Date of Conferral

8-22-2025

Degree

Doctor of Public Health (DrPH)

School

Public Health

Advisor

Shanna Barnett

Abstract

Despite being the United States' fastest-growing and diverse population, Asian Americans are often aggregated with Native Hawaiian and Pacific Islanders in prior research, resulting in masking disparities in cervical cancer screening/diagnosis among Asian American subethnic groups. Guided by Bronfenbrenner's ecological model, the association between disaggregated subethnic groups and cervical cancer diagnosis among Asian American women aged 20+ in the United States was examined using binary logistic regression. How histology type/behavior and age at diagnosis moderate the relationship between disaggregated subethnic groups and cervical cancer diagnosis was also explored. A quantitative cross-sectional design was employed using cases (N=1014) from the U.S. National Cancer Detailed Asian/Pacific Islander Groups Database for 2009–2014. Results showed significant odds of being diagnosed with cervical cancer for Filipino, Japanese, Kampuchean, Korean, Laotian, and Vietnamese American women compared to Chinese American women ≥ 50. The results were not significant for Asian Indian and Pakistani American women ≥ 50, women ≤ 50, and for the moderation analysis. Targeted interventions for subethnic groups with a higher likelihood of cervical cancer diagnosis are recommended, along with further research using large-scale data to understand disparities among groups with nonsignificant differences, to foster positive social change. This research may inform policies and intervention strategies aimed at the unique inequalities in cervical cancer diagnosis among disaggregated subethnic groups and help reduce the cervical cancer burden in the United States.

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