Cervical Cancer Prevention for Black Adults

The goal of this study is to develop and pilot test an intervention, entitled Health is Wealth: A Cervical Health Program, designed to promote screening and reduce perceived barriers to Cervical Cancer (CC) screening. Aim 1: Examine general awareness and cultural factors (fatalism, religiosity/spirituality, temporal orientation, medical mistrust, and acculturation) related to cancer control and prevention among African Americans (AA) and Sub Saharan African (SAI) Immigrants. Aim 2: Examine the socioecological barriers and facilitators to CC screening and self-sampling to inform tailoring of an evidenced based cervical health program to promote CC screening. Aim 3: Assess feasibility, acceptability, and preliminary efficacy in a pilot test of the Health is Wealth: A Cervical Health Program among 30 AA and 30 SAI women using quasi-experimental design. This study will take place in 2 phases.

Inclusion Criteria: * Self-identify as Black woman (African American or Sub-Saharan African Immigrant) * No pap smear within the last three years or no pap smear/HPV co-test within past five years * Able to speak and write in English * Reside in Kentucky Exclusion Criteria: * Do not self-identify as Black woman (African American or Sub-Saharan African Immigrant) * History of hysterectomy * History of cervical cancer * Being pregnant * Unable to speak and write in English * Do not reside in Kentucky