Facilitators and Barriers to Cervical Cancer Screening, Diagnosis, and Enrollment in Medicaid_ Experiences of Georgia’s Women’s Health Medicaid Program Enrollees

Sarah C. Blake, Karen Andes, Laura Hilb, Karie Gaska, Linien Chien, Lisa Flowers, E. Kathleen Adams

研究成果: 雜誌貢獻文章同行評審

5 引文 斯高帕斯(Scopus)

摘要

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.

原文英語
頁(從 - 到)45-52
頁數8
期刊Journal of Cancer Education
30
發行號1
DOIs
出版狀態已發佈 - 三月 2015

ASJC Scopus subject areas

  • 腫瘤科
  • 公共衛生、環境和職業健康

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