Cervical Cancer Screening Beliefs and Practices Among Black Immigrant Women From Africa and the Caribbean Living in Massachusetts.

Abstract

Objectives: To examine the cervical cancer screening beliefs and practices of Black immigrant women from sub-Saharan African or Caribbean countries living in Massachusetts.

Sample & setting: 19 women who self-identified as being sub-Saharan African or Caribbean, spoke English, were foreign-born, were aged 25-65 years, and had been living in the United States for at least six months were included.

Methods & variables: A qualitative descriptive design and thematic analysis were used. A semistructured interview guide was developed based on the PEN-3 cultural model.

Results: Facilitators of cervical cancer screening included a sense of personal responsibility to maintain one's health, cultivating trust within the healthcare system, and cultivating community support. Barriers included pain and fear, navigating a new identity as a Black immigrant, a lack of formal education on sexual health, and challenges accessing the healthcare system.

Implications for nursing: Culturally tailored resources and community partnerships may be useful in promoting cervical cancer screening in Black immigrant women.