Barriers to Cervical Cancer Screening by Sexual Orientation Among Low-Income Women in North Carolina
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Published:2024-04-16
Issue:5
Volume:53
Page:1645-1652
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ISSN:0004-0002
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Container-title:Archives of Sexual Behavior
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language:en
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Short-container-title:Arch Sex Behav
Author:
Spencer Jennifer C.ORCID, Charlton Brittany M., Pretsch Peyton K., Schnarrs Phillip W., Spees Lisa P., Hudgens Michael G., Barclay Lynn, Wheeler Stephanie B., Brewer Noel T., Smith Jennifer S.
Abstract
AbstractWe sought to examine cervical cancer screening barriers by sexual orientation among low-income women in North Carolina. The MyBodyMyTest-3 Trial recruited low-income women (< 250% of federal poverty level) aged 25–64 years who were 1+ year overdue for cervical cancer screening. We compared perceptions of cervical cancer screening among those who self-identified as lesbian, gay, bisexual, or queer (LGBQ; n = 70) to straight/heterosexual women (n = 683). For both LGBQ and straight respondents, the greatest barriers to screening were lack of health insurance (63% and 66%) and cost (49% and 50%). LGBQ respondents were more likely than straight respondents to report forgetting to screen (16% vs. 8%, p = .05), transportation barriers (10% vs. 2%, p = .001), and competing mental or physical health problems (39% vs. 27%, p = .10). Addressing access remains important for improving cervical cancer screening among those under-screened. For LGBQ women, additional attention may be needed for reminders, co-occurring health needs, and transportation barriers.
Funder
National Institutes of Health American Cancer Society National Institute on Minority Health and Health Disparities
Publisher
Springer Science and Business Media LLC
Reference32 articles.
1. Agénor, M., Jahn, J. L., Kay, E., Bishop, R. A., Peitzmeier, S. M., Potter, J., & Austin, S. B. (2019). Human Papillomavirus risk perceptions among young adult sexual minority cisgender women and nonbinary individuals assigned female at birth. Perspectives on Sexual and Reproductive Health, 51(1), 27–34. https://doi.org/10.1363/psrh.12087 2. Agénor, M., Murchison, G. R., Chen, J. T., Bowen, D. J., Rosenthal, M. B., Haneuse, S., & Austin, S. B. (2020). Impact of the Affordable Care Act on human papillomavirus vaccination initiation among lesbian, bisexual, and heterosexual U.S. women. Health Services Research, 55(1), 18–25. https://doi.org/10.1111/1475-6773.13231 3. Agénor, M., Pérez, A. E., Solazzo, A. L., Beccia, A. L., Samnaliev, M., Wu, J., Charlton, B. M., & Austin, S. B. (2022). Assessing variations in sexual orientation-and gender identity-related U.S. state laws for sexual and gender minority health research and action, 1996–2016. LGBT Health, 9(3), 207–216. https://doi.org/10.1089/lgbt.2021.0157 4. Agénor, M., Pérez, A. E., Wilhoit, A., Almeda, F., Charlton, B. M., Evans, M. L., Borrero, S., & Austin, S. B. (2021). Contraceptive care disparities among sexual orientation identity and racial/ethnic subgroups of U.S. women: A national probability sample study. Journal of Women’s Health, 30(10), 1406–1415. https://doi.org/10.1089/jwh.2020.8992 5. Blosnich, J., Lee, J. G. L., & Horn, K. (2013). A systematic review of the aetiology of tobacco disparities for sexual minorities. Tobacco Control, 22(2), 66–73. https://doi.org/10.1136/tobaccocontrol-2011-050181
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