Health Care Providers' Perspectives on Barriers and Facilitators to Cervical Cancer Screening in Vietnamese American Women

J Transcult Nurs. 2018 Sep;29(5):441-448. doi: 10.1177/1043659617745135. Epub 2017 Dec 3.

Abstract

Introduction: Vietnamese American women (VAW) are diagnosed and die at twice the rate than White non-Hispanic American women (16.8/100,000 vs. 8.1/100,000 and 4.4/100,000 vs. 2.4/100,000, respectively). Despite efforts to increase cervical cancer (CC) screening among VAW, the participation rates are persistently low (69% to 81%). The purpose of this study was to explore health care providers' (HCPs) perspectives on barriers and facilitators to CC screening in VAW.

Method: This qualitative descriptive pilot study, used open-ended semistructured interviews with 10 HCPs.

Results: The HCPs had two to 23 years treating VAW. Major barriers and facilitators identified by the HCPs were as follows: VAW's decision making about CC screening; sexual health divide; language discordance, relying on interpreters; breaking suspicion; VAW's exposure to health sources of CC screening; sustainable trust; and motivated health care practices.

Discussion: HCPs perceived the reasons for VAW not being screened or delaying CC screening were due to their lack of knowledge, cultural barriers, language, and issues related to trust.

Keywords: Vietnamese; cervical; health care providers; screening.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Asian / statistics & numerical data*
  • Early Detection of Cancer / methods
  • Early Detection of Cancer / psychology
  • Early Detection of Cancer / standards
  • Female
  • Focus Groups / methods
  • Health Personnel / psychology*
  • Humans
  • Mass Screening / methods
  • Mass Screening / psychology
  • Mass Screening / standards*
  • Middle Aged
  • Oregon
  • Papanicolaou Test / methods
  • Papanicolaou Test / psychology
  • Patient Acceptance of Health Care / psychology
  • Perception*
  • Pilot Projects
  • Qualitative Research
  • Uterine Cervical Neoplasms / diagnosis*
  • Uterine Cervical Neoplasms / psychology