TY - JOUR
T1 - Facilitators and Barriers of Cervical Cancer Screening and Human Papilloma Virus Vaccination Among Somali Refugee Women in the United States
T2 - A Qualitative Analysis
AU - Allen, Elizabeth M.
AU - Lee, Hee Yun
AU - Pratt, Rebekah
AU - Vang, Houa
AU - Desai, Jay R.
AU - Dube, Amano
AU - Lightfoot, Elizabeth
N1 - Publisher Copyright:
© The Author(s) 2018.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Introduction: Eastern Africa has the highest rates of cervical cancer incidence (42.7 per 100,000) and mortality (27.6 per 100,000), substantially higher than worldwide incidence (14.0 per 100,000) and mortality (6.8 per 100,000). The purpose of this study was to explore facilitators and barriers to cervical cancer screening and human papilloma virus (HPV) vaccination among Somali refugee women and their children. Method: Focus group discussions were conducted in August of 2016. Investigators performed systematic, comparative, and thematic data analyses. Results: The 31 Somali refugee participants ranged from 23 to 64 years old. Four major themes emerged: (1) knowledge, (2) facilitators, (3) decision making, and (4) views on intervention strategies. Doctor recommendation and family support were important facilitators. Community education was the most popular strategy in promoting screening and vaccine uptake. Discussion: Multilevel targeted interventions should increase knowledge and include family members to increase cervical cancer screening and HPV vaccination uptake in the Somali community.
AB - Introduction: Eastern Africa has the highest rates of cervical cancer incidence (42.7 per 100,000) and mortality (27.6 per 100,000), substantially higher than worldwide incidence (14.0 per 100,000) and mortality (6.8 per 100,000). The purpose of this study was to explore facilitators and barriers to cervical cancer screening and human papilloma virus (HPV) vaccination among Somali refugee women and their children. Method: Focus group discussions were conducted in August of 2016. Investigators performed systematic, comparative, and thematic data analyses. Results: The 31 Somali refugee participants ranged from 23 to 64 years old. Four major themes emerged: (1) knowledge, (2) facilitators, (3) decision making, and (4) views on intervention strategies. Doctor recommendation and family support were important facilitators. Community education was the most popular strategy in promoting screening and vaccine uptake. Discussion: Multilevel targeted interventions should increase knowledge and include family members to increase cervical cancer screening and HPV vaccination uptake in the Somali community.
KW - clinical areas
KW - focus group analysis
KW - health disparities
KW - maternal/child
KW - oncology/hematology
KW - refugees and asylum seekers
KW - women’s health
UR - http://www.scopus.com/inward/record.url?scp=85053402497&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85053402497&partnerID=8YFLogxK
U2 - 10.1177/1043659618796909
DO - 10.1177/1043659618796909
M3 - Article
C2 - 30170512
AN - SCOPUS:85053402497
SN - 1043-6596
VL - 30
SP - 55
EP - 63
JO - Journal of Transcultural Nursing
JF - Journal of Transcultural Nursing
IS - 1
ER -
