Hee Lee

Determinants of Female Cancer Screening Awareness in Alabama’s Black Belt Region

Breast and cervical cancers represent significant health challenges in Alabama's Black Belt region, where they are leading causes of mortality among women. This study aims to investigate the factors influencing awareness levels of three critical female cancer screening methods: mammograms, clinical breast exams, and Pap tests. A cross-sectional survey was conducted with 257 participants in Alabama's Black Belt region, utilizing self-administered questionnaires to gather data on awareness of female cancer screening methods. To identify significant predictors of awareness for each screening method, logistic regression analysis was employed. The study revealed high levels of awareness regarding mammograms, clinical breast exams, and Pap tests among participants. Women demonstrated significantly greater awareness of mammograms and Pap tests compared to men. Employment status and family history of cancer were identified as key predictors of awareness. Specifically, participants with a family history of cancer and those who were employed were more likely to be aware about mammograms, clinical breast exams, and Pap tests. Furthermore, self-reported health status was positively associated with awareness of clinical breast exams and Pap tests. Notably, the perception of racial impact on healthcare quality significantly influenced awareness of mammograms. Although this study highlights relatively high levels of female cancer screening awareness among women in Alabama's Black Belt region, there is a pressing need for concerted efforts to further enhance this awareness. Implementing comprehensive educational initiatives and improving healthcare resource provision are critical steps toward augmenting knowledge and achieving optimal cancer screening rates in this underserved community. Such measures are essential to mitigate cancer risks and improve health outcomes for women in this region.

Adherence to Cervical Cancer Screening in Korean American Immigrant Women: Identifying Malleable Variables for Intervention Development

Introduction. Despite Korean American women having a high incidence rate of cervical cancer, many are unaware of the significance of Pap test. The purpose of this research was to examine the rates of Pap test receipt and factors associated with the uptake. Method. The study was guided by Andersen’s Model of Health Service Use and used a cross-sectional research design. A sample of 230 women residing in metro-Atlanta, Georgia, participated in this study. Results. Slightly more than half (55.7%) had lifetime Pap tests while less than half (45.7%) had it within the last 3 years. Binary logistic regression indicated that marital status, monthly income, and annual checkups were significantly correlated with receiving Pap tests. Discussion. Special attention is needed for women who are unmarried and have low income to increase Pap test receipt. Suggested intervention programs include better communication strategies, extended Medicare coverage, and outreach programs within Korean American community.