Intrinsic Factors of Non-adherence to Breast and Cervical Cancer Screenings Among Latinas

2015 ◽  
Vol 3 (4) ◽  
pp. 658-666 ◽  
Author(s):  
Karent Zorogastua ◽  
Deborah Erwin ◽  
Linda Thelemaque ◽  
LeaVonne Pulley ◽  
Lina Jandorf
Keyword(s):  
Cervical Cancer ◽  
Intrinsic Factors ◽  
Breast And Cervical Cancer ◽  
Cancer Screenings

Financial hardship is associated with lower uptake of colorectal, breast, and cervical cancer screenings

2021 ◽  
Author(s):  
Monica L. Kasting ◽  
David A. Haggstrom ◽  
Joy L. Lee ◽  
Stephanie L. Dickinson ◽  
Cleveland G. Shields ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Financial Hardship ◽  
Breast And Cervical Cancer ◽  
Cancer Screenings

scholarly journals Shared Decision-Making and Women’s Adherence to Breast and Cervical Cancer Screenings

2018 ◽  
Vol 15 (7) ◽  
pp. 1509 ◽  
Author(s):  
Jayoung Han ◽  
Paiboon Jungsuwadee ◽  
Olufunmilola Abraham ◽  
Dongwoo Ko
Keyword(s):  
Cervical Cancer ◽  
Decision Making ◽  
Shared Decision Making ◽  
Adherence Rate ◽  
Shared Decision ◽  
Composite Measure ◽  
Cancer Society ◽  
Breast And Cervical Cancer ◽  
Cancer Screenings ◽  
Screening Adherence

We examined the effect of shared decision-making (SDM) on women’s adherence to breast and cervical cancer screenings and estimated the prevalence and adherence rate of screenings. The study used a descriptive cross-sectional design using the 2017 Health Information National Trends Survey (HINTS) data collected by the National Cancer Institute. Adherence was defined based on the guidelines from the American Cancer Society and the composite measure of shared decision-making was constructed using three items in the data. Multivariable logistic regression was performed to examine the association between the SDM and adherence, controlling for cancer beliefs and socio-demographic variables. The analysis included 742 responses. Weighted to represent the U.S. population, 68.1% adhered to both breast and cervical cancer screening guidelines. The composite measure of SDM was reliable (α = 0.85), and a higher SDM score was associated with women’s screening adherence (b = 0.17; p = 0.009). There were still women who did not receive cancer screenings as recommended. The results suggest that the use of the SDM approach for healthcare professionals’ communication with patients can improve screening adherence.

scholarly journals Determinants of Population-Based Cancer Screening Performance at Primary Healthcare Institutions in China

2021 ◽  
Vol 18 (6) ◽  
pp. 3312
Author(s):  
Senshuang Zheng ◽  
Xiaorui Zhang ◽  
Marcel J. W. Greuter ◽  
Geertruida H. de Bock ◽  
Wenli Lu
Keyword(s):  
Colorectal Cancer ◽  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Primary Healthcare ◽  
Population Based ◽  
Target Number ◽  
Staff Members ◽  
Breast And Cervical Cancer ◽  
Cancer Screenings

Background: For a decade, most population-based cancer screenings in China are performed by primary healthcare institutions. To assess the determinants of performance of primary healthcare institutions in population-based breast, cervical, and colorectal cancer screening in China. Methods: A total of 262 primary healthcare institutions in Tianjin participated in a survey on cancer screening. The survey consisted of questions on screening tests, the number of staff members and training, the introduction of the screening programs to residents, the invitation of residents, and the number of performed screenings per year. Logistic regression models were used to analyze the determinants of performance of an institution to fulfil the target number of screenings. Results: In 58% and 61% of the institutions between three and nine staff members were dedicated to breast and cervical cancer screening, respectively, whereas in 71% of the institutions ≥10 staff members were dedicated to colorectal cancer screening. On average 60% of institutions fulfilled the target number of breast and cervical cancer screenings, whereas 93% fulfilled the target number for colorectal cancer screening. The determinants of performance were rural districts for breast (OR = 5.16 (95%CI: 2.51–10.63)) and cervical (OR = 4.17 (95%CI: 2.14–8.11)) cancer screenings, and ≥3 staff members dedicated to cervical cancer screening (OR = 2.34 (95%CI: 1.09–5.01)). Conclusion: Primary healthcare institutions in China perform better in colorectal than in breast and cervical cancer screening, and institutions in rural districts perform better than institutions in urban districts. Increasing the number of staff members on breast and cervical cancer screening could improve the performance of population-based cancer screening.

scholarly journals Effectiveness of a Community Health Worker-Delivered Intervention to Increase Breast and Cervical Cancer Screening Among Medically Underserved Hispanics

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 19s-19s
Author(s):  
L.S. Savas ◽  
N.I. Heredia ◽  
S.P. Coan ◽  
M.E. Fernandez
Keyword(s):  
Cervical Cancer ◽  
Intervention Group ◽  
Control Group ◽  
Intervention Effect ◽  
Pap Screening ◽  
Breast And Cervical Cancer ◽  
Cancer Screenings ◽  
Intent To Treat ◽  
Treat Analysis

Background: Underutilization of preventive breast and cervical cancer screenings contributes to later stage breast cancer diagnoses and lower survival rates, as well as higher cervical cancer incidence and mortality among Hispanics compared with non-Hispanic whites. To increase screening among medically underserved Hispanic women in urban settings, we adapted an evidence-based community health worker (CHW)-delivered screening education and referral intervention ( Cultivando la Salud) developed and evaluated among rural Mexican American migrant farmworkers. CHWs delivered the adapted intervention for Hispanics residing in Houston, Texas. The adaptation focused on intervention and implementation strategies, resulting in modifications, such as group education rather than one-on-one education and an expanded cancer prevention coaching and navigation intervention to remove barriers and facilitate access to care. Aim: We examined the effect of the adapted intervention on increasing Pap and mammography screenings. Methods: To assess effectiveness, we conducted a randomized controlled trial among nonadherent women based on American Cancer Society screening guidelines. CHWs recruited women in community settings using structured eligibility forms, and bilingual data collectors confirmed eligibility, consented women, and conducted telephone-based baseline and 6-month follow-up surveys. We conducted both intent-to-treat and per-protocol analyses using logistic regression to evaluate intervention effect on mammogram and Pap completion. Covariates significant in univariate analyses ( P < 0.20) were included in the final models, and time to follow-up was adjusted in per protocol analyses. Results: We enrolled 1,025 women and randomized women to intervention and control (delayed intervention) groups. Among women followed-up, 39.9% received a mammogram in the intervention group compared with 20.3% in the control group ( P = 0.001) and 55.8% received a Pap screening in the intervention group compared with 27.4% in the control group ( P = 0.001). Women in the breast cancer screening intervention group had 2.02 increased odds of receiving a mammogram compared with women in the control group, based on the adjusted intent-to-treat analysis (adjusted OR=2.02, 95% CI: 1.42-2.87) and 2.17 time greater screening odds in the adjusted per protocol analysis (adjusted OR=2.17, 95% CI: 1.48-3.18). Women in the Pap screening intervention group had 1.84 increased odds of completing a Pap screening based on the adjusted intent-to-treat analysis (adjusted OR=1.85, 95% CI: 1.22-2.80) and 3.09 increased odds based on the adjusted per protocol analysis (adjusted OR=3.09, 95% CI: 1.88-5.08). Conclusion: This RCT intervention trial provides evidence that the adapted intervention effectively increased breast and cervical cancer screenings among underserved Hispanic women. Future intervention and implementation research to further strengthen the intervention effect is needed.

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