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Background. Regular mammography screening has been shown to be the most effective means of detecting breast cancer and reducing mortality. Yet, screening rates for African-American women have consistently been lower than their white counterparts. The purpose of this study is to determine physician patterns for mammogram referral after using a reminder system, to assess the number of women who received a mammogram after receiving a referral, and to identify the barriers to mammography after receiving a referral among predominately African-American women seen in an urban primary care setting.
Cancer ranks second only to heart disease as a leading cause of death in the United States, making it a tremendous burden in years of life lost, patient suffering, and economic costs. Fulfilling the Potential for Cancer Prevention and Early Detection reviews the proof that we can dramatically reduce cancer rates. The National Cancer Policy Board, part of the Institute of Medicine, outlines a national strategy to realize the promise of cancer prevention and early detection, including specific and wide-ranging recommendations. Offering a wealth of information and directly addressing major controversies, the book includes: A detailed look at how significantly cancer could be reduced through lifestyle changes, evaluating approaches used to alter eating, smoking, and exercise habits. An analysis of the intuitive notion that screening for cancer leads to improved health outcomes, including a discussion of screening methods, potential risks, and current recommendations. An examination of cancer prevention and control opportunities in primary health care delivery settings, including a review of interventions aimed at improving provider performance. Reviews of professional education and training programs, research trends and opportunities, and federal programs that support cancer prevention and early detection. This in-depth volume will be of interest to policy analysts, cancer and public health specialists, health care administrators and providers, researchers, insurers, medical journalists, and patient advocates.
Black women and other minority women have high mortality rates from breast cancer and cervical cancer. Mortality from both of these cancers are highly preventable through routine mammograms, which are x-rays of breast tissue, and Pap smear tests, which study the cells in the cervix. Both of these tests can detect cancerous cells before the cancer progresses to later stages, and detecting cancer early can give a patient the best chance for survival. If cancer is caught in the later stages, then there is a lower chance for survival and higher treatment costs (World Health Organization, 2023). A systemic literature review and quantitative analysis was done to understand the various factors that affect the utilization of these preventative tests. The purpose of this study is to analyze the utilization rates of mammograms and Pap smear tests among low-income Black women and other minority women. The study also aims to identify some of the factors that are associated with utilization rates such as education, income, and insurance status. The Medical Expenditure Panel Survey (MEPS) data from 2018 was used to observe the different rates of utilization among white, African American, Asian, Indigenous, Hispanic, and mixed-race women of various age groups. The utilization was also broken down into race and then further into education level, income level, and insurance status. A linear regression analysis was done to look at the correlation between race and insurance status, education, and income. The results showed that mammogram utilization among Black women 40 years old and older was 42.37%. Mammogram utilization was lower for those in poor, near-poor, and low-income categories, whereas Black women aged 65 and older those with Medicare and private insurance had the highest utilization. Pap smear utilization among Black women from ages 21 to 64 was 49.45%. The near-poor category had the lowest utilization of Pap smears. The results indicate that income and insurance status have a significant impact on the utilization of these preventative tests among minority women. However, further research must be done to better understand the policy implications of these barriers in order to increase utilization.
Breast cancer is the leading cause of cancer mortality in African-American women. Studies have reported that African-American women with breast cancer are more likely to be diagnosed at a later stage of the disease and have a higher mortality rate than white women. Despite this, African-American women are less likely than White women to avail themselves of the benefits of screening mammography. This is most often attributed to lack of education, lack of access, and low socioeconomic status. However, it has been repeatedly shown that when socioeconomic, educational, and logistic barriers are minimized, African-Americans continue to underutilize these screening procedures. In this study, breast cancer screening behaviors and the factors that influence those behaviors were measured by means of a survey questionnaire distributed to members of a defined population of African-American and White women with potentially comparable levels of education, health care access, and socioeconomic status. This report describes the background, objectives, and procedures of this study, and details the work carried out in Year 02, including data collection and analysis. A total of 782 usable surveys were returned from female public school teachers in Philadelphia aged 40 and older. White respondents were more likely than African-Americans to be married or cohabiting, and had significantly higher annual household incomes; they were also more likely to have been adherent to mammography guidelines over the previous five years and to say that they would definitely get a mammogram in the next 24 months. African-Americans, by contrast, were more likely than Whites to have practiced regular breast self-examination. When demographic and health- related factors were controlled for, however, no significant effect of race on mammography adherence or intentions was found.
This fourth edition is a text for your nursing research course and provides students with a solid foundation and the tools they need to evaluate articles and research effectively. The fourth edition builds on the digital updates made to the previous edition and highlights the Matrix Method and the skills necessary to critically evaluate articles. The text also covers Method Maps, which teach students how to effectively construct a research study. The author leads students through the process of how to manage a quality literature review in the context of evidence-based practice. A case study highlighting a typical graduate student is woven throughout the text to illustrate the importance of literature reviews and evidence-based practice. Health sciences literature review made easy, fourth edition is appropriate for graduate level nursing courses as well as undergraduate Nursing Research courses that require literature reviews.
As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.
We know more about cancer prevention, detection, and treatment than ever beforeâ€"yet not all segments of the U.S. population have benefited to the fullest extent possible from these advances. Some ethnic minorities experience more cancer than the majority population, and poor peopleâ€"no matter what their ethnicityâ€"often lack access to adequate cancer care. This book provides an authoritative view of cancer as it is experienced by ethnic minorities and the medically underserved. It offers conclusions and recommendations in these areas: Defining and understanding special populations, and improving the collection of cancer-related data. Setting appropriate priorities for and increasing the effectiveness of specific National Institutes of Health (NIH) research programs, to ensure that special populations are represented in clinical trials. Disseminating research results to health professionals serving these populations, with sensitivity to the issues of cancer survivorship. The book provides background data on the nation's struggle against cancer, activities and expenditures of the NIH, and other relevant topics.