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The effect of access and satisfaction on regular mammogram and Papanicolaou test screening in a multiethnic population.
Med Care. 2004 Sep; 42(9):914-26.MC

Abstract

BACKGROUND

Access and satisfaction are determinants of preventive service use, but few studies have evaluated their role in breast and cervical cancer screening in multiethnic populations.

OBJECTIVES

We sought to investigate the relationship between race/ethnicity, access, satisfaction, and regular mammogram and Papanicolaou test receipt in 5 racial/ethnic groups.

RESEARCH DESIGN

We conducted a telephone survey in 4 languages.

SUBJECTS

Our subjects were black, Chinese, Filipino, Latino, or white women aged 40 to 74 residing in Alameda County, California.

OUTCOME

regular mammograms (last test within 15 months and another within 2 years prior) and Papanicolaou tests (36 months and 3 years, respectively). Independent: race/ethnicity, sociodemographic variables, access (health insurance, usual site of care, regular doctor, check-up within 12 months, knowing where to go, copayment for tests), and satisfaction (overall satisfaction scale, waiting times, test-related pain and embarrassment, test satisfaction).

RESULTS

Among women who had ever had a mammogram or Papanicolaou test, 54% and 77%, respectively, received regular screening. In multivariate analyses, regular mammography was positively associated with increased age (odds ratio [OR] 1.05 per year), private insurance (OR 1.7), check-up in the past year (OR 2.3), knowing where to go for mammography (OR 3.0), and greater satisfaction with processes of care (OR 1.04 per unit), and negatively with not knowing copayment amount (OR 0.4), too many forms to fill out (OR 0.5), embarrassment at the last mammogram (OR 0.6), and Filipino race/ethnicity. Similar results were found for regular Papanicolaou tests.

CONCLUSIONS

Access and satisfaction are important predictors of screening but do little to explain racial/ethnic variation. Tailored interventions to improve regular mammography and Papanicolaou test screening in multiethnic populations are needed.

Authors+Show Affiliations

Kaiser Permanente Division of Research, Oakland, California 94612, USA. cps@dor.kaiser.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15319618

Citation

Somkin, Carol P., et al. "The Effect of Access and Satisfaction On Regular Mammogram and Papanicolaou Test Screening in a Multiethnic Population." Medical Care, vol. 42, no. 9, 2004, pp. 914-26.
Somkin CP, McPhee SJ, Nguyen T, et al. The effect of access and satisfaction on regular mammogram and Papanicolaou test screening in a multiethnic population. Med Care. 2004;42(9):914-26.
Somkin, C. P., McPhee, S. J., Nguyen, T., Stewart, S., Shema, S. J., Nguyen, B., & Pasick, R. (2004). The effect of access and satisfaction on regular mammogram and Papanicolaou test screening in a multiethnic population. Medical Care, 42(9), 914-26.
Somkin CP, et al. The Effect of Access and Satisfaction On Regular Mammogram and Papanicolaou Test Screening in a Multiethnic Population. Med Care. 2004;42(9):914-26. PubMed PMID: 15319618.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of access and satisfaction on regular mammogram and Papanicolaou test screening in a multiethnic population. AU - Somkin,Carol P, AU - McPhee,Stephen J, AU - Nguyen,Tung, AU - Stewart,Susan, AU - Shema,Sarah J, AU - Nguyen,Bang, AU - Pasick,Rena, PY - 2004/8/21/pubmed PY - 2004/10/2/medline PY - 2004/8/21/entrez SP - 914 EP - 26 JF - Medical care JO - Med Care VL - 42 IS - 9 N2 - BACKGROUND: Access and satisfaction are determinants of preventive service use, but few studies have evaluated their role in breast and cervical cancer screening in multiethnic populations. OBJECTIVES: We sought to investigate the relationship between race/ethnicity, access, satisfaction, and regular mammogram and Papanicolaou test receipt in 5 racial/ethnic groups. RESEARCH DESIGN: We conducted a telephone survey in 4 languages. SUBJECTS: Our subjects were black, Chinese, Filipino, Latino, or white women aged 40 to 74 residing in Alameda County, California. OUTCOME: regular mammograms (last test within 15 months and another within 2 years prior) and Papanicolaou tests (36 months and 3 years, respectively). Independent: race/ethnicity, sociodemographic variables, access (health insurance, usual site of care, regular doctor, check-up within 12 months, knowing where to go, copayment for tests), and satisfaction (overall satisfaction scale, waiting times, test-related pain and embarrassment, test satisfaction). RESULTS: Among women who had ever had a mammogram or Papanicolaou test, 54% and 77%, respectively, received regular screening. In multivariate analyses, regular mammography was positively associated with increased age (odds ratio [OR] 1.05 per year), private insurance (OR 1.7), check-up in the past year (OR 2.3), knowing where to go for mammography (OR 3.0), and greater satisfaction with processes of care (OR 1.04 per unit), and negatively with not knowing copayment amount (OR 0.4), too many forms to fill out (OR 0.5), embarrassment at the last mammogram (OR 0.6), and Filipino race/ethnicity. Similar results were found for regular Papanicolaou tests. CONCLUSIONS: Access and satisfaction are important predictors of screening but do little to explain racial/ethnic variation. Tailored interventions to improve regular mammography and Papanicolaou test screening in multiethnic populations are needed. SN - 0025-7079 UR - https://www.unboundmedicine.com/medline/citation/15319618/The_effect_of_access_and_satisfaction_on_regular_mammogram_and_Papanicolaou_test_screening_in_a_multiethnic_population_ L2 - https://doi.org/10.1097/01.mlr.0000135832.28672.61 DB - PRIME DP - Unbound Medicine ER -