Andersen’s Behavioral Model to Identify Correlates of Cervical Cancer Knowledge among American Indian Women

Document Type : Research Articles


1 Department of Social Work, University of South Dakota, 4801 North Career Ave, #145C, Sioux Falls, SD 57107, United States.

2 School of Social Work, The University of Alabama, 1022 Little Hall, Judy Bonner Drive, Tuscaloosa, AL 35401, United States.

3 Department of Sociology, Anthropology, and Social Work, 250 Waters Hall, 1603 Old Claflin Pl. Manhattan, KS 66506, United States.

4 School of Social Work, San Francisco State University, 1600 Holloway Avenue, San Francisco, CA, 94132, United States.


Objective: Using the Andersen’s behavioral model of health services use as a framework, this study aims to examine factors (predisposing, needs, and enabling) related to American Indian (AI) women’s cervical cancer knowledge. Methods: Andersen’s behavioral model of health services was used to examine factors predisposing, needs, and enabling related to AI women’s cervical cancer knowledge. A sample of 259 AI women residing in the Northern Plains was recruited using a convenience sampling strategy. Cervical cancer knowledge was measured using guidelines from the American Cancer Society. Three predisposing factors, six enabling factors, and four need factors were observed.  Result: The mean score of knowledge was 9.11 out of 13. Higher cancer knowledge was associated with 3 enabling factors (higher education, higher HPV knowledge, and use of TV/radio to gain health literacy) and one needs factor (experience in hospitalization). Conclusion: Our findings indicate that culturally sensitive educational interventions, especially those using media, to increase cervical cancer knowledge are needed among AI women.


Main Subjects

Volume 24, Issue 4
April 2023
Pages 1151-1157
  • Receive Date: 08 September 2022
  • Revise Date: 25 February 2023
  • Accept Date: 14 April 2023
  • First Publish Date: 14 April 2023