Barriers to Cervical Cancer Screening by Sexual Orientation Among Low-Income Women in North Carolina.
Arch Sex Behav
; 53(5): 1645-1652, 2024 May.
Article
in En
| MEDLINE
| ID: mdl-38627295
ABSTRACT
We 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.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Poverty
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Uterine Cervical Neoplasms
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Early Detection of Cancer
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Health Services Accessibility
Limits:
Adult
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Female
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Humans
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Middle aged
Country/Region as subject:
America do norte
Language:
En
Journal:
Arch Sex Behav
Year:
2024
Document type:
Article
Affiliation country:
Country of publication: