Cervical cancer screening behavior among Hmong-American immigrant women

Objectives: To investigate Hmong-American immigrant women's utilization of cervical cancer screening, including the impact of cultural health beliefs on screening use. Methods: Overall, 164 Hmong-American immigrant women 21 to 65 years of age were recruited from a large metropolitan area in the Midwest. We used logistic regression, guided by Andersen's Behavior Model, to examine factors associated with the receipt of Pap test. Results: About 67.1% had received a Pap test within the last 3 years. Fatalism, modesty, education, and marital status were significantly correlated with receiving a Pap test. Conclusion: The provision of cervical cancer literacy education and related preventive guidelines to this population are urgently needed to reduce cancer-screening disparity.