Individual, Provider, and System Risk Factors for Breast and Cervical Cancer Screening Among Underserved Black, Latina, and Arab Women

Roman, LeeAnne; Meghea, Cristian; Ford, Sabrina; Penner, Louis A.; Hamade, Hiam; Estes, Tamika; Williams, Karen Patricia

doi:10.1089/jwh.2013.4397

Cited by 60 publications

(59 citation statements)

References 42 publications

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“…Moreover, women’s desire for more traditional print media in health education suggests that existing outreach materials may not be reaching their intended targets. These findings support the ongoing need for community-based health education and interventions that are appropriately tailored for underserved women (Roman et al, 2014; Russell, Monahan, Wagle, & Champion, 2007). …”

Section: Discussionsupporting

confidence: 68%

What Women Want: Patient Recommendations for Improving Access to Breast and Cervical Cancer Screening and Follow-up

Ragas

Nonzee

Tom

et al. 2014

Women's Health Issues

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BACKGROUND The patient voice remains underrepresented in clinical and public health interventions. To inform interventions that strive to improve access to breast and cervical cancer screening and follow-up among low-income populations, we explored recommendations from low-income women pursuing health care in the safety net. METHODS Semi-structured interviews were conducted among women receiving follow-up care for an abnormal breast or cervical cancer screening result or a positive cancer diagnosis in federally qualified health centers (FQHCs), free clinics, or an academic cancer center in the Chicago metropolitan area. FINDINGS Of the 138 women interviewed in the parent study, 52 women provided recommendations for improving access to screening and follow-up care. Most were between 41 and 65 years old (62%) and African American (60%) or White (25%). Recommendations included strengthening community-based health education with more urgent messaging, strategic partnerships, and active learning experiences to increase patient engagement, which women regarded as a key driver of access. Women also suggested increasing access by way of changes to health care delivery systems and policy, including more direct patient-provider and patient-clinic communications, addressing delays caused by high patient volume, combining preventive services, expanding insurance coverage, and adjusting screening guidelines. CONCLUSIONS This exploratory study demonstrates important insights from the patient lens that may help to increase the acceptability and efficacy of community and clinical interventions aimed at improving access to breast and cervical cancer screening and follow-up. Further research is needed to identify appropriate integration of patient input into interventions, practice, and policy change.

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Section: Discussionsupporting

confidence: 68%

What Women Want: Patient Recommendations for Improving Access to Breast and Cervical Cancer Screening and Follow-up

Ragas

Nonzee

Tom

et al. 2014

Women's Health Issues

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“…Roman, Meghea, Ford, et al (2014) confirmed the sentiments of the women in this community that competing priorities and responsibilities to others often take precedence and force personal care to come second or third to these overriding issues. Study During the discussion groups women described fear and motivation as mediating factors that influenced health-seeking behaviors.…”

Section: Explanation For Behaviors Of Late-diagnoses and Non-adherencesupporting

confidence: 59%

Exploring Breast Health Perceptions, Behaviors, and Social Cohesion among Ethnically Diverse Black Women

McKinney¹

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“…Roman et al’s study of non-HIV infected, underserved Black, Latina and Arab women in Dearborn, Michigan found that cervical cancer screening in Black women was lower among those reporting higher scores for “competing priorities,” a score indicating working two jobs, having low household income, and needing to reschedule multiple appointments [37]. Improving communication in the patient-clinician relationship can increase engagement in HIV care, improving HIV-related health overall [38].…”

Section: Resultsmentioning

confidence: 99%

A Randomized Trial of Human Papillomavirus Self-Sampling as an Intervention to Promote Cervical Cancer Screening Among Women With HIV

Murphy

Mark

Anderson

et al. 2016

Journal of Lower Genital Tract Disease

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Objective Women living with HIV experience higher risk of cervical cancer, but screening rates in the U.S. are lower than recommended. The purpose of this study was to examine whether an intervention using self-sampling of cervico-vaginal cells for human papillomavirus (HPV) with results counseling would increase cervical cytology ("Pap") testing among women with HIV. Methods This was a randomized controlled trial to test the effectiveness of an intervention of self-sampling for HPV and results counseling. Participants were 94 women over age 18, with HIV infection, attending an HIV Clinic for a primary care visit, whose last cervical cancer screening was 18 months or more before baseline. Women were assigned to the intervention or information-only group. The primary outcome was completion of cervical cytology testing within 6 months of baseline. The secondary outcome was the women's perceived threat of developing cervical cancer. Results A total of 94 women were enrolled and analyzed in the study. The cytology completion rate overall was 35% by 6 months from baseline. There were no differences comparing HPV positive with HPV negative women, nor comparing them with the information-only group. In the intervention group, a positive HPV test increased perceived threat of cervical cancer. Conclusions The intervention did not improve cytology test attendance, though education about HPV and cervical cancer risk as part of study procedures was associated with testing for 35% of this group of women whose previous cytology occurred an average 3.6 years prior to the baseline appointment. Self-sampling for HPV testing was feasible.

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Individual, Provider, and System Risk Factors for Breast and Cervical Cancer Screening Among Underserved Black, Latina, and Arab Women

Cited by 60 publications

References 42 publications

What Women Want: Patient Recommendations for Improving Access to Breast and Cervical Cancer Screening and Follow-up

What Women Want: Patient Recommendations for Improving Access to Breast and Cervical Cancer Screening and Follow-up

Exploring Breast Health Perceptions, Behaviors, and Social Cohesion among Ethnically Diverse Black Women

A Randomized Trial of Human Papillomavirus Self-Sampling as an Intervention to Promote Cervical Cancer Screening Among Women With HIV

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