Cervical cancer prevention and education needs assessment among the Latino community

Although the overall incidence of cervical cancer is dropping, incidence rate for Latinas is twice that of non-Hispanic White women. While screening may reduce cervical cancer death rates by as much as 80%, Latinas' screening participation remains low. The need to understand the Latino community's knowledge, attitudes, and practices regarding cervical cancer is greater than ever as prevention strategies shift from early detection to risk reduction and vaccination.

To ensure that Latinas are not left behind, the National Council of La Raza (NCLR) designed and conducted a situational analysis in four cities to identify factors hindering or facilitating cervical cancer prevention and to assess education initiatives in Latino communities, including the introduction and maintenance of a human papillomavirus (HPV) vaccination program. A total of 12 interviews were conducted—three with state health department officials, six with health care clinics, and three with Latino community-based organizations. Four focus group discussions at each city (a total of 16) were also held with the following community segments—Spanish-speaking Latinas, Spanish-speaking Latino men, English-speaking Latinas, and Spanish-speaking Latina mothers.

Research findings suggest a great need for culturally competent and linguistically appropriate information regarding cervical cancer, HPV, and HPV vaccination. Barriers to accessing treatment and preventive care were also identified. NCLR has identified recommendations for use in creating materials and programs, guiding policy, and increasing understanding of the Latino community's cervical cancer prevention needs, which will be presented to APHA participants.