Increasing cervical cancer screening in a Hispanic migrant farmworker community through faith-based clinical outreach.
Increasing cervical cancer screening in a Hispanic migrant farmworker community through faith-based clinical outreach.
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通过基于信仰的临床推广，增加西班牙裔移民农场工人社区的宫颈癌筛查。
DOI：
10.1097/lgt.0b013e318206004a
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发表时间：
2011
影响因子：
3.7
通讯作者：
Meade,CathyD
中科院分区：
文献类型：
--
作者：
Luque,JohnS;Tyson,DinorahMartinez;Markossian,Talar;Lee,Ji-Hyun;Turner,Rachel;Proctor,Sara;Menard,Janelle;Meade,CathyD
目的：学术医疗中心和信仰社区组织之间的合作关系与低收入少数族裔妇女筛查率的提高有关。我们描述了癌症中心和佛罗里达州中部一家提供妇科筛查服务的信仰外展诊所之间的外展合作伙伴关系的临床结果，以提高主要是西班牙裔农场工人妇女等优先人群的宫颈癌筛查依从性。方法。数据来源包括回顾性图表审查。这项描述性研究调查了基于信仰的外展诊所患者群体中宫颈癌筛查行为的模式。结果。研究结果表明，在这组患者中，预测遵守宫颈癌筛查建议的人口统计学因素是在美国居住的年数和婚姻状况。与在美国居住 5 年或以下的女性相比，在美国居住 5 年以上的女性明显更遵守宫颈癌筛查建议 (p=. 05)，已婚女性比未婚女性更有可能遵守宫颈癌筛查建议 (p=. 02)。 结论。 该伙伴关系成功地提高了这一医疗服务不足的人群对宫颈癌筛查的依从性。当通过基于信仰的临床推广消除了筛查依从性障碍并持续多年后，未参保的低收入西班牙裔女性更有可能获得推荐的预防服务。
Objective.Partnerships between academic medical centers and faith-based community organizations have been associated with increased screening rates in low-income minority women. We describe clinical outcomes of an outreach partnership between a cancer center and a faith-based outreach clinic offering gynecologic screening services in central Florida to increase cervical cancer screening adherence in a priority population of primarily Hispanic farmworker women.Methods.Data sources included a retrospective chart review. This descriptive study examined patterns of cervical cancer screening behavior among the patient population of the faith-based outreach clinic.Results.Findings suggest that among this group of patients, the demographic factors that predict adherence with cervical cancer screening recommendations are number of years having lived in the United States and marital status. Women residing in the United States for more than 5 years were significantly more adherent with cervical cancer screening recommendations compared with women who have resided in the United States for 5 years or less (p=. 05), and married women were more likely to be adherent than unmarried women (p=. 02).Conclusions.The partnership was successful in increasing cervical cancer screening adherence in this medically underserved population. When enabling barriers to screening adherence are removed through faith-based clinical outreach and engaged continuously for a number of years, uninsured, low-income Hispanic women are more likely to receive recommended preventive services.