PREDICTORS OF CERVICAL-CANCER SCREENING IN MEXICAN-AMERICAN WOMEN OF REPRODUCTIVE AGE

Several barriers impede cancer prevention in the Mexican American popu lation. This study identified sociocultural factors that could be used to increase screening rates for cervical cancer in women of reproduct ive age. A survey was conducted in 1991 of 366 Mexican American women ages 18 to 40 in Tucson, Arizona, to assess current compliance with ce rvical cancer screening guidelines and several psychological, social, and cultural variables. Women who had never been screened (13 percent of the sample) had a knowledge deficit, no gynecological care, and no sexual activity. Women not screened annually (16 percent) lacked preve ntive care, imperfectly understood the Pap test, had lower self-effica cy expectations for understanding physicians, experienced higher emoti onal stress about the test, and were older and less acculturated. Wome n who have never been screened require basic education on cancer and c ancer screening and policy changes increasing access to care. For wome n with less routine screening, preventive care, supportive attitudes, and health cave skills must be encouraged.