Prevalence and implications of multiple cancer screening needs among Hispanic community health center patients

Emmons, Karen M.; Cleghorn, Dean; Tellez, Trinidad; Greaney, Mary L.; Sprunck, Kim; Bastani, Roshan; Battaglia, Tracy A.; Michaelson, James; Puleo, Elaine

doi:10.1007/s10552-011-9807-7

Cited by 12 publications

(20 citation statements)

References 35 publications

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“…Two, early detection of lung or liver cancer involves low dose chest computed tomography or abdomen ultrasonography, respectively, which are procedures in Korea only offered (to asymptomatic subjects without particular indications) in commercial private health screening programs, but not in government screening programs that strictly abide to specific screening recommendations [32]. Therefore, mostly health-conscious subjects are exclusively willing to pay the high price for such health packages, a phenomenon not unique in Korea [33]. This would be a source of selection bias not exclusive to our study, but to lung or liver cancer survivors (with more years since diagnosis) in general, that well explains such aforementioned counterintuitive observations.…”

Section: Discussionmentioning

confidence: 99%

Mode of primary cancer detection as an indicator of screening practice for second primary cancer in cancer survivors: a nationwide survey in Korea

et al. 2012

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BackgroundWhile knowledge and risk perception have been associated with screening for second primary cancer (SPC), there are no clinically useful indicators to identify who is at risk of not being properly screened for SPC. We investigated whether the mode of primary cancer detection (i.e. screen-detected vs. non-screen-detected) is associated with subsequent completion of all appropriate SPC screening in cancer survivors.MethodsData were collected from cancer patients treated at the National Cancer Center and nine regional cancer centers across Korea. A total of 512 cancer survivors older than 40, time since diagnosis more than 2 years, and whose first primary cancer was not advanced or metastasized were selected. Multivariate logistic regression was used to examine factors, including mode of primary cancer detection, associated with completion of all appropriate SPC screening according to national cancer screening guidelines.ResultsBeing screen-detected for their first primary cancer was found to be significantly associated with completion of all appropriate SPC screening (adjusted odds ratio, 2.13; 95% confidence interval, 1.36–3.33), after controlling for demographic and clinical variables. Screen-detected cancer survivors were significantly more likely to have higher household income, have other comorbidities, and be within 5 years since diagnosis.ConclusionsThe mode of primary cancer detection, a readily available clinical information, can be used as an indicator for screening practice for SPC in cancer survivors. Education about the importance of SPC screening will be helpful particularly for cancer survivors whose primary cancer was not screen-detected.

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Section: Discussionmentioning

confidence: 99%

Mode of primary cancer detection as an indicator of screening practice for second primary cancer in cancer survivors: a nationwide survey in Korea

et al. 2012

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“…16 Given 0 that cancer screening guidelines present some overlap in age eligibility for cervical, breast and colorectal cancer [8][9][10] it makes sense to integrate the provision of these 3 types of screening to increase participation. [17][18][19] We arbitrarily chose to measure participation 6 weeks before and 3 months after mammogram to ensure the baseline was free of any bias introduced by the recall letters sent a few weeks earlier. The letters included information on cervical and colorectal cancer screening for Screen Test-EACS but not Screen Test clients.…”

Section: Discussionmentioning

confidence: 99%

Enhancing access to cervical and colorectal cancer screening for women in rural and remote northern Alberta: a pilot study

et al. 2017

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Background: Women in rural and remote northern Alberta access breast cancer screening through a mobile mammogram program (Screen Test). The Enhanced Access to Cervical and Colorectal Cancer Screening (EACS) project was a 2-year pilot that aimed to integrate cervical and colorectal cancer screening with the Screen Test program. This study compares cervical and colorectal cancer screening uptake among women screened through the pilot (Screen Test-EACS) versus Screen Test.Methods: Screen Test-EACS was offered between 2013 and 2015 in selected rural and remote sites, with a focus on hard-toreach women living in First Nations, Métis and Hutterite communities. Participation in cervical and colorectal cancer screening was analyzed for Screen Test and Screen Test-EACS participants 6 weeks before clients received their mammogram and then again 3 months after.Results: A total of 8390 and 1312 women participated in Screen Test and Screen Test-EACS, respectively. Screen Test-EACS significantly increased uptake of cervical (10.1% v. 27.5%) and colorectal (10.9% v. 22.5%) cancer screening, increasing the prevalence of women up to date with screening from 52.5% to 62.9% for cervical cancer screening and from 37.3% to 48.7% for colorectal cancer screening.Interpretation: Screen Test-EACS increased participation in and the overall prevalence of cervical and colorectal cancer screening among hard-to-reach clients in northern Alberta, probably through removal of barriers to access and increased awareness. Further research should focus on balancing the benefits of increased participation with the costs and potential risks of over-screening. Abstract ResearchResearch CMAJ OPEN CMAJ OPEN, 5(4)

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“…This design allowed us to examine differences in emergent themes between participants in need of 1 or multiple screenings. All participants were patients of a CHC in a city in northeast Massachusetts that is predominately Latino (>75%) (17) and has high rates of poverty and limited resources (18, 19). Approximately 80% of Latinos living in the city receive care at the CHC; most of the CHC patients are Hispanic (90%) and are of Caribbean origin (ie, Dominican Republic, Puerto Rico) (18).…”

Section: Methodsmentioning

confidence: 99%

Designing Audience-Centered Interactive Voice Response Messages to Promote Cancer Screenings Among Low-Income Latinas

Greaney¹,

Jesús²,

Sprunck-Harrild³

et al. 2014

Prev. Chronic Dis.

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IntroductionCancer screening rates among Latinas are suboptimal. The objective of this study was to explore how Latinas perceive cancer screening and the use and design of interactive voice response (IVR) messages to prompt scheduling of 1 or more needed screenings.MethodsSeven focus groups were conducted with Latina community health center patients (n = 40) in need of 1 or more cancer screenings: 5 groups were of women in need of 1 cancer screening (breast, cervical, or colorectal), and 2 groups were of women in need of multiple screenings. A bilingual researcher conducted all focus groups in Spanish using a semistructured guide. Focus groups were recorded, transcribed, and translated into English for analysis. Emergent themes were identified by using thematic content analysis.ResultsParticipants were familiar with cancer screening and viewed it positively, although barriers to screening were identified (unaware overdue for screening, lack of physician referral, lack of insurance or insufficient insurance coverage, embarrassment or fear of screening procedures, fear of screening outcomes). Women needing multiple screenings voiced more concern about screening procedures, whereas women in need of a single screening expressed greater worry about the screening outcome. Participants were receptive to receiving IVR messages and believed that culturally appropriate messages that specified needed screenings while emphasizing the benefit of preventive screening would motivate them to schedule needed screenings.ConclusionParticipants’ receptiveness to IVR messages suggests that these messages may be an acceptable strategy to promote cancer screening among underserved Latina patients. Additional research is needed to determine the effectiveness of IVR messages in promoting completion of cancer screening.

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Prevalence and implications of multiple cancer screening needs among Hispanic community health center patients

Abstract: Expanding use of health information technology in community health centers provides an opportunity to create an electronic infrastructure for addressing multiple screening needs from a patient-centered perspective.

Cited by 12 publications

References 35 publications

Mode of primary cancer detection as an indicator of screening practice for second primary cancer in cancer survivors: a nationwide survey in Korea

Mode of primary cancer detection as an indicator of screening practice for second primary cancer in cancer survivors: a nationwide survey in Korea

Enhancing access to cervical and colorectal cancer screening for women in rural and remote northern Alberta: a pilot study

Designing Audience-Centered Interactive Voice Response Messages to Promote Cancer Screenings Among Low-Income Latinas

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