Christina R. Studts|Yelena N. Tarasenko|Nancy E. Schoenberg
Barriers to Cervical Cancer Screening Among Middle-Aged and Older Rural Appalachian Women
University of Kentucky|Georgia Southern University|University of Kentucky
although cervical cancer rates united states declined sharply recent decades certain groups women remain elevated risk including middleaged older women central appalachia crosssectional baseline data communitybased randomized controlled trial examined identify barriers cervical cancer screening questionnaires assessing barriers administered 345 appalachian women aged 4064 years papanicolaou pap testing declines cervical cancer rates increase consistent precedeproceed framework participants identified barriers included predisposing enabling reinforcing factors descriptive bivariate analyses reported identifying frequently endorsed barriers screening b significant associations barriers sociodemographic characteristics sample recommendations provided decrease barriers ultimately improve rates pap tests among traditionally underserved disproportionately affected group