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Latinas, at High Risk for Cervical Cancer, Avoid
Screening
By Liz Gonzalez
New America Media
Dec 30, 2010
"Death
is a part of our culture,” Miriam Reyes, a reporter with the Spanish
newspaper Impulso, said at a recent Los Angeles gathering on cervical
cancer. Reyes, a native of Monterrey, Mexico, had gone to her doctor’s
office the previous day. When her doctor asked her when her last exam
had been, Reyes couldn’t remember. “Few of us Latinos get screened for
any kind of cancer,” she explained.
She found it ironic that she was now at a meeting intended to prevent
women like her from dying of a preventable disease that
disproportionately affects Latinas.
The meeting, organized by the California Medical Association (CMA)
Foundation’s California Cervical Cancer Free Campaign, aimed to identify
the challenges of delivering the message of the risks of cervical cancer
to Latinas, and motivate them to get screened and vaccinated against the
virus that can cause cervical cancer.
Los Angeles County has the highest cervical cancer mortality rate in the
state among Latinas. Citing cultural norms and an aversion to discussing
issues related to sex, the CMA Foundation found that Latinas don’t get
screened as much as other women: Ten percent of California Latinas have
never had a Pap test and 30 percent have not had one in the past three
years. A wide cross-section of health care providers, advocates, and
representatives of leading Latino media outlets discussed how they could
work together to promote awareness to Latina women in L.A.
Dr. Diana Ramos of the Los Angeles County Dept. of Public Health
explained that in the United States, 80 percent of men and women are
exposed to the human papillomavirus (HPV) by the age of 50. There are
more than 100 strains of HPV and most HPV infections go away on their
own, but some can lead to cervical cancer in women.
A woman can be infected with HPV for years before there are any changes
in the cervix or any symptoms. If diagnosed in the first three stages,
cervical cancer is highly curable. In the late stage, there may be
symptoms such as bleeding and abdominal pain, and the prognosis can be
fatal.
The only way to detect HPV for a woman is through a Pap smear, where a
sample of cells from the cervix is examined for any changes. It’s
recommended that women get their first Pap smear three years after
intercourse or at age 21 if they have not had sex. HPV is transmitted
through skin-to-skin contact, and can infect the cervix, rectum, mouth,
or throat. It is a concern not only for women, but also for men.
To prevent HPV infection, doctors recommend vaccinating girls and boys
before they become exposed to the virus, starting as young as age 9.
Cervarix and Gardasil are the two vaccines available that are given in
three shots over a 6-month period. The vaccines reduce the probability
of cervical cancer by 70 percent.
Local groups say the message is most effective when it is not linked to
sex. Elissa Mass, vice president of programs for the CMA Foundation,
says the message should be: “Cervical cancer screening is about family
health and a part of a woman’s health and wellbeing.”
Reyes agrees with this approach. “Once you are educated,” she said, “you
don’t want to suffer or have a family member die because you know there
is a way to prevent it, and you will make the effort to take care of
yourself.”
That was the hope of everyone in the meeting -- that the message would
help all women see the value of exams and screenings.
Cervical cancer screenings are available free for low-income women
through California’s federally funded Every Woman Counts program and
other programs. Each of the three HPV vaccine doses is covered by
insurance and by the Vaccines for Children program for young women and
girls.
For more information and to schedule your screening, please call
1-800-793-8090.
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