Increasing breast and cervical cancer screening in low-income women
Journal of General Internal MedicinePublished 1 August 1998Open access
Karen L. Margolis, Nicole Lurie, Paul G. McGovern, Mary L. Tyrrell, Jonathan S. Slater
Citations113
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Breast and cervical cancer screening rates were improved in women attending non-primary-care outpatient clinics by using lay health advisers and a nurse practitioner to perform screening, and was particularly effective in Native American women.
Abstract
Breast and cervical cancer screening rates were improved in women attending non-primary-care outpatient clinics by using lay health advisers and a nurse practitioner to perform screening. The effect was strongest in women in greatest need of screening.
Keywords
Medicine
Wiley series in probability and statisticsStatistical Methods for Rates and Proportions
18,048 Citations2003Joseph L. Fleiss, Bruce Levin +1 more
PubMedState- and sex-specific prevalence of selected characteristics--Behavioral Risk Factor Surveillance System, 1996 and 1997.
1,110 Citations2000Deborah Holtzman, Eve Powell‐Griner +2 more
The 1996 and 1997 BRFSS data demonstrate that U.S. adults engage in behaviors that are detrimental to their health, but also demonstrate that many adults are making efforts to prevent chronic disease and injury.
JAMAEfficacy of Screening Mammography
1,063 Citations1995Karla Kerlikowske, Deborah Grady +3 more
Screening mammography may be effective in reducing breast cancer mortality in women aged 40 to 49 years after 10 to 12 years of follow-up, but the same benefit could probably be achieved by beginning screening at menopause or 50 years of age.
Annals of Internal MedicineScreening for Cervical Cancer
841 Citations1990David M. Eddy
Cervical cancer screening should reduce the incidence and mortality of invasive cervical cancer by about 90% and increase a 20-year-old woman's life expectancy by about 96 days.
JNCI Journal of the National Cancer InstituteConcordance of Self-reported Data and Medical Record Audit for Six Cancer Screening Procedures
413 Citations1993Nancy P. Gordon, RA Hiatt +1 more
Self-reported data may overestimate the percentage of the population that has been screened and underestimate the interval since the last cancer detection procedures, which should be used cautiously for clinical decision making, research, and surveillance activities at both individual and population levels.
American Journal of Public HealthCancer screening by primary care physicians: a comparison of rates obtained from physician self-report, patient survey, and chart audit.
350 Citations1995Daniel E. Montaño, William R. Phillips
Studies of physicians' provision of cancer prevention services should not rely on physician self-report, but should obtain the rates through patient surveys or chart audits, according to large discrepancies found between the rates measured by different methods.
Medical CareDelayed Feedback of Physician Performance Versus Immediate Reminders to Perform Preventive Care
337 Citations1986William M. Tierney, Siu L. Hui +1 more
Overall compliance with the preventive care protocols was low: 10-15% in physicians receiving neither feedback nor reminders, increasing to 15-30% in those receiving reminders, but reminders have a greater effect.
Medical CareImproving Physician Compliance With Preventive Medicine Guidelines
268 Citations1982David I. Cohen, Benjamin Littenberg +2 more
It is concluded that this intervention was clearly effective in the short run, however, follow-up studies will be necessary to determine whether the desired long-term effect has been achieved.
American Journal of Public HealthMammography use among sociodemographically diverse women: the accuracy of self-report.
253 Citations1996J G Zapka, Carol Bigelow +5 more
Archives of Internal MedicinePromoting cancer screening. A randomized, controlled trial of three interventions
218 Citations1989Stephen J. McPhee
The results indicate that the cancer screening reminders strategy was the most effective in promoting the performance of routine cancer screening tests.
American Journal of Preventive MedicineAccuracy of Self-Report of Mammography and Pap Smear in a Low-Income Urban Population
188 Citations1998Paul G. McGovern, Nicole Lurie +2 more
The accuracy of self-report of mammography and Pap smear is relatively poor for medical practice but is acceptable in population surveys with appropriate correction for overreporting.
The American Journal of MedicineEffect of medical records' checklists on implementation of periodic health measures
148 Citations1987Carol Cheney, Joe Ramsdell
The data suggest that a physician's use of simple checklists can provide an inexpensive and effective means of improving implementation of periodic health maintenance.
Archives of Internal MedicinePromoting Cancer Screening
139 Citations1989Stephen J. McPhee
The results indicate that the cancer screening reminders strategy was the most effective in promoting the performance of routine cancer screening tests.
PubMedState- and sex-specific prevalence of selected characteristics--Behavioral Risk Factor Surveillance System, 1992 and 1993.
124 Citations1996Emma L. Frazier, Catherine A. Okoro +2 more
The variations in prevalence across states likely reflect socioeconomic differences, differences in state laws enacted to discourage risky behaviors, different levels of effort to screen for certain types of cancer or risk factors for other diseases, and other factors.
American Journal of Preventive MedicineComparison of Mammography and Pap Test Use From the 1987 and 1992 National Health Interview Surveys: Are We Closing the Gaps?
121 Citations1996Linda Martin, Eugenia E. Calle +2 more
Although race and ethnic differences in the rates of screening use have been reduced somewhat, socioeconomically disadvantaged women and those with poor access to health care are still important target populations for increasing screening, particularly mammograms.
Journal of Cancer EducationBreast and cervical cancer screening in minority populations: A model for using lay health educators
118 Citations1992J. Nell. Brownstein, Nancy E. Cheal +3 more
This model program outlines techniques for recruiting and training minority women to serve as lay health educators who can effectively deliver preventive health care information to their peers to decrease related deaths.
PubMedState-and sex-specific prevalence of selected characteristics--behavioral risk factor surveillance system, 1994 and 1995.
104 Citations1997Eve Powell‐Griner, John E. Anderson +1 more
State-specific variations in prevalence may reflect differences in population composition, socioeconomic factors, state laws enacted to discourage high-risk behaviors, levels of effort to screen for certain diseases and physiological conditions, and other factors.
PubMedA nurse-initiated reminder system for the periodic health examination. Implementation and evaluation.
86 Citations1984Richard A. Davidson, Suzanne W. Fletcher +2 more
Archives of Internal MedicineEnhancing Mammography Use in the Inner City
79 Citations1997Barbara E. Weber
Personalized education and case management are successful in enhancing compliance with breast cancer screening among historically noncompliant vulnerable urban women and has the potential to achieve Healthy People 2000 objectives for breast cancer screened women.
Archives of Internal MedicineA Nurse-Initiated Reminder System for the Periodic Health Examination
67 Citations1984Richard A. Davidson
A nurse-initiated health maintenance reminder system is a feasible and effective method for implementing periodic health examination proceses into a practice setting and was quickly learned by the nursing staff.
Journal of General Internal MedicineA nurse practitioner intervention to increase breast and cervical cancer screening for poor, elderly black women
65 Citations1993Jeanne S. Mandelblatt, Maryann Traxler +6 more
Use of a NP to deliver same-day screening is an effective strategy to target poor, elderly black women for breast and cervical cancer screening, however, screening in this vulnerable population remains below nationally targeted levels.
Archives of Family MedicineBreast and cervical cancer screening among underserved women. Baseline survey results from six states. The National Cancer Institute Cancer Screening Consortium for Underserved Women
54 Citations1995
Although access to health care is high among the women studied, screening rates are uneven andObjectives for the year 2000 clearly are attainable for some populations of underserved women, though much work needs to be done if objectives are to be met for all subgroups.
PubMedBehavioral Risk Factor Surveillance, 1991: monitoring progress toward the nation's year 2000 health objectives.
52 Citations1993Paul Z. Siegel, Emma L. Frazier +3 more
Year 2000 objective areas measurable by BRFSS data include those for overweight, lack of physical activity, smoking, safety belt use, and medical screening for breast and cervical cancer and elevated blood cholesterol.
Archives of Internal MedicineImproving Compliance With Breast Cancer Screening in Older Women
50 Citations1995Carla J. Herman
The results provide support for patient education and organizational changes that involve nonphysician personnel to enhance breast cancer screening among older women, particularly those without previous screening.
PubMedA nurse-delivered intervention to reduce barriers to breast and cervical cancer screening in Chicago inner city clinics.
50 Citations1994David Ansell, Loretta Lacey +3 more
The intervention was successful in reducing barriers to breast and cervical cancer detection and in attracting a high-risk group of women.
PubMedCommunity-based breast cancer intervention program for older African American women in beauty salons
45 Citations1995D. Forte
This project proposes to increase breast cancer screening awareness and provide a referral or free breast screening, or both, for African American women ages 50 and older.
American Journal of Public HealthThe costs and effects of cervical and breast cancer screening in a public hospital emergency room. The Cancer Control Center of Harlem.
40 Citations1997Jeanne S. Mandelblatt, H P Freeman +8 more
Emergency room screening was cost-effective for cervical cancer; breast cancer screening was relatively expensive given the low number of women reached.
Annals of Emergency MedicineImplementation of a Breast and Cervical Cancer Screening Program in a Public Hospital Emergency Department
40 Citations1996Jeanne S. Mandelblatt, Harold P. Freeman +6 more
ED cancer screening was feasible and yielded a high rate of cancer detection, but program efficiency was hampered by low volume and high numbers of patients lost to follow-up after abnormal screening results.
Journal of General Internal MedicineImproved preventive care following an intervention during an ambulatory care rotation
38 Citations1988Jane E. Korn, Leonard Schlossberg +1 more
The authors conclude that an intervention involving lecture, feedback, and checklists introduced during an ambulatory care rotation at one hospital (SPR) improved resident performance of preventive care and that the improvement was carried over to practice in a second outpatient setting.
Journal of General Internal MedicineRedesigning Primary Care Processes to Improve the Offering of Mammography The Use of Clinic Protocols by Nonphysicians
30 Citations1997Bruce D. McCarthy, Marianne Ulcickas Yood +4 more
Redesigning clinic processes to make offering of mammography by medical assistants and licensed practical nurses a routine part of the clinic encounter can lead to mammography rates that are superior to those seen in physicians' usual practice, even when screening levels are already fairly high.
Archives of Internal MedicinePut Prevention Into Practice
18 Citations1996J. Michael McGinnis
The characterization of the science base in support of clinical preventive services now serves as a model for guideline development for clinical areas, and the delivery of recommended services remains inadequate.