Increasing Breast and Cervical Cancer Screening in Rural and Border Texas with Friend to Friend Plus Patient Navigation

The Friend to Friend plus Patient Navigation Program (FTF+PN) aims to build an effective, sustainable infrastructure to increase breast and cervical screening rates for underserved women in rural Texas. The objective of this paper is to identify factors that (1) distinguish participants who chose pa...

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Veröffentlicht in:Journal of cancer education 2018-08, Vol.33 (4), p.798-805
Hauptverfasser: Falk, Derek, Cubbin, Catherine, Jones, Barbara, Carrillo-Kappus, Kristen, Crocker, Andrew, Rice, Carol
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container_end_page 805
container_issue 4
container_start_page 798
container_title Journal of cancer education
container_volume 33
creator Falk, Derek
Cubbin, Catherine
Jones, Barbara
Carrillo-Kappus, Kristen
Crocker, Andrew
Rice, Carol
description The Friend to Friend plus Patient Navigation Program (FTF+PN) aims to build an effective, sustainable infrastructure to increase breast and cervical screening rates for underserved women in rural Texas. The objective of this paper is to identify factors that (1) distinguish participants who chose patient navigation (PN) services from those who did not (non-PN) and (2) were associated with receiving a mammogram or Papanicolaou (Pap) test. This prospective study analyzed data collected from 2689 FTF+PN participants aged 18–99 years from March 1, 2012 to February 28, 2015 who self-identified as African American (AA), Latina, and non-Hispanic white (NHW). Women who were younger, AA or Latina, had less than some college education, attended a FTF+PN event because of the cost of screening or were told they needed a screening, and who reported a barrier to screening had higher odds of being a PN participant. Women who were PN participants and had more contacts with program staff had greater odds of receiving a mammogram and a Pap compared with their reference groups. Latina English-speaking women had lower odds of receiving a mammogram and a Pap compared with NHW women and Latina Spanish-speaking women had higher odds of receiving a Pap test compared with NHW women. Women with greater need chose PN services, and PN participants had higher odds of getting a screening compared with women who did not choose PN services. These results demonstrate the success of PN in screening women in rural Texas but also that racial/ethnic disparities in screening remain.
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Latina English-speaking women had lower odds of receiving a mammogram and a Pap compared with NHW women and Latina Spanish-speaking women had higher odds of receiving a Pap test compared with NHW women. Women with greater need chose PN services, and PN participants had higher odds of getting a screening compared with women who did not choose PN services. 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Latina English-speaking women had lower odds of receiving a mammogram and a Pap compared with NHW women and Latina Spanish-speaking women had higher odds of receiving a Pap test compared with NHW women. Women with greater need chose PN services, and PN participants had higher odds of getting a screening compared with women who did not choose PN services. 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subjects Adolescent
Adult
Aged
Aged, 80 and over
Biomedical and Life Sciences
Biomedicine
Black or African American - statistics & numerical data
Breast cancer
Breast Neoplasms - diagnosis
Breast Neoplasms - prevention & control
Cancer Research
Cervical cancer
Early Detection of Cancer
Ethnicity
Female
Females
Friends
Hispanic or Latino - statistics & numerical data
Humans
Mammography - statistics & numerical data
Mass Screening
Medical screening
Middle Aged
Papanicolaou Test - statistics & numerical data
Patient Navigation
Pharmacology/Toxicology
Prospective Studies
Reference Groups
Rural Population
Texas
Uterine Cervical Neoplasms - diagnosis
Uterine Cervical Neoplasms - prevention & control
Vaginal Smears - statistics & numerical data
White People
Young Adult
title Increasing Breast and Cervical Cancer Screening in Rural and Border Texas with Friend to Friend Plus Patient Navigation
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