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Personal Networks and Cervical Cancer Screening among Black Immigrant Women

Bibliographic Data

ID2073545
AuthorsLeslie E Cofie (0000-0001-6705-5944, East Carolina University, corresponding author), Olivia Whitt (0009-0007-2395-7365, East Carolina University), Nikhil Bhagat (Tulane University)
Year2024
Volume13
Issue1
Pages117-129
Publication date2024-11-11
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Racial and Ethnic Health Disparities (JOURNAL)
Journal identifiersISSN: 2196-8837 • E-ISSN: 2197-3792
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/s40615-024-02231-6
PMID39527335
OpenAlexW4404239777
LanguageEN
References cited64

Background Prior research has linked personal network characteristics with cancer screening uptake including Papanicolaou (Pap) screening, but less is known about the experiences of Black immigrant women (BIW) in the USA. We examined the relationship between network characteristics and Pap screening among BIW and explored how their network members influence their cancer related knowledge and prevention behaviors. Methods A mixed methods study of BIW, aged 21-65 years, in southeastern US included a cross-sectional survey (N = 204) and in-depth individual interviews (N = 13). We examined whether high-social connectedness, contact frequency, and social support were associated with Pap screening, using multivariable logistic regression models. Thematic analysis further assessed the roles of personal network factors on BIW's cancer preventive behaviors. Results Pap screening was more likely among BIW with high- versus low-social connectedness (OR: 2.68, CI: 1.12, 6.46). However, the impact of high-social connectedness was attenuated, after adjusting for demographic factors and health insurance. Our qualitative findings revealed that both BIW and their personal networks had limited knowledge on cancer and related prevention measures. Close network members, particularly mother-figures, provided support for BIW's care seeking efforts, including cancer screening, although some participants mentioned a lack of screening support. Conclusion These findings suggest that Black immigrant communities may benefit from tailored cancer prevention interventions among close network members, to improve knowledge and support for cancer control behaviors

Black women · Cancer · Cervical cancer · Immigration · Pathology · Political science · Public health · Quality of Life Research · Sociology · Cervical Cancer and HPV Research · Gender Studies · Global Cancer Incidence and Screening · Medicine · Migration, Health and Trauma · Epidemiology · Gerontology · Internal Medicine

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