Estimates of the percentage of women who have had Pap smears in Peru vary between 7% and 43%. This study explores what women know about cervical cancer and Pap smears, as well as their barriers to obtaining Pap smears. Focus group discussions (FGD) were conducted with a total of 177 women in four Peruvian cities. Discussions reveal that most women did not know what causes cervical cancer. Most women did not know the purpose of Pap smears, although knowledge about Pap smears was higher than knowledge about cervical cancer. Fear, embarrassment, and lack of knowledge were the main barriers identified for not getting Pap smears. Programs and policies aiming to increase Pap smear coverage must start by educating women on cervical cancer and its prevention in order to improve women's perceptions about the screening test and increase Pap smear seeking behaviors in the long term.
LucianiS. and WinklerJ., Cervical Cancer Prevention in Peru: Lessons Learned from the TATI Demonstration Project, Pan American Health Organization, Washington, DC, 2006.
3.
Pan American Health Organization, Health in the Americas 2007, Washington, DC, 2007.
4.
AgurtoI.BishopA.SánchezG.BetancourtZ., and RoblesS., Perceived Barriers and Benefits to Cervical Cancer Screening in Latin America, Preventive Medicine, 39, pp. 91–98, 2004. doi: 10.1016/j.ypmed.2004.03.040
LewisM. J., A Situational Analysis of Cervical Cancer in Latin America and the Caribbean, Pan American Health Organization, Washington, DC, 2004.
7.
LucianiS.GonzalesM.MunozS.JeronimoJ., and RoblesS., Effectiveness of Cryotherapy Treatment for Cervical Intraepithelial Neoplasia, International Journal of Gynecology and Obstetrics, 101, pp. 172–177, 2008. doi: 10.1016/j.ijgo.2007.11.013
8.
SankaranarayananR.BudukhMadhukar A.RajkumarR., Effective Screening Programmes for Cervical Cancer in Low- and Middle-Income Developing Countries, Bulletin of the World Health Organization, 79(10), pp. 954–962, 2001.
9.
AlbujarP., Cobertura Citológica de la Población Femenina a Riesgo de Cancer Cérvico Uterino en la Región La Libertad, Acta Cancerol, 3, pp. 113–115, 1995.
10.
GarciaP. J.ChavezS.FeringaB.ChiappeM.LiW.JansenK. U.CarcamoC., and HolmesK. K., Reproductive Tract Infections in Rural Women from the Highlands, Jungle and Coastal Regions of Peru, Bulletin of the World Health Organization, 82(7), pp. 483–492, 2004.
11.
SolidoroA.OlivaresL.CastellanoC.BarrigaO.GaldosR.CaceresE., Cáncer de Cuello Uterino en el Perú, Diagnostico, 43(1), pp. 29–33, 2004.
12.
Programme on Cancer Control and Department of Reproductive Health and Research of the World Health Organization, Cervical Cancer Screening in Developing Countries, Report of a WHO Consultation, World Health Organization, Geneva, Switzerland, 2002.
13.
Asociación de Médicos Ex-Residentes del INEN, Magnitud de la Detección de Cáncer de Cuello Uterino y Mamario a Nivel Nacional, XII Jornada Peruana de Cancerología, Huaraz, Perú, 1993.
14.
Dirección de Programas Sociales, Programa Nacional de Planificación Familiar, Manual de Normas y Procedimientos para la Prevención del Cáncer del Cuello Uterino, Ministerio de Salud, Lima, 2000.
15.
SoldánPaz V. A.LeeF.CarcamoC.HolmesK. K.GarnettG., and GarciaP., Who is Getting Pap Smears in Urban Peru?International Journal of Epidemiology, 37, pp. 862–869, 2008.
16.
BinghamA.BishopA.CoffeyP.WinklerJ.BradleyJ.DzubaI., and AgurtoI., Factors Affecting Utilization of Cervical Cancer Prevention Services in Low-Resource Settings, Salud Pública de México, 45(Suppl. 3), pp. S408–S416, 2003. doi: 10.1590/S0036-36342003000900015
17.
HunterJ. L., Cervical Cancer in Iquitos, Peru: Local Realities to Guide Prevention Planning, Caderno Saúde Pública, 20(1), pp. 160–171, 2004. doi: 10.1590/S0102-311X2004000100032
18.
WinklerJ.BinghamA.CoffeyP., and HandwerkerW. P., Women's Participation in a Cervical Cancer Screening Program in Northern Peru, Health Education Research, 23(1), pp. 10–24, 2008.
19.
ByrdT. L.ChavezR., and WilsonK. M., Barriers and Facilitators of Cervical Cancer Screening Among Hispanic Women, Ethnicity & Disease, 17, pp. 129–134, 2007.
20.
Alliance for Cervical Cancer Prevention, Planning and Implementing Cervical Cancer Prevention and Control Programs: A Manual for Managers, Seattle, Washington, 2004.
21.
ForbesC.JepsonR., and Martin-HirschP., Interventions Targeted at Women to Encourage the Uptake of Cervical Screening, John Wiley & Sons, Ltd, The Cochrane Database of Systematic Reviews, Chichester, United Kingdom, 1999.
BesslerP.AungM., and JollyP., Factors Affecting Uptake of Cervical Cancer Screening among Clinic Attendees in Trelawny, Jamaica, Cancer Control, 14(4), pp. 396–404, 2007.
24.
Instituto Nacional de Estadística e Informática, Censos Nacionales 2007: XI de Población y VI de Vivienda: Perfil Sociodemográfico del Perú, 2008. Retrieved November 5, 2009 from http://censos.inei.gob.pe/Censos2007/
25.
GuestG.BunceA., and JohnsonL., How Many Interviews Are Enough? An Experiment with Data Saturation and Variability, Field Methods18(1), pp. 59–82, 2006. doi: 10.1177/1525822X05279903
26.
BernardH. R., Research Methods in Anthropology: Qualitative and Quantitative Approaches (4th Edition), AltaMira Press, Lanham, Maryland, 2006.
27.
ATLAS.ti, Version 5, [Computer Software], Berlin, Scientific Software Development, 1999.
MayneuxE. J.Jr., Overcoming Barriers to HPV Vaccine Acceptance, Journal of Family Practice, Suppl. HPV Prevention, pp. s17–s22, 2005.
30.
LeeF. H.Paz-SoldánV. A.CarcamoC., and GarciaP. J., Knowledge and Attitudes of Adult Peruvian Women vis-a-vis Human Papillomavirus (HPV), Cervical Cancer, and the HPV Vaccine, Journal of Lower Genital Tract Disease, 14(2), pp. 113–117, 2010. doi: 10.1097/LGT.0b013e3181c08f5e
31.
BayerA.NussbaumL.CabreraL., and Paz-SoldánV. A., Are Missed Opportunities for Health Education on Pap Smears Frequent in Peru?Health Education and Behavior, 38(2), pp. 198–209, 2011. doi: 10.1177/1090198110379580
