Facilitators and barriers to cervical cancer screening, diagnosis, and enrollment in Medicaid: experiences of Georgia's Women's Health Medicaid Program enrollees
| Autor: | E. Kathleen Adams, Karen L. Andes, Linien Chien, Karie Gaska, Laura Ellis Hilb, Lisa Flowers, Sarah C. Blake |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
medicine.medical_specialty Georgia Uterine Cervical Neoplasms Health Services Accessibility White People Nursing medicine Humans Patient participation Healthcare Disparities Early Detection of Cancer Neoplasm Staging Cervical cancer Vaginal Smears business.industry Medicaid Mortality rate Public health Public Health Environmental and Occupational Health Middle Aged medicine.disease Prognosis Health equity United States Black or African American Oncology Family medicine Medicaid Program Women's Health Female Patient Participation business Qualitative research Follow-Up Studies |
| Zdroj: | Journal of cancer education : the official journal of the American Association for Cancer Education. 30(1) |
| ISSN: | 1543-0154 |
| Popis: | Although cervical cancer incidence and mortality rates have declined in the USA, African American women have a higher incidence rate of cervical cancer and a higher percentage of late-stage diagnosis than white women. Previous analyses by the authors showed that, even after adjusting for age, provider location, and availability, African American women were almost half as likely as white women to be diagnosed or enter Medicaid while at an early stage of their cervical cancer. To understand why these differences exist, we undertook a qualitative examination of the cervical cancer experiences of women enrolled in Georgia's Women's Health Medicaid Program (WHMP). Life history interviews were conducted with 24 WHMP enrollees to understand what factors shaped their cervical cancer experiences, from screening through enrollment in Medicaid. We also examined whether these factors differed by race in order to identify opportunities for increasing awareness of cervical cancer screening among underserved women. Results suggest that many women, especially African Americans, lacked understanding and recognition of early symptoms of cervical cancer, which prevented them from receiving a timely diagnosis. Additionally, participants responded positively to provider support and good communication but wished that their doctors explained their diagnosis more clearly. Finally, women were able to enroll in Medicaid without difficulty due largely to the assistance of clinical staff. These findings support the need to strengthen provider education and public health efforts to reach low-income and minority communities for screening and early detection of cervical cancer. |
| Databáze: | OpenAIRE |
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