ArticleCritical public health2016
Colonial legacy and the experience of First Nations women in cervical cancer screening: a Canadian multi-community study.
Article in Critical public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Body (dis)satisfaction and health screening behaviors: A systematic review of observational studies.Journal of health psychology · 2024Pooled it
- Working towards a comprehensive understanding of HPV and cervical cancer among Indigenous women: a qualitative systematic review.BMJ open · 2021Pooled it
- A Systematic Literature Review of Cancer Communication with Indigenous Populations in Canada and the United States.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021Pooled it
- Increasing Cervical Cancer Screening Coverage: A Randomised, Community-Based Clinical Trial.PloS one · 2017Trial
- Trial
- Barriers and facilitators to the utilization of cancer screening services in two Arctic Indigenous communities in Canada.Global health action · 2026Article
- Disparities in prostate cancer outcomes between First Nations and Non-First Nations men in Canada-Cohort study.Lancet regional health. Americas · 2026Article
- Toward an Understanding of Cancer as an Issue of Social Justice: Perspectives and Implications for Oncology Nursing.Current oncology (Toronto, Ont.) · 2025Review
- Indigenous Mothers' Perspective on Sexual Health in Northwest Territories, Canada: Results from the Maternal and Infant Health Project.Journal of community health · 2025Article
- Addressing the burden of cervical cancer for Indigenous women in Latin America and the Caribbean: a call for action.Frontiers in public health · 2024Review
- Post-operative outcomes in Indigenous patients in North America and Oceania: A systematic review and meta-analysis.PLOS global public health · 2023Article
- Barriers and supports for uptake of human papillomavirus vaccination in Indigenous people globally: A systematic review.PLOS global public health · 2023Article
- Women's acceptability of a self-collect HPV same-day screen-and-treat program in a high burden setting in the Pacific.BMC health services research · 2022Article
- A critical exploration of nurses' perceptions of access to oncology care among Indigenous peoples: Results of a national survey.Nursing inquiry · 2022Article
- Exploring Factors Associated with Patients Who Prefer Clinician-Sampling to HPV Self-Sampling: A Study Conducted in a Low-Resource Setting.International journal of environmental research and public health · 2021Article
- Self-collection for HPV-based cervical screening: a qualitative evidence meta-synthesis.BMC public health · 2021Review
- Réflexions sur les soins de santé aux patients autochtones: Instaurer la confiance.Canadian family physician Medecin de famille canadien · 2021Article
- Reflections on Indigenous health care: Building trust.Canadian family physician Medecin de famille canadien · 2021Article
- Improving preventive screening with Indigenous peoples.Canadian family physician Medecin de famille canadien · 2021Article
- Améliorer le dépistage chez les patients autochtones.Canadian family physician Medecin de famille canadien · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
Regular Papanicolaou (Pap) screening has dramatically reduced cervical cancer incidence in Canada since the 1950s. However, Indigenous women's rates of cervical cancer remain disproportionately high, a factor which is not acknowledged in national media or in educational materials reporting Canada's new cervical cancer screening guidelines. Here, we present findings from a cervical cancer screening initiative in Northwestern Ontario. Based on participatory action research, we worked with 10 First Nations communities in the Robinson Superior Treaty area to increase awareness of cervical cancer risk, develop culturally sensitive tools for screening and education and test the efficacy of human papillomavirus (HPV) self-sampling as an alternative to Pap cytology. We conducted 16 interviews with health care professionals and 9 focus groups with 69 women from the communities. A central theme for both health care providers (HCPs) and community members was the colonial legacy and its influence on women's experiences of cervical cancer screening. This was evidenced by a strong sense of body shyness, including shame related to sexuality and sexually transmitted infections, concerns about confidentiality in clinical encounters and distrust or caution around HCPs. Reaffirming women's traditional caregiving and educational roles, enhancing mother and daughter communication, improving cultural sensitivity in health care and education and adoption of HPV self-sampling to increase women's privacy and control of the cervical cancer screening experience were endorsed. We argue that education and screening initiatives must reflect the cultural preferences of Indigenous women, empowering them to take control of their experiences of health and body in cervical cancer screening.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.