Document Type : Research Articles
Department of Social Work, University of South Dakota, 4801 North Career Ave, #145C, Sioux Falls, SD 57107, United States.
School of Social Work, The University of Alabama, 1022 Little Hall, Judy Bonner Drive, Tuscaloosa, AL 35401, United States.
Department of Sociology, Anthropology, and Social Work, 250 Waters Hall, 1603 Old Claflin Pl. Manhattan, KS 66506, United States.
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.