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.
RCT Entities:
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: Nancy D Berkman; Stacey L Sheridan; Katrina E Donahue; David J Halpern; Anthony Viera; Karen Crotty; Audrey Holland; Michelle Brasure; Kathleen N Lohr; Elizabeth Harden; Elizabeth Tant; Ina Wallace; Meera Viswanathan Journal: Evid Rep Technol Assess (Full Rep) Date: 2011-03
Authors: Susan A Sabatino; Briana Lawrence; Randy Elder; Shawna L Mercer; Katherine M Wilson; Barbara DeVinney; Stephanie Melillo; Michelle Carvalho; Stephen Taplin; Roshan Bastani; Barbara K Rimer; Sally W Vernon; Cathy Lee Melvin; Vicky Taylor; Maria Fernandez; Karen Glanz Journal: Am J Prev Med Date: 2012-07 Impact factor: 5.043
Authors: Linda K Larkey; Patricia M Herman; Denise J Roe; Francisco Garcia; A M Lopez; J Gonzalez; Prasadini N Perera; Kathylynn Saboda Journal: J Womens Health (Larchmt) Date: 2012-03-14 Impact factor: 2.681
Authors: Electra D Paskett; John M McLaughlin; Amy M Lehman; Mira L Katz; Cathy M Tatum; Jill M Oliveri Journal: Cancer Epidemiol Biomarkers Prev Date: 2011-03-23 Impact factor: 4.254
Authors: Ari-Nareg Meguerditchian; Dale Dauphinee; Nadyne Girard; Tewodros Eguale; Kristen Riedel; André Jacques; Sarkis Meterissian; David L Buckeridge; Michal Abrahamowicz; Robyn Tamblyn Journal: BMC Health Serv Res Date: 2012-07-25 Impact factor: 2.655
Authors: Daiva M Ragas; Narissa J Nonzee; Laura S Tom; Ava M Phisuthikul; Thanh Ha Luu; XinQi Dong; Melissa A Simon Journal: Womens Health Issues Date: 2014 Sep-Oct
Authors: Elizabeth A Jacobs; Cindy M Walker; Tamara Miller; Kathlyn E Fletcher; Pamela S Ganschow; Diana Imbert; Maria O'Connell; Joan M Neuner; Marilyn M Schapira Journal: J Gen Intern Med Date: 2016-06-16 Impact factor: 5.128
Authors: Patria Rojas; Tan Li; Gira J Ravelo; Christyl Dawson; Mariana Sanchez; Alicia Sneij; Weize Wang; Mariano Kanamori; Elena Cyrus; Mario R De La Rosa Journal: World Med Health Policy Date: 2017-06-12
Authors: Gloria D Coronado; Shirley A A Beresford; Dale McLerran; Ricardo Jimenez; Donald L Patrick; India Ornelas; Sonia Bishop; John R Scheel; Beti Thompson Journal: Cancer Epidemiol Biomarkers Prev Date: 2016-04 Impact factor: 4.254
Authors: Jessie Kimbrough Marshall; Olive M Mbah; Jean G Ford; Darcy Phelan-Emrick; Saifuddin Ahmed; Lee Bone; Jennifer Wenzel; Gary R Shapiro; Mollie Howerton; Lawrence Johnson; Qiana Brown; Altovise Ewing; Craig Evan Pollack Journal: J Gen Intern Med Date: 2015-08-11 Impact factor: 5.128