Abstract

The purpose of this study was to add to the body of knowledge about the high rates of cervical cancer among non-immigrant Hispanic women of Mexican origin (NIHWMO). This problem was studied by investigating predictors of Pap smear guideline adherence. The specific aims of this study were to 1) to investigate the effect of acculturation, familism, fatalism, provider trust, cultural congruence, HPV knowledge, and generational level on Pap smear guideline adherence, 2) investigate the moderating effects of acculturation on familism, fatalism, provider trust, cultural congruence, HPV knowledge, and generational level on Pap smear guideline adherence, 3) examine the characteristics of women who have had an abnormal Pap smear result and did not receive the recommended follow-up care, and 4) test the construct of cultural congruence and how it relates to the established construct of provider trust. Logistic regression was used to analyze the results of this descriptive correlational research study. Results of the analysis revealed none of the hypothesized predictor variables had a significant effect on guideline adherence.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3742165; ProQuest document ID: 1752116765. The author still retains copyright.

Author Details

Dulce M. Warren, PhD, RNC, WHNP-BC

Sigma Membership

Non-member

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Descriptive/Correlational

Research Approach

Quantitative Research

Keywords:

Cervical Cancer, Mexican-American Women, Providor Trust, Pelvic Examinations

Advisor

Paul Cook

Second Advisor

Nancy Lowe

Degree

PhD

Degree Grantor

University of Colorado

Degree Year

2015

Rights Holder

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All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2022-02-22

Full Text of Presentation

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