Project ScanVan: Mobile mammography services to decrease socioeconomic barriers and racial disparities among medically underserved women in NYC

2021 ◽  
Author(s):  
Ava Tsapatsaris ◽  
Melissa Reichman
Keyword(s):  
Racial Disparities ◽  
Medically Underserved ◽  
Mobile Mammography ◽  
Underserved Women

Barriers to mammography among underserved women in a breast health center outreach program.

2012 ◽  
Vol 30 (27_suppl) ◽  
pp. 13-13
Author(s):  
Oluwadamilola M. Fayanju ◽  
Susan Kraenzle ◽  
Bettina F. Drake ◽  
Xuemei Si ◽  
Masayoshi Oka ◽  
...  
Keyword(s):  
Health Center ◽  
Demographic Data ◽  
Bad News ◽  
Medically Underserved ◽  
Procedural Pain ◽  
Outreach Program ◽  
Breast Health ◽  
Mobile Mammography ◽  
Underserved Women ◽  
Record Data

13 Background: An outreach registry of Breast Health Center patients was developed in 2006 to evaluate the effectiveness of mobile mammography among the medically underserved. Registry included collection of medical record data, demographic data, and answers to a questionnaire about perceptions of breast cancer screening. Here, we examine barriers to mammography. Methods: Between April 2006 and May 2011, 9,082 women were registered. Data from registrants’ first screening visit (n= 8,916) were analyzed using multivariable logistic regression examining three outcomes identified as barriers to mammography: cost, fear of pain during the procedure, and fear of receiving bad news. Two-tailed p<0.05 was considered significant. Results: The majority of registrants were black (54%), uninsured (74%), screened on a van (83%), resided in the greater St. Louis region (84%), had an annual income <$20,000 (87%), and reported a good or excellent experience as part of the outreach program (92%). Fears of cost, mammogram-related pain, and bad news were reported by 40%, 13%, and 13% of registrants, respectively. Regression analyses revealed that being employed (odds ratio [OR] 1.109, p=0.0323) and living in the Bootheel of Missouri (OR 2.319, p<0.0001) were associated with a higher likelihood of perceiving cost as a barrier to mammography, while those who had insurance (OR 0.439) and were Hispanic (compared to non-Hispanic [NH] whites [OR 0.338]) were less likely to report cost as a barrier (both p<0.0001). Registrants who were screened on the van (OR 1.633), had insurance (OR 1.391), and were NH black (OR 1.324) were more likely to report fear of procedural pain as a barrier (all p<0.0001). Having insurance (OR 1.378), being NH black (OR 2.458), and being Hispanic (OR 2.980) were associated with reporting fear of receiving bad news as a barrier (all p>0.0001), while older women (OR 0.985, p=0.0001) and women who were screened on the van (OR 0.772, p=0.0026) were less likely to report this concern. Conclusions: Despite provision of free services, cost, fear of procedural pain, and fear of abnormal results remain barriers to mammography utilization among medically underserved women, suggesting the need for more breast health education in this population.

Mobile mammography: A model program for medically underserved women

1992 ◽  
Vol 2 (4) ◽  
pp. 196-203 ◽  
Author(s):  
Clyde B. McCoy ◽  
Elizabeth L. Khoury ◽  
Lisa S. Hermanns ◽  
Ladora Bankston
Keyword(s):  
Medically Underserved ◽  
Model Program ◽  
Mobile Mammography ◽  
Underserved Women

scholarly journals Feasibility of Utilizing Social Media to Promote HPV Self-Collected Sampling among Medically Underserved Women in a Rural Southern City in the United States (U.S.)

2021 ◽  
Vol 18 (20) ◽  
pp. 10820
Author(s):  
Matthew Asare ◽  
Beth A. Lanning ◽  
Sher Isada ◽  
Tiffany Rose ◽  
Hadii M. Mamudu
Keyword(s):  
Social Support ◽  
Social Media ◽  
Low Income ◽  
Pap Smear ◽  
Multinomial Logistic Regression ◽  
The United States ◽  
Medically Underserved ◽  
Willingness To Participate ◽  
Underserved Women ◽  
Support Cost

Background: Social media (Facebook, WhatsApp, Instagram, Twitter) as communication channels have great potential to deliver Human papillomavirus self-test (HPVST) intervention to medically underserved women (MUW) such as women of low income. However, little is known about MUW’s willingness to participate in HPVST intervention delivered through social media. We evaluated factors that contribute to MUW’s intention to participate in the social media-related intervention for HPVST. Methods: A 21-item survey was administered among women receiving food from a local food pantry in a U.S. southern state. Independent variables were social media usage facilitators (including confidentiality, social support, cost, and convenience), and barriers (including misinformation, time-consuming, inefficient, and privacy concerns). Dependent variables included the likelihood of participating in social-driven intervention for HPVST. Both variables were measured on a 5-point scale. We used multinomial logistic regression to analyze the data. Results: A total of 254 women (mean age 48.9 ± 10.7 years) comprising Whites (40%), Hispanics (29%), Blacks (27%), and Other (4%) participated in the study. We found that over 44% of the women were overdue for their pap smears for the past three years, 12% had never had a pap smear, and 34% were not sure if they had had a pap smear. Over 82% reported frequent social media (e.g., Facebook) usage, and 52% reported willingness to participate in social media-driven intervention for HPVST. Women who reported that social media provide privacy (Adjusted Odds Ratio (AOR) = 6.23, 95% CI: 3.56, 10.92), provide social support (AOR = 7.18, 95% CI: 4.03, 12.80), are less costly (AOR = 6.71, 95% CI: 3.80, 11.85), and are convenient (AOR = 6.17, 95% CI: 3.49, 10.92) had significantly increased odds of participating in social media intervention for HPVST. Conclusions: The findings underscore that the majority of the MUW are overdue for cervical cancer screening, regularly use social media, and are willing to participate in social media-driven intervention. Social media could be used to promote HPV self-testing among MUW.

scholarly journals Timing is everything: Methodologic issues locating and recruiting medically underserved women for abnormal mammography follow-up research

2008 ◽  
Vol 29 (4) ◽  
pp. 537-546 ◽  
Author(s):  
Alecia Malin Fair ◽  
Debra Wujcik ◽  
Jin-Mann S. Lin ◽  
Kathleen M. Egan ◽  
Ana M. Grau ◽  
...  
Keyword(s):  
Medically Underserved ◽  
Underserved Women ◽  
Abnormal Mammography

Mammography adherence among medically underserved women undergoing cancer genetic risk assessment.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. 1554-1554
Author(s):  
Candice Schwartz ◽  
Ifeanyi Beverly Chukwudozie ◽  
Silvia Tejeda ◽  
Ganga Vijayasiri ◽  
Ivy Abraham ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Primary Healthcare ◽  
Genetic Risk ◽  
Ethnically Diverse ◽  
Screening Mammography ◽  
Medically Underserved ◽  
Cancer Genetic ◽  
Genetic Risk Assessment ◽  
Underserved Women ◽  
Cancer Genetic Risk Assessment

1554 Background: Medically underserved women bear a disproportionate burden of breast cancer (BC) mortality. Early detection is vital for reducing BC deaths. Cancer genetic risk assessment (CGRA) provides an opportunity to identify women at highest risk so that risk-adapted screening can be implemented. The effect of CGRA on mammography adherence among underserved women is unknown. Methods: We conducted a study to test the feasibility of performing cancer genetic risk assessment (CGRA) as part of standard primary healthcare at two Federally Qualified Health Centers in Chicago, IL. Racial/ethnically diverse women age 25-69 without a personal history of BC underwent CGRA at the time of an annual well-visit and received the result from their PCP. Medical record review provided data on mammography adherence. Demographic data and measures of perceived BC risk, BC cultural beliefs, fatalism, and BC worry were collected with an enrollment survey. McNemar’s test compared the rate of adherence to screening mammography before and after implementation of CGRA, defined as completing a screening mammogram within 18 months prior to or following CGRA, resp., among women eligible for screening (age > 40 at study enrollment). Logistic regression models tested for associations between mammography adherence and demographic characteristics/health beliefs. Results: Data was available for 90 participants with increased BC risk (IR) who were eligible for screening and 98 eligible, average risk (AR) participants (in total, 61% black and 37% Latina). Overall, adherence improved from 38% at baseline to 49% following CGRA (p = 0.03). Adherence increased from 35% to 51% among IR participants (p = 0.04), and from 40% to 47% among AR participants (p = 0.39). Data on predictors of adherence will be presented. Conclusions: Implementing CGRA as a standard component of primary healthcare improved adherence to screening mammography among racial/ethnically diverse underserved women. The effect was seen primarily in those with increased risk. This intervention could be used to improve uptake of mammography in the subgroup of underserved women who benefit the most from screening.

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