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Awareness of Cervical Cancer Causes and Predeterminants of Likelihood to Screen Among Women in Haiti.

dc.contributor.author Boggan, Joel
dc.contributor.author McCarthy, Schatzi H
dc.contributor.author Walmer, Kathy A
dc.contributor.author Gichane, Margaret W
dc.contributor.author Calo, William A
dc.contributor.author Beauvais, Harry A
dc.contributor.author Brewer, Noel T
dc.date.accessioned 2018-05-02T03:36:58Z
dc.date.available 2018-05-02T03:36:58Z
dc.date.issued 2017-01
dc.identifier.issn 1089-2591
dc.identifier.issn 1526-0976
dc.identifier.uri https://hdl.handle.net/10161/16665
dc.description.abstract 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.
dc.language eng
dc.publisher Lippincott, Williams & Wilkins
dc.relation.ispartof Journal of lower genital tract disease
dc.relation.isversionof 10.1097/lgt.0000000000000281
dc.subject Humans
dc.subject Cross-Sectional Studies
dc.subject Health Knowledge, Attitudes, Practice
dc.subject Demography
dc.subject Socioeconomic Factors
dc.subject Adolescent
dc.subject Adult
dc.subject Aged
dc.subject Aged, 80 and over
dc.subject Middle Aged
dc.subject Haiti
dc.subject Uterine Cervical Neoplasms
dc.subject Female
dc.subject Early Detection of Cancer
dc.subject Young Adult
dc.subject Papanicolaou Test
dc.title Awareness of Cervical Cancer Causes and Predeterminants of Likelihood to Screen Among Women in Haiti.
dc.type Journal article
dc.date.updated 2018-05-02T03:36:56Z
pubs.issue 1
pubs.organisational-group School of Medicine
pubs.organisational-group Duke
pubs.organisational-group Medicine, General Internal Medicine
pubs.organisational-group Medicine
pubs.organisational-group Clinical Science Departments
pubs.publication-status Published
pubs.volume 21
duke.contributor.orcid Boggan, Joel|0000-0003-3564-2807


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