Abnormal pap tests among women living in a Hispanic migrant farmworker community: A narrative of health literacy

Cheryl A. Vamos, Elizabeth Lockhart, Coralia Vázquez-Otero, Erika Lynne Thompson, Sara Proctor, Kristen J. Wells, Ellen M. Daley

Research output: Contribution to journalArticle

4 Scopus citations


This study explored narrative responses following abnormal Pap tests among Hispanic migrant farmworkers (N = 18; ages 22–50 years) via in-depth interviews in Florida. Qualitative analyses utilized health literacy domains (obtain/process/understand/communicate) as a conceptual framework. Participants described how they (1) obtained information about getting a Pap test, (2) processed positive and negative reactions following results, (3) understood results and recommended health-promoting behaviors, and (4) communicated and received social support. Women had disparate reactions and understanding following an abnormal Pap result. Health literacy was a meaningful conceptual framework to understand assets and gaps among women receiving an abnormal Pap test result. Future interventions should incorporate health literacy domains and facilitate patient–provider communications and social support to assist women in decision-making and health-promoting behaviors, ultimately decreasing cancer disparities.

Original languageEnglish
Pages (from-to)1622-1634
Number of pages13
JournalJournal of Health Psychology
Issue number12
StatePublished - 1 Oct 2018



  • cancer
  • community health promotion
  • culture
  • health promotion
  • health psychology
  • women’s health

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