Navigation Links
Counseling increased mammography use among low-income women with health insurance
Date:6/29/2010

PHILADELPHIA Even with health insurance, low-income women had lower rates of mammography screening than middle-class women, but a counseling program increased the likelihood of screening.

"Health insurance is a necessary condition for screening, but it is apparently not a sufficient condition," said Nasar Ahmed, Ph.D., chair of epidemiology and biostatistics at the Robert Stempel College of Public Health and Social Work at Florida International University.

Ahmed was the lead researcher on a recent report published in Cancer Epidemiology, Biomarkers & Prevention, a journal of the American Association for Cancer Research, which sought to determine the best way to increase compliance among low-income women.

The researchers identified 2,357 women who were non-compliant with their mammography screening, and randomly assigned them to one of three groups. The first group acted as a control, while the second group consisted of those who received a formal letter from their managed care organization reminding them of the need for screening. The third group received a second letter from their primary physician and, if still non-compliant, counseling from lay health workers.

The women in the trial had an average age of 53 years; 45 percent of the target population was white, 12 percent was Hispanic and 43 percent was black. Participants' annual family income was about $7,000 and all had health insurance for the previous five years.

Despite having health insurance, however, the screening rate in the control population was only 13.4 percent.

For the women who received a letter from their managed care organization, the rate increased to 16.1 percent.

The largest increase was for the women in the personal counseling group, where the rate was 27.1 percent, still well below general population rates. A letter from their primary care physician increased the likelihood of screening by 80 percent, while personal counseling tripled the rate of screening.

James Marshall, Ph.D., professor of oncology at the Roswell Park Cancer Institute, and a senior editor of Cancer Epidemiology, Biomarkers & Prevention, said this study shows how low-income populations have challenges that go beyond mere finances.

"A middle-class person can hop in their car and go to the clinic. How does a low-income woman find someone to watch her kids and find the transportation?" said Marshall. "Also, middle-class people take the culture of bureaucracy for granted, but it can be intimidating for low-income people."

Marshall said Roswell Park has programs where lay health counselors go into area churches to reach minority, low-income women and they have found that process to be effective. In addition, Roswell Park has instituted a special navigator program for patients.

"A person from the community can make all the difference in the message," said Marshall, who was not associated with this report.


'/>"/>

Contact: Jeremy Moore
jeremy.moore@aacr.org
267-646-0557
American Association for Cancer Research
Source:Eurekalert  

Related medicine news :

1. Bridgepoint Educations University of the Rockies Introduces New Master of Arts Specialization in Career Management and Counseling
2. When Counseling Costs, Response Dwindles
3. Cost to patients barrier to counseling for obesity and smoking
4. Google's Email Security Change Does Not Make Online Counseling Secure: Online Counseling Clients and Counselors Risk Confidentiality Breach
5. Counseling Suicidal Clients by Andrew Reeves
6. Pennsylvania to Observe Problem Gambling Awareness Week; Remind Residents of Available Counseling and Treatment Services
7. Avatar Meets Marriage Counseling; Take Imago Therapy for a Test Drive
8. Prenatal Healthcare Providers Inconsistent In Weight Gain Counseling
9. Weight Counseling Plus Drug Helps Women Quit Smoking
10. More Couples Turn to Phone Counseling in Times of Stress
11. Web- and phone-based counseling work well to quit smoking with Chantix
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Counseling increased mammography use among low-income women with health insurance
(Date:6/25/2016)... ... 25, 2016 , ... As a lifelong Southern Californian, Dr. Omkar Marathe earned ... the David Geffen School of Medicine at UCLA. He trained in Internal Medicine at ... fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he had the opportunity ...
(Date:6/25/2016)... ... June 25, 2016 , ... Conventional wisdom preaches the benefits of moderation, whether ... latter, setting the bar too high can result in disappointment, perhaps even self-loathing. However, ... their goal. , Research from PsychTests.com reveals that behind the tendency ...
(Date:6/24/2016)... ... June 24, 2016 , ... June 19, 2016 is ... associated with chronic pain and the benefits of holistic treatments, Serenity Recovery Center ... suffering with Sickle Cell Disease. , Sickle Cell Disease (SCD) is a disorder of ...
(Date:6/24/2016)... ... 2016 , ... Global law firm Greenberg Traurig, P.A. announced that 20 Florida ... their peers for this recognition are considered among the top 2 percent of lawyers ... as members of this year’s Legal Elite Hall of Fame: Miami Shareholders Mark ...
(Date:6/24/2016)... ... ... Inc, makers of Topricin and MyPainAway Pain Relief Products, join The ‘Business for a Fair ... hour by 2020 and then adjusting it yearly to increase at the same rate as ... the wage floor does not erode again, and make future increases more predictable. , The ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , June 23, 2016 Research ... MEMS Devices Medical Market Analysis 2016 - Forecast to 2022" ... The report contains up to date financial data ... analysis. Assessment of major trends with potential impact on the ... analysis of market segmentation which comprises of sub markets, regional ...
(Date:6/23/2016)... 23, 2016 Bracket , a leading clinical ... generation clinical outcomes platform, Bracket eCOA (SM) 6.0, at ... 26 – 30, 2016 in Philadelphia , ... Outcome Assessment product of its kind to fully integrate with ... Bracket eCOA 6.0 is a flexible platform for electronic clinical ...
(Date:6/23/2016)... -- Astellas today announced the establishment of Astellas Farma Colombia (AFC), a new affiliate with operations headquartered in ... . ... ... ... Astellas is ...
Breaking Medicine Technology: