Multilevel Associations with Cancer Screening Among Women in Rural, Segregated Communities Within the Northeastern USA: a Mixed-Methods Study
| العنوان: | Multilevel Associations with Cancer Screening Among Women in Rural, Segregated Communities Within the Northeastern USA: a Mixed-Methods Study |
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| المؤلفون: | Kelsey M. Leach, Mack T. Ruffin, Jennifer L. Moss, Lisa M. Klesges, Kelsey C. Stoltzfus, Tracy Onega, Paul L. Reiter, Marni E. Granzow |
| المصدر: | Journal of Cancer Education |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Rural Population, Colorectal cancer, Psychological intervention, Uterine Cervical Neoplasms, Women’s health, Article, Odds, Cancer screening, Environmental health, Health care, medicine, Humans, Mass Screening, Rural, Early Detection of Cancer, Aged, Cervical cancer, Cervical screening, Racial residential segregation, business.industry, Public Health, Environmental and Occupational Health, Middle Aged, medicine.disease, Focus group, Oncology, Female, Colorectal Neoplasms, business |
| الوصف: | 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. Supplementary Information The online version contains supplementary material available at 10.1007/s13187-021-02069-0. |
| تدمد: | 1543-0154 0885-8195 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f5ef6734526c2ffa10584e40c0536172 https://doi.org/10.1007/s13187-021-02069-0 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....f5ef6734526c2ffa10584e40c0536172 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 15430154 08858195 |
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