Screening for cervical and breast cancer among Caribbean immigrants

ABSTRACT

The yield of abnormal Pap test was 13.3/1000 women screened; the yield of breast cancer was 2.2/1000 women examined. Approximately half of the Haitian immigrants (N= 361) had no prior Pap test, compared to one-quarter of the English-speaking Caribbean immigrants (N = 228) and one-tenth of the U.S.-born Black women (N= 264). Only 47 percent of Haitian women had a regular source of health care compared to 74 percent of the English speaking Caribbean women and 83 percent of the U.S.-born Black women. Haitian women were much less likely to practice breast self-examination or to use contraception than were U.S.-born Black women. This program reveals significant needs for preventive health services among low-income Caribbean immigrant women, and demonstates that selective neighbourhood-site programs can be effective in reaching those in need.(AU)