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Cultural shifts: an examination of cervical cancer stigma across age groups in the Caribbean.
Song, Gaole; Thomas-Purcell, Kamilah; Sealy, Diadrey-Anne; Bailey, Althea; Ragin, Camille; Ashing, Kimlin.
Afiliación
  • Song G; Department of Population Sciences, City of Hope Comprehensive Cancer Center, Duarte, CA, USA.
  • Thomas-Purcell K; Department of Health Science, Nova Southeastern University, Ft. Lauderdale, FL, USA.
  • Sealy DA; School of Public Health, Loma Linda University, Loma Linda, CA, USA.
  • Bailey A; Department of Community Health and Psychiatry, University of the West Indies, Mona, Jamaica.
  • Ragin C; Cancer Prevention and Control Program, Fox Chase Cancer Center - Temple University Health System, Philadelphia, PA, USA.
  • Ashing K; African Caribbean Cancer Consortium, Philadelphia, PA, USA.
JNCI Cancer Spectr ; 8(5)2024 Sep 02.
Article en En | MEDLINE | ID: mdl-39235932
ABSTRACT

BACKGROUND:

Cervical cancer-related stigma is common but understudied in the Caribbean. This study aims to describe the age difference of cervical cancer stigma and to evaluate the influence on the prevention practices among the Caribbean nonpatient population in Jamaica, Grenada, and Trinidad and Tobago.

METHODS:

A cross-sectional study involving 1209 participants was conducted using a culturally trans-created Cancer Stigma Scale for the Caribbean context and supplemented with questions on cervical cancer and human papillomavirus (HPV) and HPV vaccine knowledge and beliefs. Descriptive analyses and χ2 tests were conducted.

RESULTS:

The χ2 tests showed age is statistically significantly related to participants' response to stigma items such as "community members believe cervical cancer is viewed as shameful" (P = .0001); "women with cervical cancer are treated with less respect than usual by others" (P < .0001); "women with cervical cancer are rejected by family members" (P = .0007); "women with cervical cancer are rejected by intimate partners" (P < .0001); and "intimate partners blame women for having cervical cancer" (P = .0032). Additionally, age has statistically significant associations with endorsements of negative views of cervical cancer from the community (P < .0001) and family (P < .0001) as key barriers to cervical cancer care (item "discourage women from seeking and obtaining screening and treatment"). Notably, younger respondents (18-25 years) are more sensitized to the unfair stigma and hold more stigma.

CONCLUSIONS:

Among Caribbeans, age influences cervical cancer stigma. Younger persons acknowledged greater stigma within families and communities. This study can guide age-informed interventions and programs to reduce stigma and improve cervical cancer screening and care seeking to reduce cervical cancer burden and disparities.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Cuello Uterino / Conocimientos, Actitudes y Práctica en Salud / Infecciones por Papillomavirus / Estigma Social Límite: Adolescent / Adult / Aged / Female / Humans / Middle aged País/Región como asunto: Caribe / Caribe ingles / Grenada / Jamaica / Trinidad y tobago Idioma: En Revista: JNCI Cancer Spectr Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Cuello Uterino / Conocimientos, Actitudes y Práctica en Salud / Infecciones por Papillomavirus / Estigma Social Límite: Adolescent / Adult / Aged / Female / Humans / Middle aged País/Región como asunto: Caribe / Caribe ingles / Grenada / Jamaica / Trinidad y tobago Idioma: En Revista: JNCI Cancer Spectr Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido