Document Type : Research Articles
Authors
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.
Abstract
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.
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