"Health Literacy and Cervical Cancer Prevention Behaviors Among Hispani" by Delmy Flores

Publication Date

5-2024

Date of Final Oral Examination (Defense)

3-6-2024

Type of Culminating Activity

Thesis

Degree Title

Master of Public Health

Department Filter

Community and Environmental Health

Department

Public and Population Health

Supervisory Committee Chair

Ellen Schafer, Ph.D., MPH

Supervisory Committee Member

Vinita Sharma, Ph.D., MPH

Supervisory Committee Member

Bozena Morawski, Ph.D., MPH

Abstract

Purpose

Explore relationships between health literacy, culture, accessibility and utilization of health care services, patient/provider communication, and “self-care” factors that influence cervical cancer prevention behaviors (i.e., HPV vaccination and screening) among Hispanic women between 40-65 years old living in Idaho. These factors were explored in relation to how participants obtained, processed, and understood information about cervical cancer and its prevention. Understanding these factors and potential relationships to health literacy is pivotal for tailoring effective communication strategies and interventions within this specific demographic.

Methods

Recruited (n=15) Hispanic women living in Idaho, between 40-65 years old, to participate in a semi-structured qualitative interview in either English or Spanish via telephone, Zoom, or in-person. Using thematic analysis and snowballing sampling.

Results

Three themes emerged: (1) I do it but I don’t know why, (2) Internet or bilingual providers over interpreters, and (3) Reminders are important. Insights from this study highlight critical areas for targeted education and interventions to enhance understanding and foster trust among this demographic. By exploring health literacy and preventive behaviors related to cervical cancer, I revealed a notable lack of knowledge concerning cervical cancer, its significance, and the relationship between interpreters, health care providers, and participants that needs further exploration.

Conclusion

Recognizing the association between health literacy and preventive behaviors related to cervical cancer is crucial. This study revealed a notable lack of knowledge concerning cervical cancer, its significance, and the rationale behind undergoing Pap smears among Hispanic women (n=15) in Idaho. Findings from this study can provide insight into the underlying reasons for engaging in preventive behaviors.

DOI

https://doi.org/10.18122/td.2234.boisestate

Available for download on Friday, May 01, 2026

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