Falk Derek, Cubbin Catherine, Jones Barbara, Carrillo-Kappus Kristen, Crocker Andrew, Rice Carol
School of Social Work, The University of Texas at Austin, 1 University Station D3500, Austin, TX, 78712, USA.
Texas A&M AgriLife Extension Service, The Texas A&M University System, Agriculture and Life Sciences Building, 600 John Kimbrough Boulevard, Suite 509, 7101 TAMU, College Station, TX, 77843-7101, USA.
J Cancer Educ. 2018 Aug;33(4):798-805. doi: 10.1007/s13187-016-1147-6.
The Friend to Friend plus Patient Navigation Program (FTF+PN) aims to build an effective, sustainable infrastructure to increase breast and cervical screening rates for underserved women in rural Texas. The objective of this paper is to identify factors that (1) distinguish participants who chose patient navigation (PN) services from those who did not (non-PN) and (2) were associated with receiving a mammogram or Papanicolaou (Pap) test. This prospective study analyzed data collected from 2689 FTF+PN participants aged 18-99 years from March 1, 2012 to February 28, 2015 who self-identified as African American (AA), Latina, and non-Hispanic white (NHW). Women who were younger, AA or Latina, had less than some college education, attended a FTF+PN event because of the cost of screening or were told they needed a screening, and who reported a barrier to screening had higher odds of being a PN participant. Women who were PN participants and had more contacts with program staff had greater odds of receiving a mammogram and a Pap compared with their reference groups. Latina English-speaking women had lower odds of receiving a mammogram and a Pap compared with NHW women and Latina Spanish-speaking women had higher odds of receiving a Pap test compared with NHW women. Women with greater need chose PN services, and PN participants had higher odds of getting a screening compared with women who did not choose PN services. These results demonstrate the success of PN in screening women in rural Texas but also that racial/ethnic disparities in screening remain.
“朋友对朋友加患者导航计划”（FTF+PN）旨在建立一个有效、可持续的基础设施，以提高德克萨斯州农村地区未得到充分服务的女性的乳腺癌和宫颈癌筛查率。本文的目的是确定以下因素：（1）区分选择患者导航（PN）服务的参与者和未选择（非PN）服务的参与者；（2）与接受乳房X光检查或巴氏试验相关的因素。这项前瞻性研究分析了2012年3月1日至2015年2月28日期间从2689名年龄在18 - 99岁的FTF+PN参与者中收集的数据，这些参与者自我认定为非裔美国人（AA）、拉丁裔和非西班牙裔白人（NHW）。年龄较小、为AA或拉丁裔、大学教育程度较低、因筛查费用或被告知需要筛查而参加FTF+PN活动且报告存在筛查障碍的女性成为PN参与者的几率更高。与对照组相比，成为PN参与者且与项目工作人员有更多接触的女性接受乳房X光检查和巴氏试验的几率更高。与NHW女性相比，说英语的拉丁裔女性接受乳房X光检查的几率较低，与NHW女性相比，说西班牙语的拉丁裔女性接受巴氏试验的几率较高。需求较大的女性选择PN服务，与未选择PN服务的女性相比，PN参与者接受筛查的几率更高。这些结果表明PN在筛查德克萨斯州农村女性方面取得了成功，但筛查中的种族/族裔差异仍然存在。
