Intimate Partner Violence and Barriers to Cervical Cancer Screening

A Gynecologic Oncology Fellow Research Network Study

Kimberly L. Levinson, Amelia M. Jernigan, Sue Flocke, Ana I. Tergas, Camille C. Gunderson, Warner K. Huh, Ivy Wilkinson-Ryan, Peter J. Lawson, Amanda N. Fader, Jerome L. Belinson

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objectives The aims of the study were to examine barriers to cervical cancer screening among women who have experienced intimate partner violence (IPV) and accessed domestic violence shelters, to compare barriers among those up-to-date (UTD) and not UTD on screening, and to evaluate acceptability of human papillomavirus self-sampling. Materials and Methods This is a cross-sectional survey in which domestic violence shelters in Ohio were identified and women completed an anonymous survey assessing UTD screening status, barriers related to screening, history of IPV, intention to follow up on abnormal screening, and acceptability of self-sampling. Characteristics of UTD and not UTD women were compared using Mann-Whitney U tests. Results A total of 142 women from 11 shelters completed the survey. Twenty-three percent of women were not UTD. Women who were not UTD reported more access-related barriers (mean = 2.2 vs 1.8; p =.006). There was no difference in reported IPV-related barriers between women who were not UTD and those who are UTD (mean = 2.51 in not UTD vs 2.24 in UTD; p =.13). Regarding future screening, of the women who expressed a preference, more women not UTD preferred self-sampling than UTD women (32% vs 14%; p =.05). Conclusions In this study, access-related barriers were more commonly reported among women not UTD with screening. Addressing these barriers at domestic violence shelters may improve screening among not UTD women. Self-sampling may also be one feasible approach to support screening in this population.

Original languageEnglish (US)
Pages (from-to)47-51
Number of pages5
JournalJournal of Lower Genital Tract Disease
Volume20
Issue number1
DOIs
StatePublished - Jan 1 2016
Externally publishedYes

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Early Detection of Cancer
Uterine Cervical Neoplasms
Research
Domestic Violence
Intimate Partner Violence
Nonparametric Statistics
Cross-Sectional Studies

Keywords

  • barriers to healthcare
  • cervical cancer
  • intimate partner violence
  • prevention
  • screening
  • self sampling

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Intimate Partner Violence and Barriers to Cervical Cancer Screening : A Gynecologic Oncology Fellow Research Network Study. / Levinson, Kimberly L.; Jernigan, Amelia M.; Flocke, Sue; Tergas, Ana I.; Gunderson, Camille C.; Huh, Warner K.; Wilkinson-Ryan, Ivy; Lawson, Peter J.; Fader, Amanda N.; Belinson, Jerome L.

In: Journal of Lower Genital Tract Disease, Vol. 20, No. 1, 01.01.2016, p. 47-51.

Research output: Contribution to journalArticle

Levinson, KL, Jernigan, AM, Flocke, S, Tergas, AI, Gunderson, CC, Huh, WK, Wilkinson-Ryan, I, Lawson, PJ, Fader, AN & Belinson, JL 2016, 'Intimate Partner Violence and Barriers to Cervical Cancer Screening: A Gynecologic Oncology Fellow Research Network Study', Journal of Lower Genital Tract Disease, vol. 20, no. 1, pp. 47-51. https://doi.org/10.1097/LGT.0000000000000153
Levinson, Kimberly L. ; Jernigan, Amelia M. ; Flocke, Sue ; Tergas, Ana I. ; Gunderson, Camille C. ; Huh, Warner K. ; Wilkinson-Ryan, Ivy ; Lawson, Peter J. ; Fader, Amanda N. ; Belinson, Jerome L. / Intimate Partner Violence and Barriers to Cervical Cancer Screening : A Gynecologic Oncology Fellow Research Network Study. In: Journal of Lower Genital Tract Disease. 2016 ; Vol. 20, No. 1. pp. 47-51.
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abstract = "Objectives The aims of the study were to examine barriers to cervical cancer screening among women who have experienced intimate partner violence (IPV) and accessed domestic violence shelters, to compare barriers among those up-to-date (UTD) and not UTD on screening, and to evaluate acceptability of human papillomavirus self-sampling. Materials and Methods This is a cross-sectional survey in which domestic violence shelters in Ohio were identified and women completed an anonymous survey assessing UTD screening status, barriers related to screening, history of IPV, intention to follow up on abnormal screening, and acceptability of self-sampling. Characteristics of UTD and not UTD women were compared using Mann-Whitney U tests. Results A total of 142 women from 11 shelters completed the survey. Twenty-three percent of women were not UTD. Women who were not UTD reported more access-related barriers (mean = 2.2 vs 1.8; p =.006). There was no difference in reported IPV-related barriers between women who were not UTD and those who are UTD (mean = 2.51 in not UTD vs 2.24 in UTD; p =.13). Regarding future screening, of the women who expressed a preference, more women not UTD preferred self-sampling than UTD women (32{\%} vs 14{\%}; p =.05). Conclusions In this study, access-related barriers were more commonly reported among women not UTD with screening. Addressing these barriers at domestic violence shelters may improve screening among not UTD women. Self-sampling may also be one feasible approach to support screening in this population.",
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AU - Huh, Warner K.

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