Sowing the Seeds of Health: Training of Community Health Advisors to Promote Breast and Cervical Cancer Screening among Latina Immigrants in Alabama

We aimed to examine rates of breast and cervical cancer screening in women with immune-mediated inflammatory diseases (IMID), including inflammatory bowel disease (IBD), multiple sclerosis (MS) and rheumatoid arthritis (RA) versus a matched cohort with IMID; and examine the association of psychiatric comorbidity with screening in these populations. We conducted a retrospective cohort study in Manitoba, Canada using administrative data. We identified women with IBD, MS and RA, and controls without these IMID matched on age and region. Annually, we identified individuals with any active mood/anxiety disorder. Using physician claims, we determined the proportion of each cohort who had cervical cancer screening within three-year intervals, and mammography screening within two-year intervals. We modeled the difference in the proportion of the IMID and matched cohorts who underwent mammography; and pap tests using log-binomial regression with generalized estimating equations, adjusting for sociodemographics, comorbidity and immune therapy use. We tested for additive interactions between cohort and mood/anxiety disorder status. During 2006–2016, we identified 17,230 women with IMID (4,623 with IBD, 3,399 with MS, and 9,458 with RA) and 85,349 matched controls. Having an IMID was associated with lower (-1%) use of mammography; however, this reflected a mixture of more mammography in the IBD cohort (+2.9%) and less mammography in the MS (-4.8 to -5.2%) and RA (-1.5%) cohorts. Within the IBD, MS and RA cohorts, having an active mood/anxiety disorder was associated with more mammography use than having an inactive mood/anxiety disorder. The MS and RA cohorts were less likely to undergo Pap testing than their matched cohorts. In the absence of an active mood/anxiety disorder, the IBD cohort was more likely to undergo Pap testing than its matched cohort; the opposite was true when an active mood/anxiety disorder was present. Among women with an IMID, mood/anxiety disorder influence participation in cancer screening.

Download Full-text

FAKTOR YANG BERHUBUNGAN DENGAN PEMERIKSAAN DINI KANKER SERVIKS PADA WANITA USIA SUBUR

Jurnal Endurance ◽

10.22216/jen.v3i1.2459 ◽

2018 ◽

Vol 3 (1) ◽

pp. 184

Author(s):

Meta Rikandi ◽

Nova Rita

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Community Health ◽

Health Center ◽

Cervical Cancer Screening ◽

Random Sampling ◽

Community Health Center ◽

Stratified Random Sampling ◽

Husband Support ◽

Early Cervical Cancer

Based on cancer data in 13 laboratory pathology centers, cervical cancer is a type of cancer that has the largest number of patients in Indonesia, which is as many as 36% of patients. Data from Lubuk Buaya Community Health Center were obtained that performed IVA examination as many as 50 people (0,4%) from 14,199 target. This study aims to determine factors related to visual inspection of Acetic Acid on Women of Infertile Age in the Work Area of Lubuk Buaya Community Health Center in 2017. The study employed the survey deskriptif analitik ,the data analis used chi squre, population is 384 people fertile age women, the research sampel were 384 stratified random sampling. The result showed that 60.9% of women of childbearing age had never done cervical cancer early testing by IVA method, 45.6% knowledge was low, 50% negative attitude, 77,9% did not get husband support, 38,8% did not get health promotion . There was a significant relationship between knowledge (P = 0,000), attitude (P = 0,000), husband support (P = 0,000), promotion (P = 0,000) health with early cervical cancer screening by IVA method. Lubuk Buaya Community Health Center and local officers should pay more attention to the success of early cervical cancer screening program IVA method with the formation of cadres in each Urban Village so that the information can be given thoroughly. Berdasarkan data kanker di 13 pusat laboratorium patologi, kanker serviks merupakan jenis kanker yang memiliki jumlah penderita terbanyak di Indonesia, yaitu sebanyak 36% penderita. Data dari Puskesmas Lubuk Buaya didapatkan yang melakukan pemeriksaan IVA sebanyak 50 orang (0,4%) dari 14.199 sasaran. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan pemeriksaan Inspeksi Visual Asam Asetat pada Wanita Usia Subur di Wilayah Kerja Puskesmas Lubuk Buaya tahun 2017. Metode yang digunakan deskriptif analitik dengan analisis data chi square, populasi adalah wanita usia subur yang berjumlah 384 orang. Pengambilan sampel yaitu stratified random sampling sebanyak 384. Teknik pengumpulan data dilakukan dengan wawancara kepada pasien dengan menggunakan kuesioner. Analisis data yang digunakan yaitu univariat dan bivariat. Hasil Penelitian didapatkan 60,9% wanita usia subur belum pernah melakukan pemeriksaan dini kanker serviks dengan metode IVA, 45,6% pengetahuan rendah, 50% sikap negatif, 77,9% tidak mendapat dukungan suami, 38,8% tidak mendapat promosi kesehatan. Ada hubungan yang bermakna antara pengetahuan(P=0,000 ), sikap(P=0,000), dukungan suami(P=0,000), promosi (P=0,000) kesehatan dengan pemeriksaan dini kanker serviks dengan metode IVA. Pihak Puskesmas Lubuk Buaya Padang serta petugas setempat harus lebih memperhatikan keberhasilan program pemeriksaan dini kanker serviks metode IVA dengan adanya pembentukkan kader pada setiap kelurahan sehingga pemberian informasi dapat diberikan secara menyuluruh.

Download Full-text