Digital communication is a way to bridge the racial disparit
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The research states that Black women reported higher cervical cancer screening rates and lower knowledge about HPV and cervical cancer screening than White women. Fewer provider recommendations for follow-up were reported by Black women. Multilevel factors may contribute to the lack of follow-up in Black women.

The aim was to study differences in screening adherence and follow-up after an abnormal Pap test in Non-Hispanic Black (Black) and Non-Hispanic White (White) women.

An observational cohort study was carried out using the 2010 National Health Interview Survey cancer module to examine HPV knowledge, screening behavior, and follow-up to abnormal Pap test in Black and White women 18 years of age or older without a hysterectomy. They fit logistic regression models to examine associations between race and primary outcome variables including HPV awareness, Pap test in the last three years, provider recommended Pap test, received Pap test results, had an abnormal Pap test, recommended follow-up, and adhered to the recommendation for follow-up.

Analyzing data for 7509 women, Black women had lower odds ratios [OR] for 1) HPV awareness 2)reporting Pap screening was recommended acknowledging receipt of Pap results. Group differences persisted after covariates adjustment. In adjusted models, Black women had higher odds of reporting recent Pap screening but reported lower odds of receiving a follow-up recommendation subsequent to abnormal tests.

Conclusively, black women reported higher cervical cancer screening adherence but lower rates of being informed of an abnormal Pap test and contacted for follow-up treatment. Researchers recommend a multilevel approach to deliver culturally appropriate education and communication for patients, physicians, clinicians in training, and clinic-level ancillary staff.

Gynecologic Oncology