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Chakema Carmack, PhD
Karina Serrano, BSH
Angelica Roncancio, PhD


Multiple studies have shown that African-American and Hispanic women have limited and inadequate knowledge about cervical cancer (CC) and CC screening, which contributes to morbidity and mortality disparities. Access to knowledge, education, and other socio-political factors are social determinants of health that serve to shape individual health behavior knowledge. Better CC knowledge has been shown to increase screening uptake.


In the present study, we specified unique subgroups regarding CC prevention behaviors in a sample of African-American and Hispanic women (N = 328) recruited from a minority-serving higher education institution.


Latent class analysis identified 3 unique salient subgroups based on the indicators: CC Screening Adherers and Vaccinators (14%), CC Screening Adherers (48%), and CC Prevention Non-adherers (38%). We found probable variations within the classes regarding screening behavior, human papillomavirus (HPV) vaccination status, and race/ethnicity. Women reporting higher guideline knowledge were 11 times more likely to be classified as CC Screening Adherers
and Vaccinators
than CC Prevention Non-adherers. Additionally, women who specifically understood that HPV causes cervical cancer were 16 and 9 times more likely to be classified as CC Screening Adherers and Vaccinators and CC Screening Adherers than to be classified as CC Prevention Non-adherers.


Addressing cervical cancer knowledge remains an important intervention strategy in these populations to increase CC screening uptake.

Source: Health Behavior and Policy Review, Volume 9, Number 1, January 2022, pp. 707-718(12)
Publisher: Paris Scholar Publishing Ltd.
DOI: h