• Diane M Harper, Madiha Tariq, Asraa Alhawli, Nadia Syed, Minal R Patel, and Ken Resnicow.
• Department of Family Medicine, University of Michigan, School of Medicine, USA; Department of Obstetrics & Gynecology, University of Michigan, School of Medicine, USA; Department of Women's Studies, University of Michigan, College of Literature, Science and the Arts, USA. Electronic address: harperdi@med.umich.edu.
• Prev Med. 2022 Jun 1; 159: 107054.

AbstractThe cervical cancer screening behaviors of Arab American women are not adequately understood, in part because Middle Eastern North African (MENA) descent is not a US Census category. Others have shown decreased cervical cancer screening in this race of women. Our primary aim is to evaluate the predictors of cervical cancer screening among MENA, White and Black women of southeast Michigan. A community-wide health survey reached MENA, White and Black populations asking self-report questions about health behaviors, attitudes, and medical history. Cervical cancer screening was considered up-to-date if it was reported to have occurred within the past three years. Survey responses were limited to women 30-65 years old and were analyzed with inferential and logistic regression models to determine risk factors for cervical cancer screening. Overall, 78% reported cervical cancer screening within the past three years. MENA women screened less often if time in the US was less than ten years (aOR 0.24 (0.05, 0.76)) compared to more than ten years and if single (aOR 0.27 (0.07, 0.97)) compared to married. Religion was not associated with screening in any study population. Those of all races without insurance screened significantly less often than those with insurance. The barriers to cervical cancer screening among MENA women are not associated with religion but instead with lack of insurance and length of time residing in the US.Copyright © 2022 Elsevier Inc. All rights reserved.

18 keywords...

hide…