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Health Expect. 2017 Aug;20(4):685-695. doi: 10.1111/hex.12507. Epub 2016 Sep 30.

Decision making about Pap test use among Korean immigrant women: A qualitative study.

Author information

1
School of Nursing, University of Connecticut, Storrs, CT, USA.
2
Department of Community-Public Health, School of Nursing, Johns Hopkins University, Baltimore, MD, USA.
3
Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University Baltimore, Baltimore, MD, USA.
4
Department of Acute and Chronic Care, School of Nursing, Johns Hopkins University, Baltimore, MD, USA.

Abstract

BACKGROUND:

Understanding how individuals make decisions about Pap tests concerning their personal values helps health-care providers offer tailored approaches to guide patients' decision making. Yet research has largely ignored decision making about Pap tests among immigrant women who experience increased risk of cervical cancer.

OBJECTIVE:

To explore decision making about Pap tests among Korean immigrant women.

METHODS:

We conducted a qualitative descriptive study using 32 semi-structured, in-depth interviews with Korean immigrant women residing in a north-eastern metropolitan area. Data were audio-recorded, transcribed verbatim and analysed using inductive coding.

RESULTS:

Although most women with positive decisions made their own decisions, some women deferred to their providers, and others made decisions in collaboration with their providers and significant others. While women making positive decisions tended to consider both barriers to and facilitators of having Pap tests, women making negative decisions predominantly discussed the barriers to having Pap tests, such as modesty and differences between the South Korean and US health-care systems. The women's reflections on their decisions differed regarding their Pap test decisions.

CONCLUSIONS:

Women's desired roles in the decision-making process and reflection on their decision outcome appeared to vary, although most participants with positive decisions made their own decisions and were satisfied with their decisions. Future research should conduct longitudinal, quantitative studies to test our findings regarding decision-making processes and outcomes about Pap tests.

IMPLICATIONS:

The findings should be incorporated into cervical cancer screening practices to fulfil the unmet needs of immigrant women in patient-provider communication and to facilitate women's decision making about Pap tests.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT00857636.

KEYWORDS:

cervical cancer screening; decision-making; immigrant women; qualitative study

PMID:
27687295
PMCID:
PMC5513020
DOI:
10.1111/hex.12507
[Indexed for MEDLINE]
Free PMC Article

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