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An Evaluation of Breast and Cervical Cancer Screening Outcomes in an Education and Patient Navigation Program in Rural and Border Texas

An Evaluation of Breast and Cervical Cancer Screening Outcomes in an Education and Patient... This study examines breast and cervical cancer screening uptake in a cancer education and patient navigation (PN) program for residents of rural and border counties in Texas by level of participation (education only, PN only, or education and PN). Data collected from March 1, 2012, to November 5, 2016, included 6663 follow-up surveys from participants aged 21–74. Logistic regression models assessed program participation on the odds of completing breast or cervical cancer screening. For women aged 40–74 years (N = 4942; mean age = 52 years), 58.4% reported a mammogram within 6 months on average from initial contact. In the breast cancer screening model, women who only received PN (OR: 6.06, CI: 4.87–7.53) or who participated in both the education plus PN program (OR: 3.33, CI: 2.77–4.02) had higher odds of mammogram screening compared to women who only received education. For women aged 21–64 years (N = 6169; mean age = 46 years), 37.7% received a Papanicolaou (Pap) test within 6 months on average from initial contact. In the Pap screening model, both education and PN (OR: 3.23, CI: 2.66–3.91) and PN only (OR: 2.35, CI: 1.88–2.93) groups had higher odds of screening for cervical cancer compared to those only receiving education. Graphed predicted probabilities examined significant interactions between race/ethnicity/language and program participation (P < 0.0001) for both screenings. PN, solely or in combination with education, is an effective strategy to increase screening for breast and cervical cancer, beyond educational outreach efforts alone, among un-/underserved, racially/ethnically diverse women in rural and border Texas counties. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Cancer Education Springer Journals

An Evaluation of Breast and Cervical Cancer Screening Outcomes in an Education and Patient Navigation Program in Rural and Border Texas

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References (30)

Publisher
Springer Journals
Copyright
Copyright © American Association for Cancer Education 2020
ISSN
0885-8195
eISSN
1543-0154
DOI
10.1007/s13187-020-01918-8
Publisher site
See Article on Publisher Site

Abstract

This study examines breast and cervical cancer screening uptake in a cancer education and patient navigation (PN) program for residents of rural and border counties in Texas by level of participation (education only, PN only, or education and PN). Data collected from March 1, 2012, to November 5, 2016, included 6663 follow-up surveys from participants aged 21–74. Logistic regression models assessed program participation on the odds of completing breast or cervical cancer screening. For women aged 40–74 years (N = 4942; mean age = 52 years), 58.4% reported a mammogram within 6 months on average from initial contact. In the breast cancer screening model, women who only received PN (OR: 6.06, CI: 4.87–7.53) or who participated in both the education plus PN program (OR: 3.33, CI: 2.77–4.02) had higher odds of mammogram screening compared to women who only received education. For women aged 21–64 years (N = 6169; mean age = 46 years), 37.7% received a Papanicolaou (Pap) test within 6 months on average from initial contact. In the Pap screening model, both education and PN (OR: 3.23, CI: 2.66–3.91) and PN only (OR: 2.35, CI: 1.88–2.93) groups had higher odds of screening for cervical cancer compared to those only receiving education. Graphed predicted probabilities examined significant interactions between race/ethnicity/language and program participation (P < 0.0001) for both screenings. PN, solely or in combination with education, is an effective strategy to increase screening for breast and cervical cancer, beyond educational outreach efforts alone, among un-/underserved, racially/ethnically diverse women in rural and border Texas counties.

Journal

Journal of Cancer EducationSpringer Journals

Published: Aug 1, 2022

Keywords: Health disparities; Cancer screening; Patient navigation; Health education; Evaluation

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