Barriers and Facilitators to Breast and Cervical Cancer Screening Among Immigrants in the United States

Adunlin, Georges; Cyrus, John; Asare, Matthew; Sabik, Lindsay M.

doi:10.1007/s10903-018-0794-6

Cited by 72 publications

(83 citation statements)

References 188 publications

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“…In previous literatures, cultural beliefs have been identified as a significant barrier (cancer as sin, the result of immorality) in women to undergo cancer screening as they prominently influence the level of understanding and knowledge about these cancers (de Cuevas et al, 2018;Gupta et al, 2015;Lee, 2015;Meana et al, 2001;Modibbo et al, 2016;Szalacha et al, 2017) and interventions addressing them have also produced results (Adunlin et al, 2019;Pratt et al, 2019). Financial concern was reported both in the current study and previous studies (Malhotra et al, 2016).…”

Section: Discussionsupporting

confidence: 58%

Barriers to Cancer Screening Uptake in Women: A Qualitative Study from Tamil Nadu, India

Mahalakshmi¹,

Sundaram²

2020

Asian Pac J Cancer Prev

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Section: Discussionsupporting

confidence: 58%

Barriers to Cancer Screening Uptake in Women: A Qualitative Study from Tamil Nadu, India

Mahalakshmi¹,

Sundaram²

2020

Asian Pac J Cancer Prev

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“…Previous studies examining factors affecting cervical cancer screening have been conducted in select populations, mainly immigrants and uninsured women in the United States. 30,31 This study provides data on a general population of cervical cancer survivors in three states that could be used to guide interventions to increase cervical cancer screening.…”

Section: Resultsmentioning

confidence: 99%

Overview of Centers for Disease Control and Prevention's Case Investigation of Cervical Cancer Study

Benard

Greek

Jackson

et al. 2019

Journal of Women's Health

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Background: Despite advances in cervical cancer screening, a significant number of women in the United States have not received adequate screening. Studies have suggested that approximately half of the women who developed cervical cancer were not adequately screened. The Centers for Disease Control and Prevention (CDC) Case Investigation of Cervical Cancer (CICC) Study took a unique approach to reconstruct the time before a woman's cervical cancer diagnosis and understand the facilitators and barriers to screening and care. This article provides an overview of the study. Methods: This study included all cervical cancer survivors diagnosed with invasive cervical cancer aged 21 years and older in three U.S. states from 2014-2016. The study design consisted of three different data collection methods, including comprehensive registry data, a mailed survey, and medical chart abstraction. This overview compares the characteristics of cervical cancer survivors in the three states by study participation and eligibility status. Results: Registries identified 2,748 women diagnosed with invasive cervical cancer. Of these, 1,730 participants were eligible for participation, 28% (n = 481) enrolled in the study and 23% (n = 400) consented to the medical chart abstraction. Conclusion: The CICC Study is unique in that it addresses, with medical record verification, the medical history of woman 5 years before their cervical cancer diagnosis as well as provides information from the woman on her health care behaviors. This study provides data on a general population of cervical cancer survivors in three states that could be used to guide interventions to increase cervical cancer screening.

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“…21 The concept of training non-medical professionals to assist in the screening of breast cancer is not a new one, 22 and the use of CHWs has helped to improve acceptability and increase uptake among minority and underserved groups of women in HICs such as the USA. [23][24][25] Furthermore, although CHWs have been successfully trained and deployed to help reduce the burden of maternal and child health challenges, as well as infectious and other non-communicable diseases, their role to assist in breast cancer screening in LMICs is less clear. We identified only one systematic review by Wadler et al 26 in 2011, which assessed the role of CHWs in South Africa to improve breast cancer control, 26 and are unaware of any other reviews assessing the role of CHWs across LMICs more broadly.…”

Section: Bmj Global Healthmentioning

confidence: 99%

Community health workers and early detection of breast cancer in low-income and middle-income countries: a systematic scoping review of the literature

et al. 2020

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BackgroundBreast cancer is the leading cause of female mortality in low-income and middle-income countries (LMICs). Early detection of breast cancer, either through screening or early diagnosis initiatives, led by community health workers (CHWs) has been proposed as a potential way to address the unjustly high mortality rates. We therefore document: (1) where and how CHWs are currently deployed in this role; (2) how CHWs are trained, including the content, duration and outcomes of training; and (3) the evidence on costs associated with deploying CHWs in breast cancer early detection.MethodsWe conducted a systematic scoping review and searched eight major databases, as well as the grey literature. We included original studies focusing on the role of CHWs to assist in breast cancer early detection in a country defined as a LMIC according to the World Bank.Findings16 eligible studies were identified. Several roles were identified for CHWs including awareness raising and community education (n=13); history taking (n=7); performing clinical breast examination (n=9); making onward referrals (n=7); and assisting in patient navigation and follow-up (n=4). Details surrounding training programmes were poorly reported and no studies provided a formal cost analysis.ConclusionsDespite the relative paucity of studies addressing the role of CHWs in breast cancer early detection, as well as the heterogeneity of existing studies, evidence suggests that CHWs can play a number of important roles in breast cancer early detection initiatives in LMICs. However, if they are to realise their full potential, they must be appropriately supported within the wider health system.

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Barriers and Facilitators to Breast and Cervical Cancer Screening Among Immigrants in the United States

Cited by 72 publications

References 188 publications

Barriers to Cancer Screening Uptake in Women: A Qualitative Study from Tamil Nadu, India

Barriers to Cancer Screening Uptake in Women: A Qualitative Study from Tamil Nadu, India

Overview of Centers for Disease Control and Prevention's Case Investigation of Cervical Cancer Study

Community health workers and early detection of breast cancer in low-income and middle-income countries: a systematic scoping review of the literature

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