Primary Care and Regular Breast Cancer Screening Among Under-Served Minority Women
Abstract
Purpose: To describe the components of primary care associated with adherence to regular breast cancer screening among low-income minority women. Scope: This study included secondary analyses of an existing dataset (completed-yr 1), conduction of focus groups (completed yr 2), and the development and conduction of a bilingual population-based telephone survey of lower income women over age 40 in Washington, D.C. to assess their experiences with breast cancer screening and its use in their primary care settings (yrs 2-3). Preliminary analyses of these data have been included in this annual report. Final analyses will be completed during year four. As described in the 2nd annual report, the PI obtained RO3 funding from NCI to expand the originally proposed survey from a clinic-based convenience sample to a population-based sample from throughout Washington, D.C. and to include cervical and colorectal cancer screening in addition to the main focus of breast cancer screening. Major Findings & Results to Date: The survey response rate was 86%. Two primary care variables, continuity of care (visit-continuity), and comprehensiveness of services (counseling) were consistently associated with adherence to screening for all cancers. Significance: Attainment of "optimal" primary care is strongly associated with adherence to breast, cervical and colorectal cancer screening for urban low income women of color. Findings will guide design of a future intervention that emphasizes important features of primary care in order to increase adherence to screening.
Document Details
- Document Type
- Technical Report
- Publication Date
- Aug 01, 2000
- Accession Number
- ADA388565
Entities
People
- Ann O'malley
Organizations
- Georgetown University