PSYC 4320 Lecture Notes - Lecture 10: Pap Test, Colorectal Cancer, Cervical Cancer

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28 Jul 2016
Discussion Questions
Week 7 (Tuesday Mar 1st)
1)What are the reasons that Phillips , Angeles et al., provide to explain why lesbians
are less likely to be screened for cervical cancer compared to majority women? How is this similar
and different to other marginalized women that we have talked about in this class (e.g., ethnic
minority, low SES, women with disabilities)?
Since they do not engage in sexual activities with men, they are at a lower risk of getting HPV. This is
similar because these women are still at a risk of contracting HPV from their partners, but health care
professionals seem to overlook this risk and do not focus on their needs as much.
2)What was included in phase 1 of the “Lesbian Health Matters” project? What was
the rationale for phase 1? Do you agree that this was inappropriate place to
start? If you were designing this program would you have started with the same
activities? If not, what would you have started with?
Lesbian health matters: a public awareness and provider education project designed to increase Pap test
screen among lesbians in Seattle, Washington.
Phase one included a media campaign, referral to lesbian-friendly providers and provider education: for
longterm effectiveness and sustainability, a greater intervention at the provider level was recommended
with potentially significant changes in practice.
I think this was a good place to start. People need to be comfortable with the word Lesbian and Pap Test,
the fact that there were so many complaints means that there is clearly a problem with society, not with
the advertisements. I think it is a good way to grab lesbian women’s attention in a fast and effective way.
3)What conclusions can be made about the success or failure of the “Lesbian Health
Matters” project? What were the difficulties with evaluation? What could have been done to better
evaluate the project?
I think, overall, this was successful because it clearly succeeded in promoting the importance of pap tests
to lesbians and it encouraged professionals to get the proper training and education in order to work with
lesbian women. Some of the difficulties included the lack of physicians included in the program. Many
physicians may feel that they don’t need this training, but in reality, they may be the ones that need it
most, especially when they are telling lesbian women that they do not need pap tests. There was also a
limitation in demographics, during the study they did not ask participants to state where they were from
so the study was lacking in information about the prevalence of lesbians in certain areas who are getting
paps and who have been affected by the Lesbian Health Matters project.
4)What do you make of the reaction that the radio stations had (pulling the
campaign prematurely)? What does this demonstrate? What were the (potential)
benefits and negative consequences of this?
Radio site A reported 30 complaints about the word lesbian and radio B reported 70 complaints of the
word Pap Test. I think this is disgusting, it doesn’t matter what orientation you are, you should be
accepted and not be discriminated on. People are acting as if these words are derogatory language, which
further marginalizes lesbian women.
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