Targeting the underserved for breast and cervical cancer screening
The utility of ecological analysis using the National Health Interview Survey
Datos Bibliográficos
| ID | 11037992 |
|---|---|
| Autores | Barbara Wells (0000-0001-9443-830X, Health Resources and Services Administration), B L Wells, J W Horm |
| Año | 1998 |
| Volumen | 88 |
| Número | 10 |
| Páginas | 1484-1489 |
| Fecha de publicación | 1998-10-01 |
| Peer Reviewed | Sí |
| Open Access | No |
| Tipo | ARTICLE |
| Revista | American Journal of Public Health (JOURNAL) |
| Identificadores de la revista | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Editorial | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.88.10.1484 |
| PMID | 9772849 |
| OpenAlex | W2106602165 |
| Idioma | EN |
| Citas recibidas | 26 |
| Referencias citadas | 9 |
OBJECTIVES: This study tested the utility of ecological variables created from the National Health Interview Survey (NHIS) for strategic targeting of health services for the underserved. METHODS: Ecological variables were created using the 1989-1991 survey years of the NHIS public use data files. Segments, the NHIS secondary sampling units, permit computation of secondary sampling characteristics by percentage Black, percentage Hispanic, percentage below poverty, percentage unemployed, median education, median income, median age, and percentage residing in the United States for 5 years or less. These variables were analyzed with the NHIS Health Promotion and Disease Prevention 1990 supplement reporting mammogram, clinical breast examination, and Pap test use. RESULTS: Median education of areas was inversely related to never having mammograms. Areas with a high proportion (70%-100%) of Hispanic respondents also were more likely not to have mammograms. Women residing in areas with moderate or high proportions of Hispanic respondents were more likely never to have clinical breast examinations and Pap tests, as were those in areas with low income, poverty, and respondents who had resided in the United States 5 years or less. CONCLUSIONS: The new methodology of constructing ecological variables using the NHIS demonstrates an application that may help identify underserved areas or areas with underutilized services. More studies using this methodology are warranted
Breast cancer · Cancer · Cervical cancer · Ecological study · Environmental health · Family medicine · National Health Interview Survey · Population · Colorectal Cancer Screening and Detection · Global Cancer Incidence and Screening · Internal Medicine · Medicine · Survey Methodology and Nonresponse
Poor People, Poor Places and Access to Health Care in the United States
Individual and Contextual Risks of Death among Race and Ethnic Groups in the United States
Breast and cervical cancer screening among women in metropolitan areas of the United States by county-level commuting time to work and use of public transportation, 2004 and 2006
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Spatial Equity in Facilities Providing Low- or No-Fee Screening Mammography in Chicago Neighborhoods
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Pap smear and mammogram screening in Mexican-American women
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| Obras citantes distintas | 26 |
|---|---|
| Citas por año | 0,93 |
| Intervalo de citas | 1998 - 2017 (20) |
| Velocidad de citación | historical |
| Altamente citado | No |
| Tipos de cita | Neutras: 24 |