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Tytuł:
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Comparative predictors for cervical cancer screening in Southeast Michigan for Middle Eastern-North African (MENA), White and African American/black women.
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Autorzy:
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Harper DM; 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: .
Tariq M; Arab Community Center for Economic and Social Services (ACCESS), 2651 Saulino Court, Dearborn, MI 48120, USA. Electronic address: .
Alhawli A; Arab Community Center for Economic and Social Services (ACCESS), 2651 Saulino Court, Dearborn, MI 48120, USA. Electronic address: .
Syed N; Arab Community Center for Economic and Social Services (ACCESS), 2651 Saulino Court, Dearborn, MI 48120, USA. Electronic address: .
Patel MR; Department of Health Behavior & Health Education, University of Michigan, School of Public Health, USA. Electronic address: .
Resnicow K; Department of Health Behavior & Health Education, University of Michigan, School of Public Health, USA; Outreach and Health Disparities Research, University of Michigan, Rogel Cancer Center, USA; Center for Health Communications Research, University of Michigan, School of Public Health, USA. Electronic address: .
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Źródło:
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Preventive medicine [Prev Med] 2022 Jun; Vol. 159, pp. 107054. Date of Electronic Publication: 2022 Apr 20.
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Typ publikacji:
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Journal Article; Research Support, N.I.H., Extramural
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Język:
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English
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Imprint Name(s):
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Original Publication: New York, Academic Press.
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MeSH Terms:
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Early Detection of Cancer*
Uterine Cervical Neoplasms*/diagnosis
Uterine Cervical Neoplasms*/prevention & control
Adult ; Black or African American ; Aged ; Black People ; Female ; Humans ; Mass Screening ; Michigan ; Middle Aged
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Grant Information:
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UL1 TR002240 United States TR NCATS NIH HHS; P30 CA046592 United States CA NCI NIH HHS
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Contributed Indexing:
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Keywords: Cervical cancer screening; Female; Health disparities; Middle East-North African (MENA); Religion; cancer screening
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Entry Date(s):
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Date Created: 20220423 Date Completed: 20220519 Latest Revision: 20221207
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Update Code:
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20240105
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DOI:
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10.1016/j.ypmed.2022.107054
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PMID:
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35460718
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The 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.)