Increasing Cervical Cancer Screening Among Underserved Women in a Large Urban County Health System
Can It Be Done? What Does It Take
Bibliographic Data
| ID | 9101002 |
|---|---|
| Authors | Roshan Bastani (0000-0001-6594-9231, University of California, Los Angeles, corresponding author), Barbara A Berman, Barbara Berman (0000-0002-9380-9946, corresponding author), Thomas R Belin (0000-0003-4283-2676, corresponding author), Lori A Crane (0000-0002-5357-3430), Alfred C Marcus (Cancer Research Center), Kiumarss Nasseri, Nikki Herman-Shipley, Sol Bernstein, Carole E Henneman |
| Year | 2002 |
| Volume | 40 |
| Issue | 10 |
| Pages | 891-907 |
| Publication date | 2002-10-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-200210000-00007 |
| PMID | 12395023 |
| OpenAlex | W2086114700 |
| Language | EN |
| Citations received | 2 |
| References cited | 52 |
BACKGROUND: Further reduction in avoidable cervical cancer morbidity and mortality may require system-wide, integrated approaches implemented in the public health facilities serving the nation's indigent and minority women. OBJECTIVES: Report on the evaluation of a 5-year demonstration project testing a multicomponent (provider, system, and patient) intervention to increase cervical cancer screening among women who receive their health care through the Los Angeles County Department of Health Services, the second largest County Health Department in the nation. MATERIALS AND METHODS: A longitudinal nonequivalent control group design was utilized. Data were collected during a baseline (no intervention) year and 2.5 years of intervention. A large hospital, one feeder Comprehensive Health Centers (CHC), and three of the health center's feeder Public Health Centers (PHC) received the intervention. Another hospital, CHC and its three feeder PHCs (matched on size, patient characteristics, and range of services provided) served as comparison sites. Independent random samples of patients 18 years and older were drawn annually at each site (n = 18,642). The outcome measure was a receipt of a Papanicolaou smear during a 9-month period. RESULTS: At the Hospital and CHC levels a statistically significant intervention effect was observed after controlling for baseline screening rates and case mix. No intervention effect was observed at the PHCs. CONCLUSION: An intensive multicomponent intervention can increase cervical cancer screening in a large, urban, County health system serving a low-income minority population of under screened women. Retention of program elements in the postresearch phase, and the difficulties and importance of conducting this type of research, is described
Cancer · Cancer screening · Cervical cancer · Environmental health · Family medicine · Health care · Health department · Intervention (counseling) · Population · Public health · Receipt · Cervical Cancer and HPV Research · Global Cancer Incidence and Screening · Medicine · Nursing · Reproductive tract infections research
Has the use of cervical, breast, and colorectal cancer screening increased in the United States
Preventive care
National trends in the use of preventive health care by women
Demographic predictors of mammography and Pap smear screening in US women
Patterns of breast and cervical cancer screening at three public health centers in an inner-city urban area
Cervical cancer screening
Avoidable mortality' from cervical cancer
| Unique citing works | 2 |
|---|---|
| Citations per year | 0,15 |
| Citation span | 2013 - 2014 (2) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 2 |