Multilevel Associations with Cancer Screening Among Women in Rural, Segregated Communities Within the Northeastern USA: a Mixed-Methods Study.
Multilevel Associations with Cancer Screening Among Women in Rural, Segregated Communities Within the Northeastern USA: a Mixed-Methods Study.
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DOI：
10.1007/s13187-021-02069-0
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发表时间：
2022-12
期刊：
影响因子：
--
通讯作者：
Ruffin MT 4th
中科院分区：
文献类型：
--
作者：
Moss JL;Leach K;Stoltzfus KC;Granzow M;Reiter PL;Onega T;Klesges LM;Ruffin MT 4th
我们从美国东北部一个州的 14 个种族隔离的农村县招募了女性（主要是非西班牙裔白人）进行一项解释性序贯研究：100 名女性（年龄 50-65 岁）完成了一项调查，16 名女性参加了焦点小组。我们试图确定与结直肠癌和宫颈癌筛查相关的个人（例如，医疗保健不信任）和环境（例如，前往医疗保健提供者的时间）因素。从数量上看，89% 的参与者进行了最新的宫颈筛查，65% 的参与者进行了结直肠筛查。因素相互作用，使得复合障碍与较低的筛查几率相关（例如，保险状况和医疗保健不信任：宫颈癌相互作用 p = .02；结直肠癌相互作用 p = .05）。定性地讲，出现了关于筛查障碍的三个主题：隐私问题、后勤障碍以及对医疗服务充足性缺乏信任。虽然癌症筛查在农村、隔离的县很常见，但报告环境和个人障碍导致筛查的女性接受率较低。未来促进筛查的干预措施可以针对这些障碍。在线版本包含可在 10.1007/s13187-021-02069-0 获取的补充材料。
We recruited women (primarily non-Hispanic White) from 14 rural, segregated counties in a Northeastern US state for an explanatory sequential study: 100 women (ages 50–65 years) completed a survey, and 16 women participated in focus groups. We sought to identify personal (e.g., healthcare mistrust) and environmental (e.g., travel time to healthcare providers) factors related to colorectal and cervical cancer screening. Quantitatively, 89% of participants were up-to-date for cervical screening, and 65% for colorectal screening. Factors interacted such that compounding barriers were associated with lower odds of screening (e.g., insurance status and healthcare mistrust: interaction p = .02 for cervical; interaction p = .05 for colorectal). Qualitatively, three themes emerged regarding barriers to screening: privacy concerns, logistical barriers, and lack of trust in adequacy of healthcare services. While cancer screening was common in rural, segregated counties, women who reported both environmental and personal barriers to screening had lower uptake. Future interventions to promote screening can target these barriers. The online version contains supplementary material available at 10.1007/s13187-021-02069-0.
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DOI：
10.1177/1077558711420263
发表时间：
2012-04
期刊：
Medical care research and review : MCRR
影响因子：
--
作者：
Gaskin DJ;Dinwiddie GY;Chan KS;McCleary R
通讯作者：
McCleary R
影响因子：
5.1
作者：
Janz, NK;Wren, PA;Guire, KE
通讯作者：
Guire, KE
影响因子：
24.9
作者：
Henley, S. Jane;Anderson, Robert N.;Richardson, Lisa C.
通讯作者：
Richardson, Lisa C.
影响因子：
1.6
作者：
Befort, Christie A.;Nazir, Niaman;Choi, Won
通讯作者：
Choi, Won
影响因子：
12.6
作者：
Anderson, Allison E.;Henry, Kevin A.;Kinney, Anita Y.
通讯作者：
Kinney, Anita Y.