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It describes the design and pilot testing of a culturally appropriate instrument and semi-structured interviews with 51 Latinas, with qualitative analysis conducted using NUD*IST. Findings highlight waiting periods, care discontinuity, perceived care quality, language differences, and limited knowledge for accessing 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Educators  \nHelda Pinzon-Perez, Miguel Perez, Victor Torres, and Vickie Krenz  \nABSTRACT  \nCervical cancer is a major health concern for Latinas, who are also less likely to undergo a Pap smear exam than the general population. This study identifies alterable determinants of Pap smear screening for Latino women living ina rural area of California. It involved the design and pilot testing of a culturally appropriate instrument and the development of semi-structured interviews with 51 Latinas. Qualitative data were analyzed using NUD*IST. Results from this study indicate that the main factors identified by participants as hindering their decision to seek Pap smear exams were long waiting periods, a lack of continuity of care, a perceived lack of quality of care, language differences, and a lack of knowledge regarding how to access the health system. This article provides health educators working in health care settings with an analysis of the cultural and logistic factors influencing health-related decisions in immigrant and rural Latino populations. It also presents some of the lessons that health educators can learn to enhance their professional practice when working with disadvantaged populations.  \nINTRODUCTION  \nHispanic/Latino groups comprise 12.5% of the population in the United States and are considered the fastest growing population segment in the U.S.1 Cancer is the second leading cause of death among Latinos, accounting for 20% of the mortality in this population.2 Cervical cancer is the fourth most commonly identified type of cancer among new cases diagnosed in Latinos.2 Latino women are twice as likely as nonHispanic women to develop cervical cancer.3 In fact, the incidence of cervical cancer amongst Central California Hispanic women is the highest of all ethnic groups and is more than double that of non-Hispanic whites.4  \nCervical cancer is an avoidable condition. Although the incidence of cervical cancer has declined steadily since the introduction of the Pap test, some data suggest that  \nits incidence may be increasing for certain subgroups, including Latinas.4 Mortality from cervical cancer persists despite the availability of a simple screening procedure, the Papanicolau smear (Pap smear), that can detect precursors to cervical cancer at a curable stage.  \nLatinas and Pap Smear  \nThe percentage of Latinas ages 18 and older who have had a Pap smear is significantly lower than the percentage in Caucasian and African-American populations.5 Latinas report lower use of Pap smear and greater barriers to use in comparison to the general population.6 Consistent Pap smear use among low-income, older Latino women is significantly lower than the desired levels for all American women as stipulated by the Healthy People 2010 guidelines.7  \nFew studies have attempted to identify the barriers reported by Latino women to get Pap smear screening.8,9,10 Limited research has been conducted in the Central  \nHelda Pinzon-Perez, PhD, CHES, is associate professor, CSU Fresno, Dept of Health Science M/S MH 30, 2345 East San Ramon Ave., Fresno, CA 93740-8031; E-mail: hpinzonp@ [csufresno.edu. Miguel Perez](csufresno.edu. Miguel Perez), PhD, CHES, is associate professor, CSU Fresno, Dept of Health Science M/S MH 30, 2345 East San Ramon Ave., Fresno, CA 93740-8031. Victor Torres, PhD, is associate professor, CSU Fresno—Department of Chicano Latino Studies, 2345 East San RamonAve., Fresno, CA 93740-8031. Vickie Krenz, PhD, MSPH, is professor, CSU Fresno, Dept. of Health Science M/S MH 30, 2345 East San Ramon Ave., Fresno, CA 93740-8031.  \nHelda Pinzon-Perez, Miguel Perez, Victor Torres, and Vickie Krenz  \nCalifornia Valley to identify the factors that may account for the increased incidence of cervical cancer in Hispanic/Latino women living in this geographical region. The identification of the barriers to adopt hea","cbCaip7eGAXGlmVt","https://ap.wps.com/l/cbCaip7eGAXGlmVt","pdf",129394,"English","# Abstract\n# Introduction\n# Latinas and Pap Smear\n# Methods\n## Instrument","[{\"question\":\"What was the purpose of the study on Pap smear screening?\",\"answer\":\"The study aimed to identify modifiable determinants that influence Pap smear screening decisions among Latino women living in a rural area of California.\"},{\"question\":\"How did the researchers collect and analyze the qualitative data?\",\"answer\":\"The study used phenomenological qualitative inquiry, including semi-structured interviews with 51 Latinas, and analyzed qualitative data using NUD*IST.\"},{\"question\":\"What factors did participants report as barriers to seeking Pap smear exams?\",\"answer\":\"Participants identified long waiting periods, lack of continuity of care, perceived lack of quality of care, language differences, and limited knowledge about how to access the health system.\"}]","A Qualitative Study about Cervical Cancer Screening Among Latinas Living in a Rural Area of California - Lessons for Health Educators | PDF",1792074012,23]