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Cervical Cancer Screening Adherence Among Somali Immigrants and Refugees to the United States
Authors:T. Ben Morrison  Priscilla M. Flynn  Amy L. Weaver  Mark L. Wieland
Affiliation:1. Division of Cardiovascular Medicine , Vanderbilt University Medical Center , Nashville , Tennessee , USA;2. Office of Women's Health , Mayo Clinic , Rochester , Minnesota , USA;3. Division of Biomedical Statistics and Informatics , Mayo Clinic , Rochester , Minnesota , USA;4. Division of Primary Care Internal Medicine , Mayo Clinic , Rochester , Minnesota , USA
Abstract:Somali women have lower cervical cancer screening (CCS) rates than non-Somali women in the United States. We examined clinical and administrative data associated with CCS adherence among Somali women seen at a large primary care practice over 2 years. Fifty-one percent of 310 women were adherent to CCS, and adherence was associated with more overall health care system visits. Patients saw male providers 65.8% of the time; however, only 20.4% of the CCS tests were performed by male providers. Future interventions that enhance cancer prevention, health literacy, and patient–provider gender concordance may improve rates of CCS among Somali women.
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