Examining barriers to cervical cancer screening and treatment in florida through a socio-ecological lens

Ellen Daley, Amina Alio, Erica H. Anstey, Rasheeta Chandler, Karen Dyer, Hannah Helmy

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Cervical cancer incidence and mortality have declined in the U.S. over the past 50 years because of broad screening efforts; however, some states continue to bear a greater burden due to under-screened and -treated populations. The purpose of this study was to utilize the socio-ecological model to examine barriers to cervical cancer screening and treatment in Florida. A qualitative semi-structured interview guide was used to conduct telephone interviews with 21 purposively sampled health care professionals from 13 high-risk counties. Interviews were transcribed and coded using themes identified a priori based on levels of the socio-ecological model. Investigators identified barriers to cervical cancer screening and treatment in Florida across four levels: (1) regulations and funding issues at the policy level are inconsistent between federal, state and local levels; (2) community level barriers range from cultural differences and fear of deportation, to transportation issues; (3) institutional level barriers complicate the administration of screening and treatment services; and (4) individual beliefs, behaviors, and stressors due to poverty hinder women's ability to access services. Many of our findings are consistent with previous studies that identified constraints to screening and treatment of cervical cancer, such as poverty and lack of access to care. This study adds to the literature by examining barriers from the viewpoint of service providers and program coordinators, and through the utilization of the socio-ecological model to provide a comprehensive framework for identifying and understanding these challenges.

Original languageEnglish (US)
Pages (from-to)121-131
Number of pages11
JournalJournal of Community Health
Volume36
Issue number1
DOIs
StatePublished - Feb 2011
Externally publishedYes

Fingerprint

Early Detection of Cancer
Uterine Cervical Neoplasms
Lenses
cancer
Interviews
Poverty
poverty
deportation
Aptitude
telephone interview
federal state
Therapeutics
interview
cultural difference
service provider
Fear
incidence
mortality
funding
utilization

Keywords

  • Cervical cancer
  • Prevention
  • Screening
  • Socio-ecological model

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)

Cite this

Examining barriers to cervical cancer screening and treatment in florida through a socio-ecological lens. / Daley, Ellen; Alio, Amina; Anstey, Erica H.; Chandler, Rasheeta; Dyer, Karen; Helmy, Hannah.

In: Journal of Community Health, Vol. 36, No. 1, 02.2011, p. 121-131.

Research output: Contribution to journalArticle

Daley, Ellen ; Alio, Amina ; Anstey, Erica H. ; Chandler, Rasheeta ; Dyer, Karen ; Helmy, Hannah. / Examining barriers to cervical cancer screening and treatment in florida through a socio-ecological lens. In: Journal of Community Health. 2011 ; Vol. 36, No. 1. pp. 121-131.
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