Inner-city African American women who failed to receive cancer screening following a culturally-appropriate intervention: the role of health insurance

被引:25
作者
Sung, JFC
Alema-Mensah, E
Blumenthal, DS
机构
[1] Morehouse Sch Med, Dept Community Hlth & Prevent Med, Atlanta, GA 30310 USA
[2] Morehouse Sch Med, Clin Res Ctr, Atlanta, GA 30310 USA
[3] Morehouse Sch Med, Prevent Res Ctr, Atlanta, GA 30310 USA
[4] Natl Taiwan Univ, Coll Publ Hlth, Inst Environm Hlth, Taipei 10764, Taiwan
来源
CANCER DETECTION AND PREVENTION | 2002年 / 26卷 / 01期
关键词
health promotion; culturally-appropriate intervention; clinical breast exam; mammography; pap test; community health worker;
D O I
10.1016/S0361-090X(02)00007-7
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Culturally-appropriate health promotion programs are thought to be more effective among minority groups than those designed for the population at large. We investigated factors associated with failure to obtain cervical and breast cancer screening among inner-city African American women who received a culturally-appropriate educational intervention. Women who completed the intervention, but did not obtain a Pap smear, a clinical breast examination, and/or a mammogram at follow-up were compared with those who did obtain these tests. Women with private health insurance were more likely to be screened following the intervention than those covered by Medicaid or Medicare or those who were not insured (P < 0.001). Post-intervention screening was not associated with age, education, income, employment, or marital status. The effectiveness of a culturally-appropriate intervention is likely to be reduced if women's ability to respond is limited by inadequate insurance coverage. (C) 2002 International Society for Preventive Oncology. Published by Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:28 / 32
页数:5
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