One Acronym, Many Identities: Why Every AANHPI Cervical Cancer Story Matters

By Kyle Minnis, Cervivor Communications Assistant

Asian American, Native Hawaiian, and Pacific Islander (AANHPI) communities are often discussed as though they are a single group. In reality, they represent more than 25 million Asian Americans and roughly 1.7 million Native Hawaiians and Pacific Islanders in the United States alone, with roots tracing across dozens of countries and cultures spanning the largest geographic region in the world.

That diversity matters when it comes to cervical cancer prevention and care.

Different countries across Asia and the Pacific have vastly different rates of HPV infection, cervical cancer incidence, screening access, and vaccination uptake. Those differences don’t disappear once families immigrate to the United States. In fact, they often continue here, shaped by factors like language access, insurance coverage, cultural beliefs, immigration status, healthcare discrimination, and whether families have access to culturally relevant information.

But when all AANHPI people are grouped together in research and public health data, those differences can become invisible.

Dr. Mihae Song

“It’s so important to disaggregate cervical cancer data because we have seen how incidence, stage at diagnosis, screening rates, and cancer outcomes can vary widely across different AANHPI communities,” says Dr. Mihae Song, M.D., of the Gynecologic Oncology Fellowship Program at the City of Hope. “If we can better recognize and understand where disparities exist, we can then direct resources and interventions to the communities that need them most to overcome unique cultural and structural barriers they face.” 

This Asian American, Native Hawaiian, and Pacific Islander (AANHPI) Heritage Month, we’re exploring some of the factors behind these gaps while highlighting the experiences and voices of Cervivor community members. 

Dr. Song was a past guest on the Cervivor Podcast, discussing health disparities in the Asian American, Native Hawaiian, and Pacific Islander (AANHPI) community.

Where Disparities Exist in AANHPI Communities

While Asian American women overall appear to have lower cervical cancer rates than the national average, that broad data masks important disparities between communities:

  • Some Southeast Asian groups, including Vietnamese, Cambodian, and Laotian women, have historically faced significantly higher cervical cancer rates.
  • Native Hawaiian and Pacific Islander women experience disproportionately high cervical cancer mortality rates.
  • Asian American women have some of the lowest cervical cancer screening rates in the United States, often due to cultural stigma, modesty, language barriers, or lack of culturally competent care.
  • HPV vaccination and routine Pap and HPV testing can prevent nearly all cervical cancer cases, yet many AANHPI families still lack access to trusted, culturally resonant information and care.

These disparities reflect systemic inequities, not individual choices. 

Cultural Silence and the Weight of Stigma

Across many Asian and Pacific Islander cultures, deep-seated stigma around reproductive health can make cancer a taboo subject, leaving many survivors to navigate their diagnoses in isolation.

This silence is often compounded by cultural barriers like strict modesty, a traditional reluctance to burden family members, and the pervasive “model minority” myth, which frequently masks healthcare disparities in AANHPI communities and causes critical symptoms or screenings to be overlooked.

“In many Asian immigrant communities, people often do not grow up openly discussing gynecologic health, vaccines, or Pap smears — even within their families,” says Dr. Song, who is fluent in both English and Korean. “Language barriers, discomfort with pelvic exams, and cultural stigma can all contribute to lower screening rates and more advanced cervical cancer diagnoses.”

For Cervivor Founder and Chief Visionary Tamika Felder, creating a supportive community for AANHPI individuals to share openly comes from a personal place.

“We know there are more women out there who are suffering in silence and could benefit from safe spaces like Cervivor,” Tamika says. “We’ve lost women like Becky Wallace and Gina Gossett far too soon, and we owe it to them — and to the AANHPI individuals with cervixes who still haven’t shared their stories — to keep having these conversations openly and compassionately.”

Those conversations happen through programs like Cervivor’s Cervical Cancer Patient Advocacy for Communities of Color Retreat and Asian & Pacific Islander virtual meetups — empowering spaces where cervical cancer patients, survivors, and thrivers within the AANHPI community can speak freely, support one another, and feel seen. (The next virtual meetup is Tuesday, May 26, 2026, at 7 p.m. ET / 4 p.m. PT for those interested in joining.)

By sharing their experiences publicly, the following Cervivor community members hope to challenge stigma, encourage prevention, and help others in AANHPI communities feel less alone. 

Janice’s Story: “Find Your People and Forget the Taboo”

Janice Le-Nguyen

Nevada-based survivor Janice Le-Nguyen says cultural expectations shaped how she processed her cervical cancer diagnosis after being diagnosed with stage I endocervical adenocarcinoma at age 32 in 2021.  

Although she had been experiencing irregular periods, her previous Pap test had come back normal. So when she finally sought care during the pandemic, the diagnosis “was not even on the radar” for either her or her doctor. One of the hardest parts, she says, was figuring out how to tell her family.

“I was not the one to tell my parents after that doctor visit,” Janice shares. “I called my sister and asked her to tell them initially because I didn’t know how to tell them that their youngest daughter had cancer, and cervical cancer at that.” She also remembers struggling to even find the Vietnamese words to describe her diagnosis.

Janice underwent a LEEP procedure followed by a hysterectomy and lymph node dissection. Looking back, she wishes there had been more open conversations around HPV prevention and both Pap and HPV testing in her community. “While the conversations may be uncomfortable for the AANHPI population, I think current and future generations would benefit,” she says.

Today, nearly two years with no evidence of disease (NED), Janice is using her story to help others let go of stigma and prioritize their health.

“Find your people and forget the taboo,” she says. “You may be the one person who’s able to bring someone out of their shell to encourage them on the path to screening and advocating for their health if anything ever feels off.”

Satyani’s Story: From Silence to Self-Advocacy

Satyani McPherson

For survivor Satyani McPherson, the silence surrounding sexual health was shaped not only by cultural stigma, but also by trauma.

Of Hawaiian, Chinese, English, African American, and Choctaw heritage, Satyani says many of the cultures she grew up around shared similar taboos surrounding sexuality and reproductive health. After surviving multiple instances of sexual assault beginning in childhood, conversations about sexual health became especially difficult. 

Negative healthcare experiences later reinforced those fears, making pelvic exams and screenings emotionally and physically uncomfortable over the years. After being diagnosed with a sexually transmitted disease in her twenties, Satyani recalls that “the doctor acted as though I had the cooties,” leaving her feeling “uncomfortable and hesitant to ask questions about the disease, its side effects, and treatment.”

In her fifties, doctors discovered abnormal cervical cells and recommended a hysterectomy, which she declined at the time. Years later, she was diagnosed with cervical cancer. Initially pursuing alternative therapies and holistic treatments, Satyani eventually underwent chemotherapy, radiation, and brachytherapy after the cancer progressed to stage II.

Treatment was physically and emotionally grueling, particularly given her history of trauma. Still, compassionate providers, mindfulness practices, and support from her husband helped carry her through. “I was not ready to resign my life to a cancer diagnosis,” she says, adding that her husband’s support helped her make the difficult decision to pursue conventional treatment.

Now, one year NED, Satyani is sharing her story publicly for the first time through Cervivor to encourage others to prioritize HPV vaccination, regular screenings, safe sex practices, and open conversations about sexual health. “I have been inspired to educate others so they can make conscious choices to avoid this devastating disease and treatment,” she says.

Why Storytelling Saves Lives

Some AANHPI subgroups face cervical cancer rates two or three times higher than the U.S. average, even though cervical cancer is largely preventable through HPV vaccination, regular screenings, and timely treatment. But data alone cannot tell the full story.

At Cervivor, we believe survivor stories create understanding, trust, and connection — especially in communities where silence around cancer and sexual health can still run deep. By speaking openly, sharing culturally relevant information, and advocating for equitable care, survivors and allies can help close these gaps and save lives.

This AANHPI Heritage Month, here are a few ways to support Cervivor’s mission and strengthen the community:

  • Share your story. Your experience may help someone else feel seen, understood, or encouraged to seek care.
  • Get screened and vaccinated. Schedule your Pap or HPV test, and encourage eligible loved ones to receive the HPV vaccine.
  • Join the Cervivor community. Support groups, advocacy programs, meetups, and Cervivor School offer connection, education, and empowerment.
  • Spread awareness. Challenge stigma and encourage conversations about prevention, screening, and survivorship in your own community.
  • Connect with us on socials or subscribe to our newsletter for the latest news, resources, and community events

Every story matters. Every community matters. And together, we can work toward ending cervical cancer for everyone.

About the Author

The image is a portrait of a young man with dark skin and short, curly black hair. He is wearing a blue collared shirt and black-framed glasses, and is smiling at the camera.
The man has dark skin and short, curly black hair.
His hair is cut close to his head, with a slight fade at the sides.
His eyebrows are thick and well-groomed.
He is wearing a blue collared shirt.
The shirt is a medium blue color and appears to be made of a lightweight material.
It has a relaxed fit and is buttoned up to the top.
He is also wearing black-framed glasses.
The frames are rectangular in shape and have a subtle curve at the temples.
The lenses are clear and do not appear to have any tint or coating.
The man is smiling at the camera.
His smile is wide and genuine, showing off his white teeth.
His eyes are crinkled at the corners, giving him a friendly and approachable appearance.
The background of the image is a plain gray color.
The gray is a medium tone, neither too light nor too dark.
It provides a neutral backdrop that allows the subject to stand out.
Overall, the image presents a friendly and approachable young man who appears to be confident and comfortable in front of the camera

Kyle Minnis is a recent graduate of Strategic Communications at the University of Kansas with a passion for digital media, storytelling, and audience engagement. He has experience in content strategy and media production. Kyle is especially interested in the intersection of media, branding, and digital growth.

Confronting Cervical Cancer Disparities in AANHPI Communities by Bridging Cultural Barriers

In this second blog post for AANHPI Heritage Month, we explore the health disparities affecting Asian American, Native Hawaiian, and Pacific Islander cervical cancer survivors.

Previously, Cervivor community members Arlene Simpson (Filipina), Joslyn Chaiprasert-Paguio (Chinese-Thai), Anna Ogo (Japanese), and Anh Le (Vietnamese) shared their diverse experiences, revealing a shared truth: While stigma and cultural silence around cervical and other “below-the-belt” cancers are common, their impact varies across AANHPI communities.

Despite these differences, many face similar systemic barriers to prevention, screening, and timely care—barriers that continue to cost lives. Case in point:

  • According to the American Cancer Society, Pap test screening is significantly lower among Chinese (69%) and Asian Indian (74%) women compared to white women (84%). This gap in screening may contribute to later-stage diagnoses and worse outcomes. 
  • HPV vaccination rates also lag behind national averages. A 2023 Centers for Disease Control and Prevention (CDC) report found that only 58% of Asian American adolescents had initiated the HPV vaccine series—lower than their Hispanic (73%) and White (61%) counterparts.
  • A 2024 ACS article also noted that while cervical cancer rates are higher in some parts of Asia, many AANHPI individuals are unaware of risks based on their country of origin. 

Experts and survivors highlight the following key challenges to reversing these trends as well as some promising progress: 

Language Barriers

Dr. Ha Ngan “Milkie” Vu

Asian Americans come from over 30 countries and speak more than 100 languages and dialects, explains Dr. Ha Ngan “Milkie” Vu, Assistant Professor at Northwestern University’s Feinberg School of Medicine. These linguistic and cultural differences often make accessing health information difficult.

As Arlene shares, “Medical terms don’t always translate clearly, and jargon makes it harder. Even basic words like ‘cervix’ don’t translate well in some cultures.” Joslyn, featured in Everyday Health, says, “In Thai, there’s no direct word for cervix—it’s described as a ‘plug’ that keeps the baby in. Without a proper term, how do you talk about your body?”

These communication challenges are often compounded by a lack of in-language medical materials. Dr. Jennifer Tsui, Associate Professor of Population and Public Health Sciences at USC’s Keck School of Medicine, recalls translating for her Asian immigrant grandparents at medical visits—an experience common to many second-generation individuals. Through her current work on the National Cancer Institute-funded ACHIEVE Study, which examines barriers to cervical cancer treatment and survivorship care, she has found that many patients want materials in their native language to understand whether the vaccine has been tested in their communities and if it’s effective for different Asian American groups.

Dr. Jennifer Tsui

Bridging these language gaps often requires more than translation—it takes cultural nuance. Dr. Zhengchun Lu, a cancer pathologist and resident physician at Oregon Health & Science University, originally from Zhenjiang, China, actively works to meet patients where they are. She communicates with Chinese-speaking patients and adapts CDC and World Health Organization (WHO) materials into formats that resonate culturally. For other language needs, she collaborates with hospital interpreters. “Removing language barriers also removes fear—people feel empowered to get screened,” she says.

Dr. Zhengchun Lu

To support these efforts, organizations like the American Cancer Society offer multilingual resources through their “Cancer Information in Other Languages” initiative, which provides materials in 13 languages, including Chinese, Korean, Tagalog, and Vietnamese. Making vital information more accessible is a crucial step toward equity in prevention and care.

Limited Awareness, Not Hesitancy

In the first post, Dr. Lu emphasized that many AANHPI patients simply lack awareness about HPV and the need for regular cervical cancer screenings. The same goes for the HPV vaccine.

Dr. Tsui’s research confirms this: “Many people hadn’t heard of the HPV vaccine or didn’t know it helps prevent multiple cancers.”

Adolescents often help bridge the gap. “Teens are more acculturated and read the materials—they’re the ones bringing this information home and influencing family decisions,” she says.

Trusted community messengers also matter. “In many Asian communities, people rely on their aunts, grandmothers, and community leaders,” says Dr. Tsui. “That’s why strong local partnerships are key.”

Navigating a Complicated Health System

Confusion about the U.S. healthcare system can delay screenings and treatment. While many AANHPI communities hold physicians in high regard and prefer care from well-known institutions, accessing these systems—or even getting a second opinion—can be complicated, explains Dr. Tsui.

For patients with abnormal Pap results, referrals to specialists often mean traveling to unfamiliar facilities without language support, creating additional barriers. Demanding work schedules further complicate making and keeping appointments.

To address this, Dr. Lu’s team partners with local groups to host screening events staffed by bilingual volunteers. “Bringing services directly to the community has built trust and boosted participation,” she says.

She also sees promise in HPV self-collection. “It’s not a home test, but it can be offered at outreach events under medical supervision. It’s more private, more flexible, and less intimidating—especially for those wary of pelvic exams.”

Dr. Lu works with Rabeka Ali, the research coordinator at OHSU Pathology, during an HPV testing event at a Chinese church in Portland, OR.

Lack of Gender Concordance

“In our Filipino culture, especially among older generations, there’s a belief that you don’t question the doctor—or that traditional remedies are better,” says Arlene. “But many women also feel uncomfortable discussing reproductive health with male doctors and may avoid care because of it.”

Dr. Tsui agrees. “Women are less likely to follow up if they don’t feel comfortable with their provider. In local Asian American communities like our Chinatown, having female doctors can make all the difference.”

Anti-Asian and Anti-Immigrant Sentiment

Lingering fear from the pandemic and rising anti-immigrant rhetoric have also impacted care-seeking behaviors. A 2024 Axios/Harris poll found that 50% of Americans support mass deportations of undocumented immigrants, fueling anxiety in immigrant communities.

“There was definitely a delay in seeking care—not just because of COVID, but because of fear,” says Dr. Tsui. Many in the AANHPI community avoided medical visits due to rising anti-Asian sentiment and concerns about overusing medical resources—or fears that if they left the country, they might not be allowed to return.

This fear compounded the silence around health issues like cervical cancer, which only deepened stigma, Arlene adds. “It’s more important than ever to speak up, share our stories, and help Asian women feel safe and supported.”

Dr. Tsui’s team regularly works in Asian American communities around USC.

Dr. Tsui sees hope in community-driven efforts: “It’s not all doom and gloom. In cities like San Francisco, LA, New York, Chicago, and Atlanta, AANHPI organizations are stepping up. Local clinics and advocates are helping people understand their rights and access life-saving care—just as they did during the pandemic.”

Cultural Beliefs and Cancer Fatalism

Dr. Tingting Zhang

In a 2024 American Cancer Society article, Dr. Tingting Zhang, a thyroid cancer survivor, patient advocate, and CEO of ONEiHEALTH, noted: “Some AANHPI individuals may avoid discussing cancer risk, viewing it as a bad omen or personal failure. But cancer is not retribution—it’s biology. And early detection saves lives.”

Cancer fatalism is a well-documented barrier. As Dr. Vu adds, “In my research, Filipino and Vietnamese respondents reported especially high levels of fatalistic beliefs. That mindset can lead to inaction—people believe they can’t change their outcomes, so they don’t engage in prevention. That’s why education is key: the HPV vaccine prevents cancer. We need to make that message loud and clear.”

Let’s Keep Breaking the Silence

At Cervivor, Inc. we believe that every story matters—and every voice can spark change. If you are an AANHPI cervical cancer survivor, caregiver, or advocate, we invite you to join our community. Better yet, share your unique Cervivor Story. (Submit your story here.) Together, we can dismantle stigma, increase awareness, and save lives.