Reported Barriers to Cancer Screening: Montana Behavioral Risk Factor Surveillance System 2007

Ballew, Carol; Cummings, Susan; Oreskovich, Joanne

doi:10.4278/ajhp.080902-quan-178

Cited by 5 publications

(3 citation statements)

References 19 publications

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“…Successful prostate cancer treatment requires patients to have access to and navigate the health care system from initial screening through diagnosis, treatment, and follow up. This becomes a significant problem in the presence of one or multiple barriers (Ballew, Cummings, & Oreskovich, 2010; Ward et al, 2008). Systemic barriers function to decrease access to regular PSA screenings, checkups, and follow-up care, which increases the likelihood of advanced-stage cancer at diagnosis (Consedine et al, 2008; Consedine et al, 2006; Deibert et al, 2007; Jones, Devers, Kuzel, & Woolf, 2010; Marlow, Halpern, Pavluck, Ward, & Chen, 2010; Talcott et al, 2007; Ward et al, 2008).…”

Section: System Componentsmentioning

confidence: 99%

Barriers to Prostate Cancer Care

et al. 2012

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Low-income, uninsured Latino men face a myriad of barriers when accessing health care to detect, diagnose, treat, and manage their prostate cancer. In this study, we utilized grounded theory techniques to analyze transcripts of semistructured interviews with 60 Latino men enrolled in a state-funded public assistance program. We developed a descriptive framework to understand barriers to health care access among these men. Findings demonstrate that societal, systemic, and individual barriers function independently and together to bar access to prostate cancer care for Latino men. Participant perceptions illustrate the individual, interpersonal, and macro-level structures that impede access, stressing the need for expanded medical coverage coupled with measures to improve quality care. The health care system needs a multifaceted approach, including alleviation of financial burdens for underserved prostate cancer patients, empowerment of patients with navigational skills, access to culturally competent providers, and consistent monitoring of access to quality health care.

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Section: System Componentsmentioning

confidence: 99%

Barriers to Prostate Cancer Care

et al. 2012

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“…However, few studies have compared specific barriers to screening across different cancer types. Previous studies conducted in the United States have compared provider-related and other barriers to screening for different cancers 14,15 , but results are not easily generalisable to countries that have universal medical coverage. One UK-based qualitative study exploring barriers to cancer screening uptake among ethnic minority groups suggested many common barriers to screening, such as cancer fatalism, language barriers and unhelpful GPs’ attitudes.…”

Section: Introductionmentioning

confidence: 99%

Comparing barriers to colorectal cancer screening with barriers to breast and cervical screening: a population-based survey of screening-age women in Great Britain

Waller

Wardle

et al. 2013

J Med Screen

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This was the first study to compare barriers to participation in organised screening programmes for CRC, breast and cervical cancer. Cancer screening tests share many barriers, but dislike of the test appears to be a stronger barrier to CRC screening. Women who are non-participants in more than one programme may have more global barriers to screening, such as cancer fatalism. The findings suggest that uptake of CRC screening could be improved by targeting the unpleasantness of stool sampling.

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“…Because adults in a rural state like Montana may have unique barriers to CRC screening, such as long travel distances or cost that would limit access to health care, the Montana Cancer Control Programs (MCCP) sought to identify potential barriers to CRC screening for Montana residents. According to state-added questions in the 2007 Montana BRFSS, the leading reasons for not being screened were respondents’ beliefs that it was not necessary, no health care provider recommended the procedure, or the cost was high (8). Distance to a facility was not identified as a barrier.…”

Section: Community Contextmentioning

confidence: 99%

Using Client Reminders to Increase Colorectal Cancer Screening in Montana, 2012

Troyer¹,

Williamson²,

Merchant³

et al. 2014

Prev. Chronic Dis.

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BackgroundColorectal cancer (CRC) is the third leading cause of cancer death for men and women in the United States. CRC screening can save lives by detecting precancerous polyps that are then removed or by detecting cancer early when treatment is most effective.Community ContextCRC screening participation in Montana is low. To increase screening participation among Montanans with health insurance, the Montana Cancer Control Programs (MCCP) partnered with a small association health organization (AHO). This partnership implemented a postcard campaign to increase CRC screening participation among the AHO’s enrollees.MethodsPostcards were sent to 1,011 people insured through the AHO; 504 people were mailed 1 postcard and 507 people were mailed 2 postcards. Evaluation of the campaign assessed recall of the campaign among people who received 1 postcard versus people who received 2 postcards.OutcomeWomen were 60% more likely to recall receiving the postcards than were men. People who received 2 postcards were 2.3 times as likely to recall receiving them as were people who received 1 postcard.InterpretationThe MCCP considers this collaborative project with an AHO a promising approach to implementing evidence-based colorectal cancer screening interventions. The MCCP plans to partner with additional AHOs in Montana to evaluate CRC screening participation among their enrollees.

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Reported Barriers to Cancer Screening: Montana Behavioral Risk Factor Surveillance System 2007

Abstract: Many Montanans remain unaware of the importance of cancer screening Health care providers and public health officials must increase patient education, and providers must continue to refer patients for screening.

Cited by 5 publications

References 19 publications

Barriers to Prostate Cancer Care

Barriers to Prostate Cancer Care

Comparing barriers to colorectal cancer screening with barriers to breast and cervical screening: a population-based survey of screening-age women in Great Britain

Using Client Reminders to Increase Colorectal Cancer Screening in Montana, 2012

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