When the Data Does Not Match the Story

Do Trauma Histories and Addiction Issues Really Characterize Poor Cervical Cancer Screening Uptake Among Manitoba First Nation Women Living On-Reserve

Bibliographic Data

ID19565744
AuthorsBelay Elias (0000-0002-2449-8347, University of Manitoba), Brenda Elias, Madelyn Hall, Say P Hong, Erich V Kliewer (0000-0001-7462-2492, BC Cancer Agency), Lyna Hart (Development Research Center of the State Council)
Year2013
Volume8
Issue1
Pages9-16
Publication date2013-06-09
Open AccessYes
TypeARTICLE
VenueInternational Journal of Indigenous Health (JOURNAL)
Journal identifiersISSN: 2291-9368 • E-ISSN: 2291-9376
PublisherUniversity of Toronto Libraries - UOTL (PUBLISHER)
DOI10.18357/ijih81201212357
OpenAlexW2171976020
LanguageEN
References cited6

First Nations women have historically used cervical Papanicolaou (Pap) screening services less than non-First Nations women, and have correspondingly higher rates of cervical cancer compared to non-Aboriginal women. It has been suggested that trauma/mental health histories and addiction behaviours may present barriers and result in less use of Pap screening. This study examined the potential influence of trauma/mental health histories and addiction on self-reports of Pap screening. Data from the Manitoba First Nations Regional Longitudinal Health Survey 2002/2003 were used to explore the association of social demographic characteristics, trauma history, and addiction behaviours with Pap screening among a sample of 1,707 First Nations adult women living on-reserve in Manitoba, Canada. Women younger than 50 years, those who reported suicidal thoughts and/or attempts over their lifetime, and those with polysubstance addictions were more likely to have been screened in the three years prior to the survey. Contrary to the perceptions of some older First Nations women, women with a challenging past were indeed engaging in Pap screening. Trauma histories and addiction behaviours did not reduce the use of cervical screening for First Nations women in this study. Screening uptake, however, is still less than optimal for older women and women with less than high school education. Culturally appropriate and gender-sensitive communication and health service efforts are required to undo existing misperceptions, and to encourage women, regardless of age or current or past circumstances, to participate in cancer screening for their own wellbeing

Addiction · Cancer · Cervical cancer · Cervical screening · Mental health · Psychiatry · Cervical Cancer and HPV Research · Colorectal Cancer Screening and Detection · Demography · Global Cancer Incidence and Screening · Medicine · Gerontology