Empowering Underserved Populations Through Cancer Prevention and Early Detection

Rivera-Colón, Venessa; Ramos, Roberto; Davis, Jenna L.; Escobar, Myriam; Inda, Nikki Ross; Paige, Linda; Palencia, Jeannette; Vives, María; Grant, Cathy G.; Green, B. Lee

doi:10.1007/s10900-013-9715-8

Cited by 15 publications

(12 citation statements)

References 9 publications

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“…These disparities in CPI seeking online are particularly concerning because comprehensive cancer centers charged with targeting communities with prevention initiatives do not have overarching strategies to disseminate CPI to cancer survivors and their families [76]. Researchers reported that when barriers to access are removed, the benefits of online information seeking are extended to individuals from underserved communities [24].…”

Section: Discussionmentioning

confidence: 99%

Predictors of Online Cancer Prevention Information Seeking Among Patients and Caregivers Across the Digital Divide: A Cross-Sectional, Correlational Study

Ginossar¹

2016

JMIR Cancer

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BackgroundThe digital divide is a recognized public health problem caused by social determinants that exacerbate health disparities. Despite the “tectonic shift” in how most of the public obtains cancer information, underserved communities are at increased risk of being digitally marginalized. However, research that examines factors underlying eHealth information seeking in diverse health contexts is lacking.ObjectiveThe aim of this paper is to explore preferences and use of eHealth cancer prevention information (CPI) among patients and caregivers attending a minority-serving oncology clinic using the comprehensive model of information seeking as a theoretical framework. Specifically, the study examined the role of social determinants and prevention orientation in differences in preference and use of the Internet for CPI seeking among this diverse sample.MethodsSurvey methodology was used to identify social determinants and behavioral factors, including prevention orientation as correlates and predictors of respondents’ (n=252) preferences and use of eHealth for CPI seeking.ResultsLess than half (112/252, 44.4%) of respondents said that if faced with the need to seek CPI, they would seek this information online. In the final logistic regression model, education, ethnicity, age, and prevention orientation made significant contributions to the model (P<.05). Specifically, for each year increase in age, participants were 3% less likely to use the Internet for CPI seeking (P=.011). Compared to college graduates, respondents who did not complete high school were 11.75 times less likely to cite the Internet as a CPI carrier (P<.001) and those with a high school education were 3 times (2.99, P=.015) less likely. In addition, the odds that a Spanish speaker would cite the Internet as a CPI carrier were one-fifth (22%) of non-Hispanic whites (P=.032) and about one-quarter (26%) of English-speaking Latinos (P=.036). Finally, with each one point increase on the prevention orientation scale, respondents were 1.83 times less likely to cite online CPI seeking (P=.05).ConclusionsSocial determinants to health have profound influence on eHealth CPI seeking. Providers and policy makers should focus on meeting patients and family members’ CPI needs following diagnosis and increase eHealth accessibility and availability of evidence-based CPI to diverse populations. Future research is needed to unravel further differences in eHealth CPI seeking, including those among Native Americans that emerged as an additional digitally underserved racial/ethnic group. Finally, additional factors underlying these differences should be explored to better tailor CPI eHealth information to diverse communities’ information needs.

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Section: Discussionmentioning

confidence: 99%

Predictors of Online Cancer Prevention Information Seeking Among Patients and Caregivers Across the Digital Divide: A Cross-Sectional, Correlational Study

Ginossar¹

2016

JMIR Cancer

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“…Community advocacy refers to the actions of individuals and organizations on behalf of cancer patients, survivors and caregivers [37, 38]. Advocates at the community level include patients, family members, friends, and caregivers, as well as healthcare professionals and researchers [26].…”

Section: Community Advocacy: “Advocacy For Others”mentioning

confidence: 99%

Nurturing Advocacy Inclusion to Bring Health Equity in Breast Cancer Among African–American Women

Ashing

Miller

Mitchell

et al. 2014

Breast Cancer Manag.

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Summary This paper will present the multiple roles and the impact of cancer advocates. The emerging literature provides evidence for the consideration and integration of African American BC survivors as advocates in practice, policy and research relevant to cancer prevention and control. We present a practical outline for organizational assessment for the inclusion of advocates in these arenas. This assessment can be conducted by all levels of partners, including community advocacy and scientific organizations.

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“…In 2009, the program was formally named M-POWER to better reflect Moffitt's goal for cancer prevention and community outreach initiatives that address the health education and early detection needs among underserved populations. M-POWER works to empower these communities to make positive health choices and to increase screening behaviors by strengthening collaboration and partnerships, providing community-based health education/promotion, and increasing access to screening and care [17]. The program's guiding principles are rooted in cultural and linguistic competence, health education, community engagement, capacitybuilding, partnership development, and community-based participatory action.…”

Section: M-power Overviewmentioning

confidence: 99%

“…YMC is designed to focus on cancer prevention, early detection, and healthy lifestyles to increase breast cancer awareness and reduce breast cancer disparities among Hispanic women in the Tampa Bay region. The program is delivered by the H. Lee Moffitt Cancer Center and Research Institute (Moffitt) through its larger community engagement and outreach program focused on underserved populationsMoffitt Program for Outreach Wellness Education and Resources (M-POWER) [17]. The purpose of this paper is to showcase the YMC's innovative approaches and methods to cancer prevention and early detection, and to promote its use as an effective intervention for improving outcomes in community health education, outreach, and engagement activities and programs with Hispanic populations.…”

Section: Introductionmentioning

confidence: 99%

The Yo me cuido® Program: Addressing Breast Cancer Screening and Prevention Among Hispanic Women

et al. 2014

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Breast cancer is less likely to be diagnosed at the earliest stage in Hispanic/Latino (Hispanic) women compared to non-Hispanic White women, even after accounting for differences in age, socioeconomic status, and method of detection. Moffitt Cancer Center created a comprehensive health education program called Yo me cuido (®) (YMC) to address and reduce breast cancer disparities among Spanish- and English-speaking Hispanic women by providing breast cancer and healthy lifestyles awareness and education, and promoting breast cancer screenings, reminders, and referrals for women 40 years and older. The purpose of this paper is to showcase the innovative approaches and methods to cancer prevention and early detection of the YMC program, and to promote it as an effective tool for improving outcomes in community health education, outreach, and engagement activities with Hispanic populations. Key components of the program include educational workshops, mammogram referrals, and a multimedia campaign. The YMC program is unique because of its approaches in reaching the Hispanic population, such as delivering the program with compassionate services to empower participants to live a healthier lifestyle. Additionally, direct follow-up for mammography screenings is provided by program staff. From 2011 to 2013, YMC has educated 2,226 women and 165 men through 93 workshops. About 684 (52 %) women ages 40 and older have had a screening mammogram within their first year of participating in the program. The YMC program is an innovative cancer education and outreach program that has demonstrated a positive impact on the lives of the Hispanic community in the Tampa Bay region.

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Empowering Underserved Populations Through Cancer Prevention and Early Detection

Cited by 15 publications

References 9 publications

Predictors of Online Cancer Prevention Information Seeking Among Patients and Caregivers Across the Digital Divide: A Cross-Sectional, Correlational Study

Predictors of Online Cancer Prevention Information Seeking Among Patients and Caregivers Across the Digital Divide: A Cross-Sectional, Correlational Study

Nurturing Advocacy Inclusion to Bring Health Equity in Breast Cancer Among African–American Women

The Yo me cuido® Program: Addressing Breast Cancer Screening and Prevention Among Hispanic Women

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