The objective of this study
was to understand factors associated with women's ability to engage in cervical
cancer prevention and follow-up care given ongoing criminal justice
involvement.
We conducted four focus groups with 45 incarcerated women to
assess barriers to cervical health promotion, and used a grounded theory method
to analyze data. We administered the Short Test of Functional Health Literacy
in Adults to assess general health literacy as a standalone factor related to
cervical health promotion.
Ninety-one percent of participants had adequate
health literacy scores. However, we found that the women had varying levels of
cervical health literacy, which we operationalized as knowledge, beliefs, and
self-efficacy related to cervical health promotion.
Practitioners should
establish broader interventions to empower women with criminal justice
histories to take control of their own cervical health and focus on
communicating updated recommendations to improve cervical health understanding,
beliefs, and practices among high-risk women.
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