Skip to main content

Advertisement

SpringerLink
Log in

Prevalence and implications of multiple cancer screening needs among Hispanic community health center patients

  • Original paper
  • Published:
Cancer Causes & Control Aims and scope Submit manuscript

Abstract

Objectives

To examine adherence rates for multiple cancer screening tests, which will inform prevention efforts in community health centers (CHCs).

Methods

We report on the prevalence of screening for multiple cancers (cervical, breast and colorectal) among 43,000 patients who are predominantly Hispanic, in four CHC sites that share an integrated electronic medical record.

Results

Among the 20,057 patients eligible for at least one test, 43% of the population was current on all screening targets; 15,887 additional screening tests were needed among 11,526 individuals.

Conclusions

Expanding use of health information technology in community health centers provides an opportunity to create an electronic infrastructure for addressing multiple screening needs from a patient-centered perspective.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Yabroff K (2008) Interventions to improve cancer screening: commentary from a health services research perspective. Am J Prev Med 35(1 Suppl):S6–S9

    Article  PubMed  Google Scholar 

  2. Afable-Munsuz A, Liang SY, Ponce NA, Walsh JM (2009) Acculturation and colorectal cancer screening among older Latino adults: differential associations by national origin. J Gen Intern Med 24(8):963–970

    Article  Google Scholar 

  3. Swan J, Breen N, Coates RJ, Rimer BK, Lee NC (2003) Progress in cancer screening practices in the United States: results from the 2000 national health interview survey. Cancer 15 97(6):1528–1540

    Article  Google Scholar 

  4. Hewitt M, Devesa S, Breen N (2004) Cervical cancer screening among US women: analyses of the 2000 national health interview survey. Prev Med 39(2):270–278

    Article  PubMed  Google Scholar 

  5. White A, Vernon SW, Franzini L, Du XL (2011) Racial and Ethnic disparities in colorectal cancer screening persisted despite expansion of medicare’s screening reimbursement. Cancer Epidemiol Biomarkers Prev 20(5):811–817

    Article  PubMed  Google Scholar 

  6. Centers for Diease Control and Prevention (CDC). (2008) Vital signs: colorectal cancer screening among adults aged 50–75 years—United States, MMWR Morb Mortal Wkly Rep 9, 59(26):808–12

  7. Byrd TL, Peterson SK, Chavez R, Heckert A (2004) Cervical cancer screening beliefs among young Hispanic women. Prev Med 38(2):192–197

    Article  PubMed  Google Scholar 

  8. Goel MS, Wee CC, McCarthy EP, Davis RB, Ngo-Metzger Q, Phillips RS (2003) Racial and ethnic disparities in cancer screening: the importance of foreign birth as a barrier to care. J Gen Intern Med 18(12):1028–1035

    Article  PubMed  Google Scholar 

  9. De Alba I, Ngo-Metzger Q, Sweningson JM, Hubbell FA (2005) Pap smear use in California: are we closing the racial/ethnic gap? Prev Med 40(6):747–755

    Article  PubMed  Google Scholar 

  10. Borrayo EA, Hines L, Byers T, Risendal B, Slattery ML, Sweeney C et al (2009) Characteristics associated with mammography screening among both Hispanic and non-Hispanic white women. J Womens Health (Larchmt) 18(10):1585–1894

    Article  Google Scholar 

  11. Wells KJ, Roetzheim RG (2007) Health disparities in receipt of screening mammography in Latinas: a critical review of recent literature. Cancer Control 14(4):369–379

    PubMed  Google Scholar 

  12. Berwick DM (1996) Quality comes home. Ann Intern Med 125(10):839–843

    PubMed  CAS  Google Scholar 

  13. Berwick D (1998) Charting the future of healthcare improvement. Qual Lett Healthc Lead 10(12):2–4

    PubMed  CAS  Google Scholar 

  14. Pignone MP, Lewis CL (2009) Using quality improvement techniques to increase colon cancer screening. Am J Med 122(5):419–420

    Article  PubMed  Google Scholar 

  15. Clark R, Geller B, Peluso N, McVety D, Worden JK (1995) Development of a community mammography registry: experience in the breast screening program project. Radiology 196(3):811–815

    PubMed  CAS  Google Scholar 

  16. Somkin CP, Hiatt RA (1998) Screening mammography in an integrated health care system: the Kaiser permanente experience. Breast Dis 10(3–4):45–53

    PubMed  CAS  Google Scholar 

  17. Ferris N (2010) Entry point. Health Aff (Millwood) 29(4):583–584

    Article  Google Scholar 

  18. Bates DW, Bitton A (2010) The future of health information technology in the patient-centered medical home. Health Aff (Millwood) 29(4):614–621

    Article  Google Scholar 

  19. Dietrich AJ, Tobin JN, Cassells A, Robinson CM, Greene MA, Sox CH et al (2006) Telephone care management to improve cancer screening among low-income women: a randomized, controlled trial. Ann Intern Med 144(8):563–571

    PubMed  Google Scholar 

  20. Beach ML, Flood AB, Robinson CM, Cassells AN, Tobin JN, Greene MA et al (2007) Can language-concordant prevention care managers improve cancer screening rates? Cancer Epidemiol Biomarkers Prev 16(10):2058–2064

    Article  PubMed  Google Scholar 

  21. Silka L, Cleghorn GD, Grullon M, Tellez T (2008) Creating community-based participatory research in a diverse community: a case study. J Empir Res Hum Res Ethics 3(2):5–16

    Article  PubMed  Google Scholar 

  22. Merriam PA, Tellez TL, Rosal MC, Olendzki BC, Ma Y, Pagoto SL et al (2009) Methodology of a diabetes prevention translational research project utilizing a community-academic partnership for implementation in an underserved Latino community. BMC Med Res Methodol 9:20

    Article  PubMed  Google Scholar 

  23. Spadea T, Bellini S, Kunst A, Stirbu I, Costa G (2010) The impact of interventions to improve attendance in female cancer screening among lower socioeconomic groups: a review. Prev Med 50(4):159–164

    Article  PubMed  Google Scholar 

  24. Kressin NR, Manze M, Russell SL, Katz RV, Claudio C, Green BL et al (2010) Self-reported willingness to have cancer screening and the effects of sociodemographic factors. J Natl Med Assoc 102(3):219–227

    PubMed  Google Scholar 

  25. Cleghorn GD, Nguyen M, Roberts B, Duran G, Tellez T, Alecon M (2004) Practice-based interventions to improve health care for Latinos with diabetes. Ethn Dis Summer 14(3Suppl 1):S117–S121

    Google Scholar 

  26. Gorin SS, Heck JE (2004) Meta-analysis of the efficacy of tobacco counseling by health care providers. Cancer Epidemiol Biomarkers Prev 13(12):2012–2022

    PubMed  CAS  Google Scholar 

  27. Diaz JA, Roberts MB, Goldman RE, Weitzen S, Eaton CB (2008) Effect of language on colorectal cancer screening among Latinos and non-Latinos. Cancer Epidemiol Biomarkers Prev 17(8):2169–2173

    Article  PubMed  Google Scholar 

  28. Haas JS, Brawarsky P, Iyer A, Garrett MF, Neville BA, Earle C, et al. (2010) Association of local capacity for endoscopy with individual use of colorectal cancer screening and stage at diagnosis. Cancer. (in press)

  29. Brawarsky P, Brooks DR, Mucci LA, Wood PA (2004) Effect of physician recommendation and patient adherence on rates of colorectal cancer testing. Cancer Detect Prev 28(4):260–268

    Article  PubMed  CAS  Google Scholar 

  30. Brawarsky P, Brooks DR, Mucci LA (2003) Correlates of colorectal cancer testing in Massachusetts men and women. Prev Med 36(6):659–668

    Article  PubMed  CAS  Google Scholar 

  31. Breen N, Wagener DK, Brown ML, Davis WW, Ballard-Barbash R (2001) Progress in cancer screening over a decade: results of cancer screening from the 1987, 1992, and 1998 national health interview surveys. J Natl Cancer Inst 93(22):1704–1713

    Article  PubMed  CAS  Google Scholar 

  32. Meissner HI, Breen N, Klabunde CN, Vernon SW (2006) Patterns of colorectal cancer screening uptake among men and women in the United States. Cancer Epidemiol Biomarkers Prev 15(2):389–394

    Article  PubMed  Google Scholar 

  33. Peterson NB, Murff HJ, Ness RM, Dittus RS (2007) Colorectal cancer screening among men and women in the United States. J Womens Health (Larchmt) 16(1):57–65

    Article  Google Scholar 

  34. Jandorf L, Ellison J, Villagra C, Winkel G, Varela A, Quintero-Canetti Z, et al. (2010) Understanding the barriers and facilitators of colorectal cancer screening among low income immigrant hispanics. J Immigr Minor Health Jul 12(4):462–469

    Google Scholar 

  35. Goldman RE, Diaz JA, Kim I (2009) Perspectives of colorectal cancer risk and screening among dominicans and puerto ricans: stigma and misperceptions. Qual Health Res 19(11):1559–1568

    Article  PubMed  Google Scholar 

  36. Lasser KE, Murillo J, Medlin E, Lisboa S, Valley-Shah L, Fletcher RH et al (2009) A multilevel intervention to promote colorectal cancer screening among community health center patients: results of a pilot study. BMC Fam Pract 10:37

    Article  PubMed  Google Scholar 

  37. Shields AE, Shin P, Leu MG, Levy DE, Betancourt RM, Hawkins D et al (2007) Adoption of health information technology in community health centers: results of a national survey. Health Aff (Millwood) 26(5):1373–1383

    Article  Google Scholar 

  38. Taplin SH, Rollason D, Camp A, di Donato K, Maggenheimer E (2010) Imagining an electronic medical record for turning cancer screening knowledge into practice. Am J Prev Med 38(1):89–97

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This study was supported by grants from the National Cancer Institute, 5R01CA126596 and 1K05 CA124415. The authors would like to acknowledge Nancy Klockson for participation in the manuscript preparation, and the clinical staff at Greater Lawrence Community Health Center for their support of this project.

Conflict of interest

All the authors have no financial disclosures.

Author information

Authors and Affiliations

  1. Harvard School of Public Health and Dana-Farber Cancer Institute, Center for Community-Based Research, 44 Binney Street- LW703, Boston, MA, 02115, USA

    Karen M. Emmons

  2. Greater Lawrence Family Health Center, Lawrence, MA, USA

    Dean Cleghorn & Trinidad Tellez

  3. Medical Oncology Department, Dana-Farber Cancer Institute, Boston, MA, USA

    Mary L. Greaney & Kim M. Sprunck

  4. Department of Health Services, UCLA School of Public Health, Los Angeles, CA, USA

    Roshan Bastani

  5. Women’s Health Unit, Section of General Internal Medicine, Evans Department of Medicine, Boston Medical Center and Women’s Health Interdisciplinary Research Center, Boston University School of Medicine, Boston, MA, USA

    Tracy Battaglia

  6. Department of Medicine, Boston University School of Medicine, Boston, MA, USA

    Tracy Battaglia

  7. Pathology Department, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA

    James S. Michaelson

  8. School of Public Health, Department of Public Health, Biostats, University of Massachusetts at Amherst, Amherst, MA, USA

    Elaine Puleo

Authors
  1. Karen M. Emmons
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dean Cleghorn
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Trinidad Tellez
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mary L. Greaney
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Kim M. Sprunck
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Roshan Bastani
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Tracy Battaglia
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. James S. Michaelson
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Elaine Puleo
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Karen M. Emmons.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Emmons, K.M., Cleghorn, D., Tellez, T. et al. Prevalence and implications of multiple cancer screening needs among Hispanic community health center patients. Cancer Causes Control 22, 1343–1349 (2011). https://doi.org/10.1007/s10552-011-9807-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10552-011-9807-7

Keywords

Search

Navigation