Cervical Cancer Screening Among Arab Women in the United States: An Integrative Review.
Sarah Abboud, Emily De Penning, Bridgette M Brawner and 3 others
PMID 27991600WHAT IT FOUND
Reported cervical cancer screening rates among Arab American women varied widely, from 7% to 84%.
Foreign-born women had lower lifetime Pap rates than U.S.-born non-Hispanic White women, and modesty, provider recommendation, cost, and language were reported barriers.
Key findings
01Seventeen articles met the inclusion criteria, and only six reported cervical cancer screening rates, which ranged from 7% to 84%.
02In one secondary analysis, foreign-born Arab American women had lower lifetime Pap test rates (84%) than European (87%) and U.S.-born (95%) non-Hispanic White women.
03No included studies reported HPV infection or vaccination attitudes and behaviors among Arab American women.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Many studies were small, heterogeneous, and not always Arab-specific. Several studies included Muslim women without reporting Arab American women separately. Cervical cancer screening rates came from only six studies and varied widely. The Kin Keeper evidence was concentrated in underserved Arab women in Detroit and lacked postintervention cervical screening follow-up. Acculturation was measured crudely. No HPV vaccination studies were found.
Declared interests
The article is tagged as NIH extramural research support; no author conflict-of-interest statement appears in the supplied text.
The easy way to misread this
Do not read this review as showing that Arab American women uniformly have low cervical cancer screening. Reported rates ranged from 7% to 84%, and several studies did not report Arab American women separately.