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Individual, provider, and system risk factors for breast and cervical cancer screening among underserved Black, Latina, and Arab women.
J Womens Health (Larchmt). 2014 Jan; 23(1):57-64.JW

Abstract

BACKGROUND

Socioeconomic and racial/ethnic disparities in breast and cervical cancer screening persist. An exploratory study was conducted to better understand co-occurring risk factors in underserved groups that could inform interventions to improve screening adherence. The objective of this study was to examine associations between breast and cervical cancer screening adherence and co-occurring risk factors in three racial/ethnic groups of underserved women.

METHODS

Black, Latina, and Arab women (N=514), ages 21 to 70 years, were enrolled into the Kin Keeper(SM) randomized controlled trial in communities around Detroit, Michigan. We used participant baseline assessments (e.g., demographic characteristics, health literacy) to explore screening risks using an additive approach and multivariate logistic analyses.

RESULTS

For black women, having more health literacy risks were associated with reduced odds of a clinical breast exam (CBE), mammogram, and Papanicolaou (Pap) test; more competing priorities were associated with reduced odds of a Pap test; lack of doctor mammogram recommendation was significantly associated with decreased odds of CBE. For Latina women, lack of doctor recommendations were significantly associated with decreased odds of CBE, mammogram, and Pap test. For Arab women, lack of doctor recommendations were significantly associated with decreased odds of CBE, mammogram, and Pap test; more competing priorities were significantly associated with reduced odds of CBE and Pap test. All results were significant at p<0.05.

CONCLUSIONS

Characteristics associated with breast and cervical screening adherence differs among Black, Latina, and Arab underserved women. Interventions to improve screening should be tailored for racial/ethnic groups with particular attention to competing survival priorities, health literacy risks factors, and provider recommendations.

Authors+Show Affiliations

1 Obstetrics, Gynecology, and Reproductive Biology, Michigan State University , East Lansing, Michigan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24283674

Citation

Roman, Leeanne, et al. "Individual, Provider, and System Risk Factors for Breast and Cervical Cancer Screening Among Underserved Black, Latina, and Arab Women." Journal of Women's Health (2002), vol. 23, no. 1, 2014, pp. 57-64.
Roman L, Meghea C, Ford S, et al. Individual, provider, and system risk factors for breast and cervical cancer screening among underserved Black, Latina, and Arab women. J Womens Health (Larchmt). 2014;23(1):57-64.
Roman, L., Meghea, C., Ford, S., Penner, L., Hamade, H., Estes, T., & Williams, K. P. (2014). Individual, provider, and system risk factors for breast and cervical cancer screening among underserved Black, Latina, and Arab women. Journal of Women's Health (2002), 23(1), 57-64. https://doi.org/10.1089/jwh.2013.4397
Roman L, et al. Individual, Provider, and System Risk Factors for Breast and Cervical Cancer Screening Among Underserved Black, Latina, and Arab Women. J Womens Health (Larchmt). 2014;23(1):57-64. PubMed PMID: 24283674.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Individual, provider, and system risk factors for breast and cervical cancer screening among underserved Black, Latina, and Arab women. AU - Roman,Leeanne, AU - Meghea,Cristian, AU - Ford,Sabrina, AU - Penner,Louis, AU - Hamade,Hiam, AU - Estes,Tamika, AU - Williams,Karen Patricia, Y1 - 2013/11/27/ PY - 2013/11/29/entrez PY - 2013/11/29/pubmed PY - 2014/3/19/medline SP - 57 EP - 64 JF - Journal of women's health (2002) JO - J Womens Health (Larchmt) VL - 23 IS - 1 N2 - BACKGROUND: Socioeconomic and racial/ethnic disparities in breast and cervical cancer screening persist. An exploratory study was conducted to better understand co-occurring risk factors in underserved groups that could inform interventions to improve screening adherence. The objective of this study was to examine associations between breast and cervical cancer screening adherence and co-occurring risk factors in three racial/ethnic groups of underserved women. METHODS: Black, Latina, and Arab women (N=514), ages 21 to 70 years, were enrolled into the Kin Keeper(SM) randomized controlled trial in communities around Detroit, Michigan. We used participant baseline assessments (e.g., demographic characteristics, health literacy) to explore screening risks using an additive approach and multivariate logistic analyses. RESULTS: For black women, having more health literacy risks were associated with reduced odds of a clinical breast exam (CBE), mammogram, and Papanicolaou (Pap) test; more competing priorities were associated with reduced odds of a Pap test; lack of doctor mammogram recommendation was significantly associated with decreased odds of CBE. For Latina women, lack of doctor recommendations were significantly associated with decreased odds of CBE, mammogram, and Pap test. For Arab women, lack of doctor recommendations were significantly associated with decreased odds of CBE, mammogram, and Pap test; more competing priorities were significantly associated with reduced odds of CBE and Pap test. All results were significant at p<0.05. CONCLUSIONS: Characteristics associated with breast and cervical screening adherence differs among Black, Latina, and Arab underserved women. Interventions to improve screening should be tailored for racial/ethnic groups with particular attention to competing survival priorities, health literacy risks factors, and provider recommendations. SN - 1931-843X UR - https://www.unboundmedicine.com/medline/citation/24283674/Individual_provider_and_system_risk_factors_for_breast_and_cervical_cancer_screening_among_underserved_Black_Latina_and_Arab_women_ L2 - https://www.liebertpub.com/doi/10.1089/jwh.2013.4397?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -