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Barriers to Cervical Cancer Screening and Treatment in the Dominican Republic: Perspectives of Focus Group Participants in the Santo Domingo Area.
Liebermann, Erica J; VanDevanter, Nancy; Shirazian, Taraneh; Frías Gúzman, Natalia; Niles, Mimi; Healton, Cheryl; Ompad, Danielle.
Afiliação
  • Liebermann EJ; New York University, New York, NY, USA.
  • VanDevanter N; New York University, New York, NY, USA.
  • Shirazian T; New York University, New York, NY, USA.
  • Frías Gúzman N; Instituto Nacional de Cáncer Rosa Emilia Sánchez Pérez de Tavares, Santo Domingo, Dominican Republic.
  • Niles M; New York University, New York, NY, USA.
  • Healton C; New York University, New York, NY, USA.
  • Ompad D; New York University, New York, NY, USA.
J Transcult Nurs ; 31(2): 121-127, 2020 03.
Article em En | MEDLINE | ID: mdl-31046602
Introduction: Cervical cancer is the second leading cause of cancer death among women in the Dominican Republic, and high rates persist despite existing Pap smear screening programs. The purpose of this study was to explore Dominican women's knowledge and attitudes regarding human papillomavirus (HPV) and cervical cancer, cervical cancer screening practices, and perceived barriers and facilitators to early detection of cervical cancer. Method: Six focus groups (N = 64) were conducted in Spanish in urban, suburban, and rural locations, in private and public school settings, community and workplace settings, in or near Santo Domingo, as part of a larger study on barriers and facilitators to HPV vaccine implementation. Audio recordings were transcribed verbatim and translated from Spanish to English. Qualitative data analysis used inductive and deductive approaches. Results: Knowledge regarding HPV and cervical cancer varied across groups, but all agreed there was significant stigma and fear regarding HPV. Most women reported having Pap screening at least yearly. Follow-up of abnormal Pap testing was less consistent, with cost and uncertainty about provider recommendations identified as barriers. Discussion: Broader examination of provider-level and health system barriers and facilitators to cervical cancer prevention in the Dominican Republic is essential, in order to inform interventions to improve the effectiveness of cervical cancer screening and treatment programs and reduce preventable deaths.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aceitação pelo Paciente de Cuidados de Saúde / Neoplasias do Colo do Útero / Programas de Rastreamento Tipo de estudo: Diagnostic_studies / Guideline / Prognostic_studies / Qualitative_research / Screening_studies Limite: Female / Humans / Middle aged País/Região como assunto: Caribe ingles / Dominica / Republica dominicana Idioma: En Revista: J Transcult Nurs Assunto da revista: CIENCIAS SOCIAIS / ENFERMAGEM Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aceitação pelo Paciente de Cuidados de Saúde / Neoplasias do Colo do Útero / Programas de Rastreamento Tipo de estudo: Diagnostic_studies / Guideline / Prognostic_studies / Qualitative_research / Screening_studies Limite: Female / Humans / Middle aged País/Região como assunto: Caribe ingles / Dominica / Republica dominicana Idioma: En Revista: J Transcult Nurs Assunto da revista: CIENCIAS SOCIAIS / ENFERMAGEM Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos