Dissemination of Culturally- and Linguistically-appropriate Educational Intervention for Cervical Cancer Screening for Chinese Albertan Women

Chinese immigrants to Canada have a low utilization rate of Pap smear test. The objective of this study was to evaluate whether efficacy-proven educational materials can be effectively disseminated and increase the test utilization for under-screened Chinese Albertan women. Of 120 participants we reached through 10 Chinese churches, 78% reported having ever had a Pap test and 38% reported having a test in the preceding year. Within three months post-intervention, 41% of never screened, 27% of not recently screened women at baseline received the test, and 14% made an appointment with physicians for the test. For Pap testing utilization, recommendation from physicians appeared being a strong facilitator, while language and cultural perception, "Often forget" and "time availability" were identified as barriers. Culturally- and linguistically-appropriate educational materials for cervical cancer screening can be disseminated effectively through Chinese churches and may lead to increased Pap test participation rate of under-screened Chinese immigrants.