Preventing cervical cancer

Khan, Kris; Curtis, C. Robinette; Ekwueme, Donatus U.; Stokley, Shannon; Walker, Chastity; Roland, Katherine B.; Benard, Vicki B.; Saraiya, Mona

doi:10.1002/cncr.23765

Cited by 19 publications

(12 citation statements)

References 37 publications

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“…3 The low rate of coverage is surprising given that most adolescents in the US can receive free or low-cost HPV vaccine through private insurance or the federally-funded Vaccines for Children program that covers uninsured and Medicaid-eligible children. 4 …”

mentioning

confidence: 99%

Evaluation of an Intervention Providing HPV Vaccine in Schools

Stubbs¹,

Panozzo²,

Moss³

et al. 2014

Am J Hlth Behav

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Objectives To conduct outcome and process evaluations of school-located HPV vaccination clinics in partnership with a local health department. Methods Temporary clinics provided the HPV vaccine to middle school girls in Guilford County, North Carolina, in 2009–2010. Results HPV vaccine initiation was higher among girls attending host schools than satellite schools (6% vs. 1%, OR = 6.56, CI = 3.99–10.78). Of the girls who initiated HPV vaccine, 80% received all 3 doses. Private insurance or federal programs paid for most vaccine doses. Conclusions Lessons learned for creating more effective school-health department partnerships include focusing on host schools and delivering several vaccines to adolescents, not just HPV vaccine alone.

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mentioning

confidence: 99%

Evaluation of an Intervention Providing HPV Vaccine in Schools

Stubbs¹,

Panozzo²,

Moss³

et al. 2014

Am J Hlth Behav

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“…Although it is not common for adults without health insurance to receive free HPV vaccines through other sources, in some states HPV vaccines may be provided to uninsured or underinsured women aged 19 to 26 years using the state funds via cervical cancer prevention programs. 32 With the implementation of the “Patient Protection and Affordable Care Act”, expanded health care coverage up to age 26 years through parental health insurance could help young adult women to access HPV vaccines.…”

Section: Discussionmentioning

confidence: 99%

“…15,16,18,21,27–31 Thus, concerns have been raised that the use of HPV vaccine might actually increase health disparities as populations who are at risk for HPV-related diseases (e.g., racial-ethnic minorities or people in low socioeconomic status) may be less likely to access and receive HPV vaccines. 32–34 …”

Section: Introductionmentioning

confidence: 99%

Human Papillomavirus Vaccination Among Adults and Children in 5 US States

Camacho

McCall-Hosenfeld

et al. 2015

Journal of Public Health Management and Practice

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“…Using a three way call option, the outreach worker can link patients with mammography schedulers or with the National Breast and Cervical Cancer Early Detection Program (NBCCEP), which provides free screening for the uninsured[35]. …”

Section: Methodsmentioning

confidence: 99%

Get screened: a pragmatic randomized controlled trial to increase mammography and colorectal cancer screening in a large, safety net practice

Fiscella

Yosha

Hendren

et al. 2010

BMC Health Serv Res

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BackgroundMost randomized controlled trials of interventions designed to promote cancer screening, particularly those targeting poor and minority patients, enroll selected patients. Relatively little is known about the benefits of these interventions among unselected patients.Methods/Design"Get Screened" is an American Cancer Society-sponsored randomized controlled trial designed to promote mammography and colorectal cancer screening in a primary care practice serving low-income patients. Eligible patients who are past due for mammography or colorectal cancer screening are entered into a tracking registry and randomly assigned to early or delayed intervention. This 6-month intervention is multimodal, involving patient prompts, clinician prompts, and outreach. At the time of the patient visit, eligible patients receive a low-literacy patient education tool. At the same time, clinicians receive a prompt to remind them to order the test and, when appropriate, a tool designed to simplify colorectal cancer screening decision-making. Patient outreach consists of personalized letters, automated telephone reminders, assistance with scheduling, and linkage of uninsured patients to the local National Breast and Cervical Cancer Early Detection program. Interventions are repeated for patients who fail to respond to early interventions. We will compare rates of screening between randomized groups, as well as planned secondary analyses of minority patients and uninsured patients. Data from the pilot phase show that this multimodal intervention triples rates of cancer screening (adjusted odds ratio 3.63; 95% CI 2.35 - 5.61).DiscussionThis study protocol is designed to assess a multimodal approach to promotion of breast and colorectal cancer screening among underserved patients. We hypothesize that a multimodal approach will significantly improve cancer screening rates.The trial was registered at Clinical Trials.gov NCT00818857

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Preventing cervical cancer

Abstract: Three federal programs with the potential to reduce cervical cancer incidence, morbidity, and mortality, especially among underserved populations, are admi-

Cited by 19 publications

References 37 publications

Evaluation of an Intervention Providing HPV Vaccine in Schools

Evaluation of an Intervention Providing HPV Vaccine in Schools

Human Papillomavirus Vaccination Among Adults and Children in 5 US States

Get screened: a pragmatic randomized controlled trial to increase mammography and colorectal cancer screening in a large, safety net practice

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