Cervical Cancer Screening Among Homeless Women of New York City Shelters.
Introduction Homeless persons have minimal opportunities to complete recommended cancer screening. The rates and predictors of cervical cancer screening are understudied among homeless women in the US. Methods We enrolled 297 homeless women 21-65 years old residing in 6 major New York City shelters...
| Published in: | Maternal & Child Health Journal Vol. 20; no. 6; pp. 1143 - 1151 |
|---|---|
| Main Authors: | , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Springer Nature
Jun2016
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=115423719&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 115423719 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Jun2016 vid: 20 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 115423719 115423719 115423719 10.1007/s10995-015-1900-1 115423719 ppf: 1143 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Cervical Cancer Screening Among Homeless Women of New York City Shelters. aug: au: Asgary, Ramin Alcabes, Analena Feldman, Rebecca Garland, Victoria Naderi, Ramesh Ogedegbe, Gbenga Sckell, Blanca affil: Community Medicine Program, NYU Lutheran Family Health Centers, 317 Bowery Street New York 10003 USA sug: subj: Cancer Screening Cervix Neoplasms Homeless Persons Human New York Adult Middle Age Aged Female Cervical Smears Patient Education Counseling T-Tests Analysis of Variance Logistic Regression Multivariate Analysis Chi Square Test Odds Ratio Confidence Intervals Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Female ab: Introduction Homeless persons have minimal opportunities to complete recommended cancer screening. The rates and predictors of cervical cancer screening are understudied among homeless women in the US. Methods We enrolled 297 homeless women 21-65 years old residing in 6 major New York City shelters from 2012 to 2014. We used a validated national survey to determine the proportion and predictors of cervical cancer screening using cytology (Pap test). Results Mean age was 44.72 (±11.96) years. Majority was Black, heterosexual, single, with high school or lower education; 50.9 % were smokers and 41.7 % were homeless more than a year. Despite a 76.5 % proportion of self-reported Pap test within the past 3 years, 65 % of women assumed their Pap test results were normal or did not get proper follow up after abnormal results. Forty-five-point-nine percent of women did not know about frequency of Pap test or causes of cervical cancer. Lower proportion of up-to-date Pap test was associated with lack of knowledge of recommended Pap test frequency ( p < 0.01) and relationship between HPV and an abnormal Pap test ( p < 0.01). Conclusions Self-reported Pap testing in homeless women was similar to a national sample. However, the majority of women surveyed were not aware of their results, received limited if any follow up and had significant education gaps about cervical cancer screening. We recommend improved counseling and patient education, patient navigators to close screening loops, and consideration of alternative test-and-treat modalities to improve effective screening. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|