Tags

Type your tag names separated by a space and hit enter

Breast and cervical cancer screening for Puerto Ricans, African Americans, and non-Hispanic whites attending inner-city family practice centers.
Ethn Dis. 2006 Autumn; 16(4):994-1000.ED

Abstract

OBJECTIVES

Disparities exist for breast and cervical cancer screening among racial/ ethnic groups and low-income women. This study determines racial/ethnic variation in: 1) staging readiness for mammography, Pap smears, and clinical breast exam (CBE); 2) identifying patterns of adherence; and 3) determining sociodemographics associated with compliance with all three exams.

DESIGN

Cross-sectional.

SETTING

Two urban family medicine clinics.

PATIENTS

A consecutive sample of 343 women presenting for care.

INTERVENTIONS

Women were staged (maintainers, actors, contemplators, precontemplators, relapse contemplators, and relapse precontemplators) according to self-reported receipt of mammography, CBEs, and Pap smears.

MAIN OUTCOME MEASURES

Adherence across exams was assessed. Sociodemographics were compared among racial/ethnic groups for women adherent with all three exams.

RESULTS

Sixty-one percent were adherent with mammography, 93% with Pap smears, and 67% with CBEs. Thirty percent were contemplating mammography. Fifty-eight percent of Puerto Rican women were adherent with CBEs compared to 68.6% of African American and 78.5% of non-Hispanic White women. Puerto Rican women were less likely to be maintainers of CBE and more likely to be precontemplators and relapsers than non-Hispanic White women (P=.004). Forty-eight percent were adherent with all three exams. Puerto Rican women compliant with all three screens were younger and less educated than African American and non-Hispanic White

CONCLUSIONS

Racial/ethnic differences in screening patterns exist among women attending urban family practice centers. Primary care providers must be culturally sensitive when recommending screening and can use staging as a tool to target women most receptive to intervention.

Authors+Show Affiliations

Physician Assistant Department, D'Youville College, 320 Porter Ave, Buffalo, NY 14201, USA. finneym@dyc.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17061758

Citation

Finney, Maureen F., et al. "Breast and Cervical Cancer Screening for Puerto Ricans, African Americans, and non-Hispanic Whites Attending Inner-city Family Practice Centers." Ethnicity & Disease, vol. 16, no. 4, 2006, pp. 994-1000.
Finney MF, Tumiel-Berhalter LM, Fox C, et al. Breast and cervical cancer screening for Puerto Ricans, African Americans, and non-Hispanic whites attending inner-city family practice centers. Ethn Dis. 2006;16(4):994-1000.
Finney, M. F., Tumiel-Berhalter, L. M., Fox, C., & Jaén, C. R. (2006). Breast and cervical cancer screening for Puerto Ricans, African Americans, and non-Hispanic whites attending inner-city family practice centers. Ethnicity & Disease, 16(4), 994-1000.
Finney MF, et al. Breast and Cervical Cancer Screening for Puerto Ricans, African Americans, and non-Hispanic Whites Attending Inner-city Family Practice Centers. Ethn Dis. 2006;16(4):994-1000. PubMed PMID: 17061758.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Breast and cervical cancer screening for Puerto Ricans, African Americans, and non-Hispanic whites attending inner-city family practice centers. AU - Finney,Maureen F, AU - Tumiel-Berhalter,Laurene M, AU - Fox,Chester, AU - Jaén,Carlos Roberto, PY - 2006/10/26/pubmed PY - 2007/7/12/medline PY - 2006/10/26/entrez SP - 994 EP - 1000 JF - Ethnicity & disease JO - Ethn Dis VL - 16 IS - 4 N2 - OBJECTIVES: Disparities exist for breast and cervical cancer screening among racial/ ethnic groups and low-income women. This study determines racial/ethnic variation in: 1) staging readiness for mammography, Pap smears, and clinical breast exam (CBE); 2) identifying patterns of adherence; and 3) determining sociodemographics associated with compliance with all three exams. DESIGN: Cross-sectional. SETTING: Two urban family medicine clinics. PATIENTS: A consecutive sample of 343 women presenting for care. INTERVENTIONS: Women were staged (maintainers, actors, contemplators, precontemplators, relapse contemplators, and relapse precontemplators) according to self-reported receipt of mammography, CBEs, and Pap smears. MAIN OUTCOME MEASURES: Adherence across exams was assessed. Sociodemographics were compared among racial/ethnic groups for women adherent with all three exams. RESULTS: Sixty-one percent were adherent with mammography, 93% with Pap smears, and 67% with CBEs. Thirty percent were contemplating mammography. Fifty-eight percent of Puerto Rican women were adherent with CBEs compared to 68.6% of African American and 78.5% of non-Hispanic White women. Puerto Rican women were less likely to be maintainers of CBE and more likely to be precontemplators and relapsers than non-Hispanic White women (P=.004). Forty-eight percent were adherent with all three exams. Puerto Rican women compliant with all three screens were younger and less educated than African American and non-Hispanic White CONCLUSIONS: Racial/ethnic differences in screening patterns exist among women attending urban family practice centers. Primary care providers must be culturally sensitive when recommending screening and can use staging as a tool to target women most receptive to intervention. SN - 1049-510X UR - https://www.unboundmedicine.com/medline/citation/17061758/Breast_and_cervical_cancer_screening_for_Puerto_Ricans_African_Americans_and_non_Hispanic_whites_attending_inner_city_family_practice_centers_ L2 - http://www.diseaseinfosearch.org/result/7949 DB - PRIME DP - Unbound Medicine ER -