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Description:Black women experience higher morbidity and mortality due to invasive cervical cancer compared to whites 2 , and this disparity increases with age [ 7 ]. While described in detail elsewhere [ 17 ], in brief, the Intervention utilizes Black, Latina, and Arab community health workers CHWs affiliated with a non-cancer public health program, e. Similarly, traditionalism and degree of acculturation have been shown to significantly influence Pap testing among Arab women [ 15 ]. Thus, if a woman set all three goals, she was considered as being at the third step although she was yet to achieve her first step of finding a healthcare provider to do her first ever Pap test. Latina women are the least likely to improve their perception that the Pap test is very painful, though national statistics show they have the highest rates of morbidity and mortality from cervical cancer. Given the increase in the Arab population and the lack of large sample studies that include Arab women as a separate ethnic group, understanding their cervical cancer screening behaviors and barriers is imperative. This study examined pain perceptions of Pap testing among Black, Latina and Arab women and goal setting to receive Pap tests.

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