1. Shauna Ayres, CHES1, Julia Bodson1, Echo L. Warner, MPH1,2, Deanna Kepka PhD, MPH1,2 1Cancer Control and Population Sciences, Huntsman Cancer Institute, Salt Lake City, Utah, USA
2College of Nursing, University of Utah, Salt Lake City, Utah, USA
Reduce screening costs.
• Reduce barriers to and educate the community about
existing free or low cost Pap tests and screenings.
• Collaborate with Latino community organizations such as
Alliance Community Services and Comunidades Unidas.
Engage the Latino community.
• Educate and encourage influential family members to
support Pap testing and screenings.
• Utilize existing Latino health booths and health fairs to
increase awareness and knowledge of Pap tests and
screening recommendations.
• Develop literature addressing barriers to and concerns
about Pap tests specific to the Latino community.
Tailor public health messages to reach younger
Latinas most at risk for HPV & least likely to get
a Pap test.
• Develop a multimedia public health campaign for
younger Latinas which could include TV ads, radio
announcements, billboards, fotonovelas, etc.
• Provide information in school health classes.
• Encourage medical professionals, especially those
whose patients are primarily Latinos, to engage in
conversations about Pap tests and the HPV vaccinations
during all office visits.
Combine efforts to increase Pap tests with efforts to
increase HPV vaccination.
• Collaborate with HPV coalitions such as the
Intermountain West HPV Vaccination Coalition.
• Collaborate with healthcare facilities and professionals to
discuss Pap testing and HPV vaccination simultaneously
with patients and/or family members.
Discussion & Next Steps
• More women who self-identify as having poor health
status are overdue for Pap tests compared to women who
self-identify as having good health status (p<.01).
• Women who self-identify as having poor health status
consider “too expensive/no insurance” among the top
three reasons for being overdue on Pap tests as
compared to those who self-identify as having good
health status (p=.04).
Results
Research Design:
Descriptive, cross-sectional
Participants: Alliance Community Services (ACS)
and Comunidades Unidas (CU) recruited 192
Latina participants overdue for various cancer
screenings. Participants were assessed by a short
survey administered at community health booths
using the purposive sampling technique.
Data Collection:
Eligible Latinas were
contacted via phone
by a health educator
from ACS or CU to
complete the study
survey.
Measures: 43-item
self-reported,
culturally appropriate
Spanish survey
assessed cancer
screening history, HPV
vaccination
knowledge, and
demographic factors.
Statistical Analysis: Descriptive statistics such as
frequencies were used to characterize the sample.
Fisher’s Exact Tests were used for comparisons. P-
values of .05 or less were considered significant.
Methods
Introduction
We thank the health educators at Alliance Community
Services and Comunidades Unidas for their vital participation
and assistance. In addition, this research is supported by
Utah Cancer Action Network (UCAN). We would also like to
acknowledge the Huntsman Cancer Institute and the
Huntsman Cancer Foundation for their support.
Acknowledgments
Findings suggest that age & self-identified health status
affect cervical cancer screening among Latinas
Study Objective
To determine factors associated
with being overdue for cervical
cancer screening (not having a
Pap test in the last 3 years)
among Latina women in the
Salt Lake City area.
• Latinas have the highest
incidence of cervical cancer
in the US.
• In Utah between 1991 and
2008, the proportion of Utah
women aged 18 or older who
reported receiving a Pap test
within the last three years
decreased from 88.2% to 74.1%.
• Rates of cancer screening maybe
even lower for vulnerable
populations such as uninsured
and underinsured Latinas near
Salt Lake City, Utah.
• Latinos are the fastest growing
population in the United States (US)
and Utah. In 2013, Salt Lake County
was comprised of 17.6% Latinos and
17.1% across the whole US.
23%
77%
Figure 4: Health Status and
a Top 3 Reason for Being Overdue is
“Too Expensive/No Insurance” (n=47)
Good Poor1 2
NOTE: Participants answered according to a 5-point scale and we
recoded the variable to be binary.
1Good includes the responses “Excellent,” “Very Good,” and “Good.”
2Poor includes the responses “Fair” and ”Poor.”
Table 1: Demographics
UPD Overdue P
Age N % N % <0.01
21-37 1 2.3 28 18.9
38-47 43 97.2 120 81.1
Birthplace 0.67
United States 1 2.3 2 1.4
Mexico 31 70.5 108 73.0
Other 12 27.3 35 23.7
Marital Status 0.58
Married 27 61.4 100 67.6
Other 16 36.4 47 31.8
Employment Status 0.08
Employed 25 56.8 64 43.2
Unemployed/Student 17 38.6 83 56.1
Insurance Status 0.47
Insured 4 9.1 8 5.4
Not Insured 39 88.6 138 93.2
Self-Identified Health Status (see Figure 2) <0.01
Good 26 59.1 52 35.1
Poor 18 40.9 96 64.9
49
47
34
18
Other
Too expensive/no insurance
Put it off
Haven't had any problems
Figure 3: Top 3 Reasons for
Being Overdue on Pap Tests (n=148)
0
20
40
60
80
100
120
Good Poor
Figure 2: Health Status
and Pap Testing (n=191)
UTD
Overdue
1 2