Cervical screening in Canadian First Nation Cree women

J Transcult Nurs. 2009 Jan;20(1):83-92. doi: 10.1177/1043659608322418. Epub 2008 Jul 31.


Purpose: Attitudes and beliefs of First Nation Cree women living in a reserve community were explored to gain insights into how cervical screening could be better utilized.

Method: Focused ethnography utilizing participant observation and interviews ( n = 8) with participants having experience with cervical screening and/or cancer was conducted.

Results: Women did not believe they had adequate information and were resistant to screening because of embarrassment caused by the procedure and fear of cancer, which was viewed as a "death sentence."

Conclusions: Challenges faced by First Nation Cree women when contemplating cervical screening are presented. Nursing sensitivity is needed to strategize access to cervical screening that is culturally appropriate.

MeSH terms

  • Anthropology, Cultural
  • Canada
  • Cultural Competency
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Indians, North American*
  • Mass Screening* / nursing
  • Patient Acceptance of Health Care / ethnology*
  • Uterine Cervical Dysplasia / prevention & control*
  • Uterine Cervical Neoplasms / prevention & control*
  • Vaginal Smears*