Factors Associated with Mammography Screening Utilization Among Latinas PDF Download
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Author: Sheila F. LaHousse
Publisher:
ISBN:
Category : Breast
Languages : en
Pages : 344
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Book Description
Author: Sheila F. LaHousse
Publisher:
ISBN:
Category : Breast
Languages : en
Pages : 344
Get Book Here
Book Description
Author:
Publisher:
ISBN:
Category : Electronic books
Languages : en
Pages : 55
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Book Description
Latinas are often diagnosed with breast cancer at an advanced and non-localized stage therefore, they are more likely to die from this disease than non-Hispanic white women. The underutilization of mammography screening in the Latino community may explain this disparity. With the growing Latino population in the US, it is imperative to address the issues preventing Latinas from adhering to screening mammography. Correlates of breast cancer screening adherence play a vital role in predisposing, enabling, and presenting a need for the utilization of mammograms as a routine health service. However, research is warranted on examining Mexican-born Latinas, living in the United States, who uniquely experience disproportionate rates of mammography and who are at a disadvantaged position as it pertains to the utilization of health care. As a result, this study will examine the relationship between predisposing (age, knowledge, acculturation, perceived barriers, religiosity), enabling (monthly household income, educational attainment, marital status, employment status), need for care factors (use of other cancer screenings [Clinical Breast Exams (CBE), Cervical Cancer (CC) screening]) and mammography adherence among Mexican-born Latinas residing in San Diego County. Guided by the Behavioral Model for Health Services Use, the intent of this study is to inform culturally tailored, early breast cancer detection efforts for this unique group of Latinas. Baseline data from Fe en Acción (Faith in Action) was the basis for this project. A total of 436 participants were recruited from participating churches to partake in the larger study. Study inclusion for the sub-study consisted of participants being at least 40 years of age or older and reporting Mexico as their country of nativity (n=274). Logistic regression models were used to examine the association between predisposing, enabling, need for care factors, and mammography screening adherence. Findings suggest that older age, current employment, and adherence to CBE guidelines predispose, enable, and present a need for the utilization of screening mammography, respectively. Public health efforts should focus on encouraging providers to continue providing tailored recommendations based on individualized cancer risk, coordinating early cancer detection programs for unemployed women, and informing providers of the important linkage between CBEs and screening mammography.
Author: Sarah A. Fox
Publisher:
ISBN:
Category : Breast
Languages : en
Pages : 13
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Book Description
The objective of this program was to increase mammography screening rates among Hispanic women through a series of targeted community-wide interventions. A diverse array of outreach efforts was offered by the program to increase awareness and use of screening mammography. Before the program, 12 percent of the Hispanic women surveyed in the intervention community had been screened, compared with 27 percent after the program. There was no change in screening among Hispanic women in the control community (23 percent before and 24 percent after the program). The program demonstrated that the awareness and behavior of "hard-to-reach" underscreened Hispanic women can be changed through intensive targeted outreach and that a church-based cancer control program can play an effective role in the process. This finding has national health policy implications.
Author: Abhishek Savant
Publisher:
ISBN:
Category : Breast
Languages : en
Pages : 75
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Book Description
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309170133
Category : Medical
Languages : en
Pages : 564
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Book Description
Cancer ranks second only to heart disease as a leading cause of death in the United States, making it a tremendous burden in years of life lost, patient suffering, and economic costs. Fulfilling the Potential for Cancer Prevention and Early Detection reviews the proof that we can dramatically reduce cancer rates. The National Cancer Policy Board, part of the Institute of Medicine, outlines a national strategy to realize the promise of cancer prevention and early detection, including specific and wide-ranging recommendations. Offering a wealth of information and directly addressing major controversies, the book includes: A detailed look at how significantly cancer could be reduced through lifestyle changes, evaluating approaches used to alter eating, smoking, and exercise habits. An analysis of the intuitive notion that screening for cancer leads to improved health outcomes, including a discussion of screening methods, potential risks, and current recommendations. An examination of cancer prevention and control opportunities in primary health care delivery settings, including a review of interventions aimed at improving provider performance. Reviews of professional education and training programs, research trends and opportunities, and federal programs that support cancer prevention and early detection. This in-depth volume will be of interest to policy analysts, cancer and public health specialists, health care administrators and providers, researchers, insurers, medical journalists, and patient advocates.
Author: Anna Nápoles Springer
Publisher:
ISBN:
Category : Hispanic American women
Languages : en
Pages : 380
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Book Description
Author: Thomas Nuño
Publisher:
ISBN:
Category : Breast
Languages : en
Pages : 0
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Book Description
Breast and cervical cancer disparities among Hispanic and American Indian women are a significant public health problem. Breast cancer is the most common neoplasm among Hispanic women. Cervical cancer has a higher incidence and mortality among Hispanic women compared to non-Hispanic White women. Breast cancer detection often comes late for American Indian women and breast cancer survival for this population is relatively poor. Hispanic and American Indian women who reside in rural areas of Arizona are especially at-risk of non-participation in breast and cervical cancer screening programs. This dissertation utilized data from two sources: a health-education intervention trial designed to increase mammography screening among women living in a rural area along the U.S.-Mexico border of Arizona and survey data from multiple years of the Arizona Behavioral Risk Factor Survey (BRFS) focusing on breast and cervical cancer screening self-reported behaviors. The purpose of the dissertation research was to identify factors associated with cancer screening behaviors among Hispanic and American Indian women that reside in rural Arizona settings. Hispanic women who participated in the 'promotora'-based educational intervention program were more likely to report receiving a mammogram at the followup compared to women who did not participate in the program. Results from both the baseline community survey and the BRFS showed that Hispanic women who received prior recommendations from a clinician to get both mammography and Pap smear were more likely to report they received a mammogram within the past year and a Pap smear within the past three years. Rural Hispanic and American Indian women reported lower rates of ever having had breast and cervical cancer screening compared to their urban counterparts. Breast and cervical cancer screening use in these populations can potentially be increased with at least two strategies. First, clinician recommendation of both mammograms and Pap smears and opportunistic screening during regular clinic visits may increase breast and cervical cancer screening coverage. Secondly, culturally-appropriate interventions that utilize 'promotoras' or lay health advisors could increase screening rates. In conclusion, Hispanic and American Indian women that reside in rural areas of Arizona, whether throughout the State or along the U.S.-Mexico border, are two underserved populations in Arizona with low rates of breast and cervical cancer screening that need to be addressed in order to reduce the burden of cancer in these populations.
Author: June I. Chang
Publisher:
ISBN:
Category :
Languages : en
Pages : 168
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Book Description
Author: Pedro Hinojosa
Publisher:
ISBN:
Category : Breast
Languages : en
Pages : 166
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Author: Janna Gordon
Publisher:
ISBN:
Category :
Languages : en
Pages : 117
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Book Description
Women living with HIV (WLWH) in the U.S. are more than twice as likely to die of breast cancer compared to women without HIV. Although WLWH are less likely to obtain mammography than women without HIV, research examining risk factors for non-adherence to screening among WLWH is limited, particularly among those aged 50-74 years for whom biennial screening is currently recommended. This project examined risk factors for non-adherence to screening mammography among WLWH aged 50-74 receiving primary care at UC San Diego and UC San Francisco between 2016 and 2018. This study used electronic medical record data to compare rates of adherence to mammography guidelines between WLWH and the general population of women in California (Aim 1). Logistic regression analyses were conducted to evaluate individual (i.e., age, race/ethnicity, medical and psychiatric co-morbidities, smoking status, HIV-related medical characteristics), interpersonal (i.e., marital status, PCP department, PCP relationship length, number of office visits), and organizational (i.e., insurance, healthcare site) factors associated with non-adherence to recommended mammography screening among WLWH (Aims 2, 3, 4). Multiple logistic regression was used to identify the unique contribution of variables identified in Aims 2, 3, and 4 in predicting non-adherence to screening mammography and to determine the influence of individual, interpersonal, and organizational variable(s) on model fit (Aim 5). WLWH (N = 293, mean age = 57.4, 36.2% non-Hispanic White) were significantly less likely to obtain mammography screening than the general population. WLWH at greatest risk for non-adherence to mammography screening included those with mental health or substance use diagnoses, Hispanic women, and women who engaged in fewer office visits. In adjusted analyses, WLWH with a mental health diagnosis were more than twice as likely to be non-adherent with screening recommendations than their peers, and Hispanic women were twice as likely to be non-adherent than non-Hispanic White women. The inclusion of interpersonal, but not organizational, variables significantly improved model fit. Evidence-based interventions are needed to increase adherence to mammography screening among WLWH. Such interventions have the potential to increase the uptake of timely breast cancer screening and decrease breast-cancer related morbidity and mortality among this medically vulnerable population.
