Abstract：
:Although cervical cancer rates in the United States have declined sharply in recent decades, certain groups of women remain at elevated risk, including middle-aged and older women in central Appalachia. Cross-sectional baseline data from a community-based randomized controlled trial were examined to identify barriers to cervical cancer screening. Questionnaires assessing barriers were administered to 345 Appalachian women aged 40-64, years when Papanicolaou (Pap) testing declines and cervical cancer rates increase. Consistent with the PRECEDE/PROCEED framework, participants identified barriers included predisposing, enabling, and reinforcing factors. Descriptive and bivariate analyses are reported, identifying (a) the most frequently endorsed barriers to screening, and (b) significant associations of barriers with sociodemographic characteristics in the sample. Recommendations are provided to decrease these barriers and, ultimately, improve rates of Pap tests among this traditionally underserved and disproportionately affected group.
journal_name
J Community Healthjournal_title
Journal of community healthauthors
Studts CR,Tarasenko YN,Schoenberg NEdoi
10.1007/s10900-012-9639-8subject
Has Abstractpub_date
2013-06-01 00:00:00pages
500-12issue
3eissn
0094-5145issn
1573-3610journal_volume
38pub_type
杂志文章abstract：:The fast food industry has been increasingly criticized for creating brand loyalty in young consumers. Food marketers are well versed in reaching children and youth given the importance of brand loyalty on future food purchasing behavior. In addition, food marketers are increasingly targeting the Hispanic population g...
journal_title：Journal of community health
pub_type： 杂志文章
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abstract：:Free clinics across the country provide free or reduced fee healthcare to individuals who lack access to primary care and are socio-economically disadvantaged. This study examined perceived health status among diabetic and non-diabetic free clinic patients and family members of the patients. Diabetes self-efficacy amo...
journal_title：Journal of community health
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abstract：:The impact of a community-based heart disease risk factor screening program was evaluated after three years. The study population was predominantly white, older, and upper-middle class. Rescreening of the 211 study subjects showed improvements in both health-related behaviors and in risk factor distributions to a degr...
journal_title：Journal of community health
pub_type： 杂志文章
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abstract：:In 1984-85, 1855 elderly residents of an urban community responded to a comprehensive baseline interview that included questions regarding an extensive set of sleep characteristics and problems. During the subsequent 3 1/2 years of follow-up, 16.7% of the respondents died and 3.5% were placed in nursing homes. The pre...
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journal_title：Journal of community health
pub_type： 杂志文章
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更新日期：2012-02-01 00:00:00
abstract：:We assessed the role of promotoras--briefly trained community health workers--in depression care at community health centers. The intervention focused on four contextual sources of depression in underserved, low-income communities: underemployment, inadequate housing, food insecurity, and violence. A multi-method desi...
journal_title：Journal of community health
pub_type： 杂志文章,随机对照试验
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journal_title：Journal of community health
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journal_title：Journal of community health
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journal_title：Journal of community health
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更新日期：2013-08-01 00:00:00
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journal_title：Journal of community health
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journal_title：Journal of community health
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journal_title：Journal of community health
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journal_title：Journal of community health
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journal_title：Journal of community health
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journal_title：Journal of community health
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doi：10.1007/s10900-012-9583-7
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journal_title：Journal of community health
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journal_title：Journal of community health
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journal_title：Journal of community health
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