Predictors of cervical cancer screening in Mexican American women of reproductive age

David Buller, Manuel R. Modiano, Jill Guernsey De Zapien, Joel Meister, Sallie Saltzman, Frank Hunsaker

Research output: Contribution to journalArticlepeer-review

28 Scopus citations


Several barriers impede cancer prevention in the Mexican American population. This study identified sociocultural factors that could be used to increase screening rates for cervical cancer in women of reproductive age. A survey was conducted in 1991 of 366 Mexican American women ages 18 to 40 in Tucson, Arizona, to assess current compliance with cervical cancer screening guidelines and several psychological, social, and cultural variables. Women who had never been screened (13 percent of the sample) had a knowledge deficit, no gynecological care, and no sexual activity. Women not screened annually (16 percent) lacked preventive care, imperfectly understood the Pap test, had lower self-efficacy expectations for understanding physicians, experienced higher emotional stress about the test, and were older and less acculturated. Women who have never been screened require basic education on cancer and cancer screening and policy changes increasing access to care. For women with less routine screening, preventive care, supportive attitudes, and health care skills must be encouraged.

Original languageEnglish (US)
Pages (from-to)76-95
Number of pages20
JournalJournal of health care for the poor and underserved
Issue number1
StatePublished - Feb 1998


  • Cervical cancer
  • Compliance
  • Health beliefs
  • Mexican American
  • Women

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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