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dc.contributor.authorTejeda, Silvia
dc.contributor.authorDarnell, Julie S.
dc.contributor.authorCho, Young I.
dc.contributor.authorStolley, Melinda R.
dc.contributor.authorMarkossian, Talar W.
dc.contributor.authorCalhoun, Elizabeth A.
dc.date.accessioned2014-01-27T18:53:41Z
dc.date.available2014-01-27T18:53:41Z
dc.date.issued2013-06
dc.identifier.bibliographicCitationTejeda, S., Darnell, J. S., Cho, Y. I., Stolley, M. R., Markossian, T. W. and Calhoun, E. A. Patient Barriers to Follow-Up Care for Breast and Cervical Cancer Abnormalities. Journal of Womens Health. 2013. 22(6): 507-517. DOI: 10.1089/jwh.2012.3590en_US
dc.identifier.issn1540-9996
dc.identifier.urihttp://hdl.handle.net/10027/11106
dc.descriptionThis is a copy of an article published in the Journal of Women's Health © 2013 Copyright Mary Ann Liebert, Inc.; Journal of Women's Health is available online at: http://www.liebertonline.com.en_US
dc.description.abstractBackground: Women with breast or cervical cancer abnormalities can experience barriers to timely follow-up care, resulting in delays in cancer diagnosis. Patient navigation programs that identify and remove barriers to ensure timely receipt of care are proliferating nationally. The study used a systematic framework to describe barriers, including differences between African American and Latina women; to determine recurrence of barriers; and to examine factors associated with barriers to follow-up care. Methods: Data originated from 250 women in the intervention arm of the Chicago Patient Navigation Research Program (PNRP). The women had abnormal cancer screening findings and navigator encounters. Women were recruited from a community health center and a publicly owned medical center. After describing proportions of African American and Latina women experiencing particular barriers, logistic regression was used to explore associations between patient characteristics, such as race/ethnicity, and type of barriers. Results: The most frequent barriers occurred at the intrapersonal level (e.g., insurance issues and fear), while institutional-level barriers such as system problems with scheduling care were the most commonly recurring over time (29%). The majority of barriers (58%) were reported in the first navigator encounter. Latinas (81%) reported barriers more often than African American women (19%). Differences in race/ethnicity and employment status were associated with types of barriers. Compared to African American women, Latinas were more likely to report an intrapersonal level barrier. Unemployed women were more likely to report an institutional level barrier. Conclusion: In a sample of highly vulnerable women, there is no single characteristic (e.g., uninsured) that predicts what kinds of barriers a woman is likely to have. Nevertheless, navigators appear able to easily resolve intrapersonal-level barriers, but ongoing navigation is needed to address system-level barriers. Patient navigation programs can adopt the PNRP barriers framework to assist their efforts in assuring timely follow-up care.en_US
dc.description.sponsorshipNIH grants P50 CA106743-07S1, R25 CA057699, and U01 CA116875.en_US
dc.language.isoen_USen_US
dc.publisherJournal of Women's Healthen_US
dc.subjectbreast canceren_US
dc.subjectfollow upen_US
dc.subjectbreast neoplasmsen_US
dc.titlePatient Barriers to Follow-Up Care for Breast and Cervical Cancer Abnormalitiesen_US
dc.typeArticleen_US


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