Differences in Barriers to Mammography Between Rural and Urban Women

Davis, Terry C.; Arnold, Connie L.; Rademaker, Alfred; Bailey, Stacy Cooper; Platt, Daci J.; Reynolds, Cristalyn; Esparza, Julia M.; Liu, Dachao; Wolf, Michael S.

doi:10.1089/jwh.2011.3397

Cited by 32 publications

(25 citation statements)

References 20 publications

(28 reference statements)

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“…). Of the 44 full‐text articles reviewed, 17 met the inclusion criteria by addressing the relation of HL with various self‐management behaviors in cancer (Table ).…”

Section: Resultsmentioning

confidence: 99%

“…Eight different measures of HL were used: the Rapid Estimate of Adult Literacy in Medicine (REALM; 7 studies); the Test of Functional Health Literacy in Adults–United Kingdom (UK‐TOFHLA; 1 study); the Short Test of Functional Health Literacy in Adults (S‐TOFHLA; 5 studies); the Short Assessment of Health Literacy in Spanish Adults (2 studies); the Measurement of Health Literacy in Europe–German Short Form (1 study); the Functional Communicative and Critical Health Literacy Scale–Dutch (1 study); and the Brief Health Literacy Screen (1 study) . Two studies used more than 1 measure of HL, and 1 study created a hybrid measure from REALM and S‐TOFHLA .…”

Section: Resultsmentioning

confidence: 99%

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Health literacy and cancer self‐management behaviors: A scoping review

Papadakos

Hasan

Barnsley

et al. 2018

Cancer

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Background Increasing demands on health care systems require patients to take on more active roles in their health. Effective self‐management has been linked to improved health outcomes, and evidence shows that effective self‐management is linked to health literacy (HL). HL is an important predictor of successful self‐management in other chronic diseases but has had minimal testing in cancer. Methods A scoping review was conducted to examine and summarize what is known about the association between HL and self‐management behaviors and health service utilization in the cancer setting. The methodological framework articulated by Arksey and O’Malley was used and was further refined with the Joanna Briggs Institute methodology. Inclusion criteria included the following: peer review; publication in English; and adult patients and caregivers of all races, ethnicities, and cultural groups. Use of a validated instrument to measure HL was required. Results The search yielded 2414 articles. After the removal of duplicates and the performance of title scans and abstract reviews, the number was reduced to 44. Of the 44 full‐text articles reviewed, 17 met the inclusion criteria. A number of important self‐management behaviors and related outcomes were found to be associated with HL. These included the uptake of cancer screening, the receipt of prescribed chemotherapy, and a greater risk of postoperative complications. Conclusions This literature review shows that HL is associated with important self‐management behaviors in cancer. The implications of these associations for individuals with inadequate HL and for the health care system are significant. More research is needed to explore these associations.

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“…). Of the 44 full‐text articles reviewed, 17 met the inclusion criteria by addressing the relation of HL with various self‐management behaviors in cancer (Table ).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Health literacy and cancer self‐management behaviors: A scoping review

Papadakos

Hasan

Barnsley

et al. 2018

Cancer

View full text Add to dashboard Cite

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“…Other factors such as difference in physician characteristics in metropolitan and nonmetropolitan areas may also play a role in individuals’ decisions to seek medical care and receipt of preventive services such as colonoscopies. These factors have been examined in relation to breast cancer screening, with studies demonstrating that physician recommendation is the most influential determinant of mammography among nonmetropolitan women and that the likelihood of physician recommendation may vary among nonmetropolitan and metropolitan physicians . A similar situation may be present with regard to recommendation for CRC screening among nonmetropolitan and metropolitan physicians and warrants future research.…”

Section: Discussionmentioning

confidence: 99%

Improvements in Colorectal Cancer Incidence Not Experienced by Nonmetropolitan Women: A Population‐Based Study From Utah

Fowler

Samadder

Kepka

et al. 2017

The Journal of Rural Health

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“…35-36 A detailed description of the survey, which was written on a 4th grade level and administered orally has been reported previously. 37-38 Literacy was assessed using the Rapid Estimate of Adult Literacy in Medicine (REALM). 39 Raw REALM scores (0-66) can be converted into reading grade levels that correlate with literacy skills.…”

Section: Methodsmentioning

confidence: 99%

Joint breast and colorectal cancer screenings in medically underserved women

Davis¹,

Arnold²,

Wolf³

et al. 2015

J Community Support Oncol

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Background Breast and colon cancer screening in rural community clinics is underused. Objective To evaluate the effectiveness and cost-effectiveness of alternative interventions designed to promote simultaneous screening for breast and colon cancer in community clinics. Methods A 3-arm, quasi-experimental evaluation was conducted during May 2008-August 2011 in 8 federally qualifed health clinics in predominately rural Louisiana. Baseline screening rates reported by the clinics was <10% for breast cancer (using mammography) and 1%-2% for colon cancer (using the fecal occult blood test [FOBT]). 744 women aged 50 years or older who were eligible for routine mammography and an FOBT were recruited. The combined screening efforts included: enhanced care; health literacy-informed education (education alone), or health literacy-informed education with nurse support (nurse support). Results Postintervention screening rates for completing both tests were 28.1% with enhanced care, 23.7% with education alone, and 38.7% with nurse support. After adjusting for age, race, and literacy, patients who received nurse support were 2.21 times more likely to complete both screenings than were those who received the education alone (95% confidence interval [CI], 1.12-4.38; P = .023). The incremental cost per additional woman completing both screenings was $3,987 for education with nurse support over education alone, and $5,987 over enhanced care. Limitations There were differences between the 3 arms in sociodemographic characteristics, literacy, and previous screening history. Not all variables that were significantly different between arms were adjusted for, therefore adjustments for key variables (age, race, literacy) were made in statistical analyses. Other limitations related generalizability of results. Conclusions Although joint breast and colon cancer screening rates were increased substantially over existing baseline rates in all 3 arms, the completion rate for both tests was modest. Nurse support and telephone follow-up were most effective. However, it is not likely to be cost effective or affordable in clinics with limited resources.

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Differences in Barriers to Mammography Between Rural and Urban Women

Abstract: Most participants were unclear about when they should begin mammography. Rural participants reported stronger positive beliefs, higher self-efficacy, fewer barriers, and having a physician recommendation for mammography but were less likely to receive education or screening.

Cited by 32 publications

References 20 publications

Health literacy and cancer self‐management behaviors: A scoping review

Health literacy and cancer self‐management behaviors: A scoping review

Improvements in Colorectal Cancer Incidence Not Experienced by Nonmetropolitan Women: A Population‐Based Study From Utah

Joint breast and colorectal cancer screenings in medically underserved women

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