Skip to main content
Erschienen in: Journal of Immigrant and Minority Health 3/2015

01.06.2015 | Original Paper

Cervical Cancer: Barriers to Screening in the Somali Community in Minnesota

verfasst von: Rahel G. Ghebre, Barrett Sewali, Sirad Osman, Amira Adawe, Hai T. Nguyen, Kolawole S. Okuyemi, Anne Joseph

Erschienen in: Journal of Immigrant and Minority Health | Ausgabe 3/2015

Einloggen, um Zugang zu erhalten

Abstract

This study examined barriers to and facilitators of cervical cancer screening among Somali immigrant women in Minnesota. We adopted the socioecological framework to illustrate screening barriers at multiple levels. We conducted 23 semi-structured key informant interviews and used a thematic exploratory approach to analyze the data. Barriers were classified into individual, community or health systems levels. Obstacles included lack of knowledge, religious beliefs, fatalism, fear, embarrassment, and lack of trust in the interpreters. Participants described a need for training of healthcare providers on issues surrounding Somali women’s cultural practices and sexual health. Identifying individual, community, or health system barriers and addressing them concurrently may increase use of cancer screening services among Somali women. Future interventions need to address multilevel barriers with multilevel approaches to improve utilization of cervical cancer screening services in underserved immigrant populations in the United States.
Literatur
1.
Zurück zum Zitat Ferlay JSH, Bray F, Forman D, Mathers CD, Parkin D. GLOBO-CAN 2008, Cancer Incidence and Mortality Worldwide: IARC Cancer- Base No.10 [Internet]. (2008). http://globocan.iarc.fr. Ferlay JSH, Bray F, Forman D, Mathers CD, Parkin D. GLOBO-CAN 2008, Cancer Incidence and Mortality Worldwide: IARC Cancer- Base No.10 [Internet]. (2008). http://​globocan.​iarc.​fr.
11.
Zurück zum Zitat Khadilkar A, Chen Y. Rate of cervical cancer screening associated with immigration status and number of years since immigration in Ontario, Canada. J Immigr Minor Health. 2013;15(2):244–8. doi:10.1007/s10903-012-9711-6.PubMed Khadilkar A, Chen Y. Rate of cervical cancer screening associated with immigration status and number of years since immigration in Ontario, Canada. J Immigr Minor Health. 2013;15(2):244–8. doi:10.​1007/​s10903-012-9711-6.PubMed
12.
Zurück zum Zitat Tsui J, Saraiya M, Thompson T, Dey A, Richardson L. Cervical cancer screening among foreign-born women by birthplace and duration in the United States. J Womens Health (Larchmt). 2007;16(10):1447–57. doi:10.1089/jwh.2006.0279. Tsui J, Saraiya M, Thompson T, Dey A, Richardson L. Cervical cancer screening among foreign-born women by birthplace and duration in the United States. J Womens Health (Larchmt). 2007;16(10):1447–57. doi:10.​1089/​jwh.​2006.​0279.
15.
Zurück zum Zitat Swan J, Breen N, Coates RJ, Rimer BK, Lee NC. Progress in cancer screening practices in the United States: results from the 2000 National Health Interview Survey. Cancer. 2003;97(6):1528–40. doi:10.1002/cncr.11208.CrossRefPubMed Swan J, Breen N, Coates RJ, Rimer BK, Lee NC. Progress in cancer screening practices in the United States: results from the 2000 National Health Interview Survey. Cancer. 2003;97(6):1528–40. doi:10.​1002/​cncr.​11208.CrossRefPubMed
16.
Zurück zum Zitat Harcourt N, Ghebre RG, Whembolua GL, Zhang Y, Osman SW, Okuyemi KS. Factors associated with breast and cervical cancer screening behavior among African immigrant women in Minnesota. J Immigr Minor Health. 2013. doi:10.1007/s10903-012-9766-4. Harcourt N, Ghebre RG, Whembolua GL, Zhang Y, Osman SW, Okuyemi KS. Factors associated with breast and cervical cancer screening behavior among African immigrant women in Minnesota. J Immigr Minor Health. 2013. doi:10.​1007/​s10903-012-9766-4.
17.
Zurück zum Zitat Morrison TB, Wieland ML, Cha SS, Rahman AS, Chaudhry R. Disparities in preventive health services among Somali immigrants and refugees. J Immigr Minor Health. 2012;14(6):968–74. doi:10.1007/s10903-012-9632-4.PubMed Morrison TB, Wieland ML, Cha SS, Rahman AS, Chaudhry R. Disparities in preventive health services among Somali immigrants and refugees. J Immigr Minor Health. 2012;14(6):968–74. doi:10.​1007/​s10903-012-9632-4.PubMed
18.
Zurück zum Zitat Carroll J, Epstein R, Fiscella K, Volpe E, Diaz K, Omar S. Knowledge and beliefs about health promotion and preventive health care among somali women in the United States. Health Care Women Int. 2007;28(4):360–80. doi:10.1080/07399330601179935.PubMed Carroll J, Epstein R, Fiscella K, Volpe E, Diaz K, Omar S. Knowledge and beliefs about health promotion and preventive health care among somali women in the United States. Health Care Women Int. 2007;28(4):360–80. doi:10.​1080/​0739933060117993​5.PubMed
20.
Zurück zum Zitat Redwood-Campbell L, Fowler N, Laryea S, Howard M, Kaczorowski J. ‘Before you teach me, I cannot know’: immigrant women’s barriers and enablers with regard to cervical cancer screening among different ethnolinguistic groups in Canada. Can J Public Health. 2011;102(3):230–4.PubMed Redwood-Campbell L, Fowler N, Laryea S, Howard M, Kaczorowski J. ‘Before you teach me, I cannot know’: immigrant women’s barriers and enablers with regard to cervical cancer screening among different ethnolinguistic groups in Canada. Can J Public Health. 2011;102(3):230–4.PubMed
21.
Zurück zum Zitat Al-Amoudi S, Canas J, Hohl SD, Distelhorst SR, Thompson B. Breaking the silence: breast cancer knowledge and beliefs among Somali Muslim women in seattle. Washington: Health Care Women Int; 2013. doi:10.1080/07399332.2013.857323. Al-Amoudi S, Canas J, Hohl SD, Distelhorst SR, Thompson B. Breaking the silence: breast cancer knowledge and beliefs among Somali Muslim women in seattle. Washington: Health Care Women Int; 2013. doi:10.​1080/​07399332.​2013.​857323.
23.
Zurück zum Zitat McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q. 1988;15(4):351–77.PubMed McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q. 1988;15(4):351–77.PubMed
24.
Zurück zum Zitat Green LW, Kreuter MW. Health program planning: an educational and ecological approach. New York: McGraw-Hill; 2005. Green LW, Kreuter MW. Health program planning: an educational and ecological approach. New York: McGraw-Hill; 2005.
25.
Zurück zum Zitat Nuss HJ, Williams DL, Hayden J, Huard CR. Applying the Social Ecological Model to evaluate a demonstration colorectal cancer screening program in Louisiana. J Health Care Poor Underserved. 2012;23(3):1026–35. doi:10.1353/hpu.2012.0120.PubMed Nuss HJ, Williams DL, Hayden J, Huard CR. Applying the Social Ecological Model to evaluate a demonstration colorectal cancer screening program in Louisiana. J Health Care Poor Underserved. 2012;23(3):1026–35. doi:10.​1353/​hpu.​2012.​0120.PubMed
26.
Zurück zum Zitat Daley E, Alio A, Anstey EH, Chandler R, Dyer K, Helmy H. Examining barriers to cervical cancer screening and treatment in Florida through a socio-ecological lens. J Community Health. 2011;36(1):121–31. doi:10.1007/s10900-010-9289-7.PubMed Daley E, Alio A, Anstey EH, Chandler R, Dyer K, Helmy H. Examining barriers to cervical cancer screening and treatment in Florida through a socio-ecological lens. J Community Health. 2011;36(1):121–31. doi:10.​1007/​s10900-010-9289-7.PubMed
27.
Zurück zum Zitat Bae SS, Jo HS, Kim DH, Choi YJ, Lee HJ, Lee TJ. Factors associated with gastric cancer screening of Koreans based on a socio-ecological model. J Prev Med Public Health. 2008;41(2):100–6.PubMed Bae SS, Jo HS, Kim DH, Choi YJ, Lee HJ, Lee TJ. Factors associated with gastric cancer screening of Koreans based on a socio-ecological model. J Prev Med Public Health. 2008;41(2):100–6.PubMed
29.
Zurück zum Zitat Grieco EM, Rytina NF. US data sources on the foreign born and immigration. Int Migr Rev. 2011;45(4):1001–16. Grieco EM, Rytina NF. US data sources on the foreign born and immigration. Int Migr Rev. 2011;45(4):1001–16.
Metadaten
Titel
Cervical Cancer: Barriers to Screening in the Somali Community in Minnesota
verfasst von
Rahel G. Ghebre
Barrett Sewali
Sirad Osman
Amira Adawe
Hai T. Nguyen
Kolawole S. Okuyemi
Anne Joseph
Publikationsdatum
01.06.2015
Verlag
Springer US
Erschienen in
Journal of Immigrant and Minority Health / Ausgabe 3/2015
Print ISSN: 1557-1912
Elektronische ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-014-0080-1

Weitere Artikel der Ausgabe 3/2015

Journal of Immigrant and Minority Health 3/2015 Zur Ausgabe