当前位置： SCI文献检索 > PREVENTIVE MEDICINE期刊下所有文献 > Community-based cancer screening for underserved women: design and baseline findings from the Breast and Cervical Cancer Intervention Study.

Community-based cancer screening for underserved women: design and baseline findings from the Breast and Cervical Cancer Intervention Study.

Abstract：

BACKGROUND:Underutilization of breast and cervical cancer screening has been observed in many ethnic groups and underserved populations. Effective community-based interventions are needed to eliminate disparities in screening rates and thus to improve prospects for survival. METHODS:The Breast and Cervical Cancer Intervention Study was a controlled trial of three interventions in the San Francisco Bay Area from 1993 to 1996: (1) community-based lay health worker outreach; (2) clinic-based provider training and reminder system; and (3) patient navigator for follow-up of abnormal screening results. Study design and a description of the interventions are reported along with baseline results of a household survey conducted in four languages among 1599 women, aged 40-75. RESULTS:Seventy-six percent of women ages 40 and over had had at least one mammogram, and most had had a clinical breast examination (88%) and Pap smear (89%). Rates were significantly lower for non-English-speaking Latinas and Chinese women (56 and 32%, respectively, for mammography), and maintenance screening (three mammograms in the past 5 years) varied from 7% (non-English-speaking Chinese) to 53% (Blacks). Pap smear screening in the past 3 years was low among non-English-speaking Latinas (72%) and markedly lower among non-English-speaking Chinese women (24%). The strongest predictors of screening behavior were having private health insurance and frequent use of medical services. Having a regular clinic and speaking English were also important. Race/ethnicity, education, household income, and employment status were, overall, not significant predictors of screening behavior. CONCLUSIONS:These baseline results support the importance of cancer screening interventions targeted to persons of foreign origin, particularly those less acculturated.

journal_name

Prev Med

journal_title

Preventive medicine

authors

Hiatt RA,Pasick RJ,Stewart S,Bloom J,Davis P,Gardiner P,Johnston M,Luce J,Schorr K,Brunner W,Stroud F

doi

10.1006/pmed.2001.0871

subject

Has Abstract

pub_date

2001-09-01 00:00:00

pages

190-203

issue

eissn

0091-7435

issn

1096-0260

pii

S0091-7435(01)90871-0

journal_volume

pub_type

临床试验,杂志文章,多中心研究,随机对照试验

在线工具

Community-based cancer screening for underserved women: design and baseline findings from the Breast and Cervical Cancer Intervention Study.