Impact of patient and navigator race and language concordance on care after cancer screening abnormalities.
Impact of patient and navigator race and language concordance on care after cancer screening abnormalities.
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DOI：
10.1002/cncr.29221
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发表时间：
2015-05-01
期刊：
影响因子：
6.2
通讯作者：
Freund, Karen M.
中科院分区：
文献类型：
--
作者：
Charlot, Marjory;Santana, M. Christina;Chen, Clara A.;Bak, Sharon;Heeren, Timothy C.;Battaglia, Tracy A.;Egan, A. Patrick;Kalish, Richard;Freund, Karen M.
患者导航改善了少数民族癌症的及时诊断，但对患者和导航员种族和语言一致性对健康结果的影响知之甚少。我们对波士顿患者导航研究项目（Boston Patient Navigation Research Program）的参与者进行了一项关于患者和导航员种族和语言一致性的调查，该项目是一项针对2007年1月1日至2008年12月31日确定的乳腺癌或宫颈癌筛查异常女性的临床有效性试验。风险比和95%置信区间估计使用比例风险回归调整临床和人口统计学因素。共有1257名女性患有乳腺癌（n= 655）或宫颈癌（n=602）筛查异常，56%为非白人。在前90天内，语言一致性与颈椎组所有患者的及时解决相关，aHR为1.46（95% CI：1.18，1.80），尤其是前90天讲西班牙语的人，aHR为1.43（95% CI：1.10，1.84），90天后或乳腺癌筛查异常的女性无差异。在按种族分层的分析中，种族一致性与乳腺癌和宫颈癌筛查异常的少数民族妇女的诊断时间显著缩短相关，在包括所有妇女的分析中没有发现差异。患者-导航员种族和语言一致性提高了少数人群护理的及时性。不同种族/民族和多语言的患者导航员可能有助于解决护理障碍，并改善低收入少数群体的癌症结局。
Patient navigation improves timely diagnosis of cancer among minorities but little is known about the effect of patient and navigator race and language concordance on health outcomes. We conducted an investigation of patient and navigator race and language concordance on time to diagnosis of cancer screening abnormalities among participants of the Boston Patient Navigation Research Program, a clinical effectiveness trial for women with breast or cervical cancer screening abnormalities identified January 1, 2007 to December 31, 2008. Hazard ratio and 95% confidence intervals were estimated using proportional hazards regression adjusting for clinical and demographic factors. There were a total of 1257 women with either breast (n= 655) or cervical (n=602) cancer screening abnormalities and 56% were non-White. Language concordance was associated with timelier resolution in all patients in the cervical group in the first 90 days, aHR of 1.46 (95% CI: 1.18, 1.80), and specifically for Spanish speakers in the first 90 days, aHR of 1.43 (95% CI: 1.10, 1.84), with no difference after 90 days or for women with breast cancer screening abnormalities. Race concordance was associated with significant decreases in time to diagnosis for minority women with breast and cervical cancer screening abnormalities in analyses stratified by race with no difference found in analyses including all women. Patient-navigator race and language concordance improves timeliness of care in a minority population. Patient navigators that are diverse by race/ethnicity and multilingual may help address barriers to care and improve cancer outcomes for low-income minorities.
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影响因子：
3.1
作者：
Meghani SH;Brooks JM;Gipson-Jones T;Waite R;Whitfield-Harris L;Deatrick JA
通讯作者：
Deatrick JA
影响因子：
6.2
作者：
Natale-Pereira A;Enard KR;Nevarez L;Jones LA
通讯作者：
Jones LA
DOI：
10.1158/1055-9965.epi-12-0532
发表时间：
2012-10
期刊：
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
影响因子：
--
作者：
Battaglia TA;Bak SM;Heeren T;Chen CA;Kalish R;Tringale S;Taylor JO;Lottero B;Egan AP;Thakrar N;Freund KM
通讯作者：
Freund KM
影响因子：
12.7
作者：
Richardson, Lisa C.;Royalty, Janet;Benard, Vicki B.
通讯作者：
Benard, Vicki B.
影响因子：
3.8
作者：
LaVeist, TA;Nuru-Jeter, A;Jones, KE
通讯作者：
Jones, KE