Evaluating the Sociocultural Barriers Impacting Cervical and Breast Cancer Screening Among Nepali and Bhutanese Women in the Dallas-Fort Worth Metroplex.

Madeline Neff, Allison Powell, Kristina Kafle, Catalina Beltran, Sara Al-Sammarie, Melody Nguyen, Rafael do Valle, Kristen Miguel, Amany K Hassan

Abstract read

PubMed Publisher

In one paragraph

Article in Journal of community health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Madeline NeffTexas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, TX, USA. madelineneff@my.unthsc.edu.ORCID http://orcid.org/0009-0001-8028-3092

Allison PowellTexas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, TX, USA.

Kristina KafleTexas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, TX, USA.

Catalina BeltranTexas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, TX, USA.

Sara Al-SammarieTexas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, TX, USA.

Melody NguyenTexas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, TX, USA.

Rafael do ValleTexas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, TX, USA.

Kristen MiguelTexas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, TX, USA.

Amany K HassanTexas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite widely accessible screening, cervical and breast cancer remain prevalent diseases, especially amongst Nepali women. The Dallas-Fort Worth Metroplex in Texas is home to one of the largest Nepali immigrant communities in the United States. This study seeks to understand barriers preventing this population from accessing preventative reproductive healthcare. A mixed-methods survey assessing health beliefs and reproductive cancer screening utilization was completed in English by 58 women and in Nepali by 4 women. Despite most participants reporting knowledge of the importance of reproductive cancer screening (94% breast cancer, 87% cervical cancer, 74% HPV), the rates of receiving obstetric and gynecologic care in the past year (57%), receiving a cervical exam (42%), breast exam (29%), and history of HPV vaccination (47%) were low in comparison. One-way ANOVA showed a significant difference in reproductive health knowledge and having ever seen an OBGYN (p = .018). Education did not correlate with cancer screening behavior as measured by the Health Belief Model (Susceptibility: p = 0.091, Severity: p = 0.141, Barriers: p = 0.38, Benefits: p = 0.22). Free-response results yielded comments about modesty, cultural competency, and praise for the American healthcare system as it compares to foreign medical systems. There is a discrepancy between the DFW Nepali immigrant community's reproductive knowledge and their reproductive healthcare utilization. Healthcare providers in DFW should consider exam modification and community outreach to encourage Nepali women to receive cancer screenings and ultimately reduce morbidity and mortality of reproductive cancers in this population.

Indexed as

Breast cancer screeningCervical cancer screeningHealth Belief ModelHealth disparitiesNepali immigrantsReproductive healthWomen's health

Identifiers

PMID42501175

DOI10.1001/jamainternmed.2024.6478

What OpenQuestion holds

Textmetadata

Read underepoch 390

Registered trials

None linked

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.