Haitian women had limited awareness of HPV and cervical cancer causes; but when provided with health information, they saw the benefits of cancer screening. Future initiatives should provide health education messages, with efforts targeting young and at-risk women.
Health Knowledge, Attitudes, Practice
Aged, 80 and over
Uterine Cervical Neoplasms
Early Detection of Cancer
Published Version (Please cite this version)10.1097/lgt.0000000000000281
Publication InfoBoggan, Joel; McCarthy, Schatzi H; Walmer, Kathy A; Gichane, Margaret W; Calo, William A; Beauvais, Harry A; & Brewer, Noel T (2017). Awareness of Cervical Cancer Causes and Predeterminants of Likelihood to Screen Among Women in Haiti. Journal of lower genital tract disease, 21(1). 10.1097/lgt.0000000000000281. Retrieved from https://hdl.handle.net/10161/16665.
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Assistant Professor of Medicine
My current QI and research projects include work on readmissions, clinical documentation improvement, ORYX measures, medication reconciliation, and optimization of chronic kidney disease and cardiovascular disease management and referral patterns. I also oversee QI education and projects for the Internal Medicine Residency Program at Duke as the Associate Program Director for Quality Improvement and Patient Safety and help co-lead our Residency Patient Safety and Quality Council. <br