155701 Cervical cancer and access to the HPV vaccine: The voices of Latina women

Monday, November 5, 2007

Carlos A. Ugarte, MSPH , Senior Health Advisor to NCLR's President/CEO and Chair of the Health Disparities Committee - Partnership to End Cervical Cancer, Institute for Hispanic Health, National Council of La Raza, Washington, DC
Melissa C. Mercado-Crespo, MS , Institute for Hispanic Health, National Council of La Raza, San Juan, PR
Natalie D. Hernández, MPH , Institute for Hispanic Health, National Council of La Raza, Washington, DC
Liany Elba Arroyo, MPH, CPH , Institute for Hispanic Health, National Council of La Raza, Washington, DC
Background: Rates of new cervical cancer cases are highest among Latinas, who are 65% more likely to be diagnosed with and 42% more likely to die from cervical cancer than White women. Screening tests may help reduce as many as 80% of these deaths. Nevertheless, Latinas' screening participation rates are very low.

Nearly half of Hispanics in the U.S. are uninsured – the highest uninsured rate among all racial/ethnic groups. Further, their rates of receiving preventive care are significantly lower relative to Whites and African Americans.

Little is known about the knowledge, attitudes, and practices (KAP) of Latinos and the HPV vaccine, presenting additional risk of Latinos being left out of cutting-edge advances in public health practice.

Purpose: The National Council of La Raza's Institute for Hispanic Health – supported by the National Cancer Institute and the Partnership to Prevent Cervical Cancer – carried out two separate projects to gain knowledge about cervical cancer-related issues among Latinos. The Latino Cancer Education Pilot Project assessed the KAP of a sample of community members, promotores de salud, and health service providers in four states, while the HPV Vaccine in Latinos Project conducted a situational analysis and needs assessment regarding cervical cancer, HPV, and the HPV vaccines in four additional sites. Together, their results represent a comprehensive and unique view of the “on the ground” reality with regards to cervical cancer and Latinos.

Results: Findings from both projects will be analyzed and presented. Implications for future program and policy initiatives will be discussed.

Learning Objectives:
1. Understand Latinas’ current knowledge, attitudes, and beliefs about cervical cancer 2. Identify the barriers encountered by the Hispanic community in the U.S. to access health services, screening exams, and disease prevention efforts related to cervical cancer, HPV infection, and the HPV vaccine 3. Recognize the need for culturally- and linguistically-appropriate health promotion and disease prevention resources for Latinos 4. Identify potential program and policy-related strategies to eliminate cervical cancer among Latinas

Keywords: Cervical Cancer, Latino Health

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.