Health Disparities with Mammogram and Pap Test Utilization Among Low Income African American Women
Health Disparities with Mammogram and Pap Test Utilization Among Low Income African American Women

Author: Aarathi Kallur

Publisher:

Published: 2023

Total Pages: 0

ISBN-13:

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Black women and other minority women have high mortality rates from breast cancer and cervical cancer. Mortality from both of these cancers are highly preventable through routine mammograms, which are x-rays of breast tissue, and Pap smear tests, which study the cells in the cervix. Both of these tests can detect cancerous cells before the cancer progresses to later stages, and detecting cancer early can give a patient the best chance for survival. If cancer is caught in the later stages, then there is a lower chance for survival and higher treatment costs (World Health Organization, 2023). A systemic literature review and quantitative analysis was done to understand the various factors that affect the utilization of these preventative tests. The purpose of this study is to analyze the utilization rates of mammograms and Pap smear tests among low-income Black women and other minority women. The study also aims to identify some of the factors that are associated with utilization rates such as education, income, and insurance status. The Medical Expenditure Panel Survey (MEPS) data from 2018 was used to observe the different rates of utilization among white, African American, Asian, Indigenous, Hispanic, and mixed-race women of various age groups. The utilization was also broken down into race and then further into education level, income level, and insurance status. A linear regression analysis was done to look at the correlation between race and insurance status, education, and income. The results showed that mammogram utilization among Black women 40 years old and older was 42.37%. Mammogram utilization was lower for those in poor, near-poor, and low-income categories, whereas Black women aged 65 and older those with Medicare and private insurance had the highest utilization. Pap smear utilization among Black women from ages 21 to 64 was 49.45%. The near-poor category had the lowest utilization of Pap smears. The results indicate that income and insurance status have a significant impact on the utilization of these preventative tests among minority women. However, further research must be done to better understand the policy implications of these barriers in order to increase utilization.

Poverty and Place
Poverty and Place

Author: Anjanette Wells

Publisher: Rowman & Littlefield

Published: 2018-12-31

Total Pages: 193

ISBN-13: 1498522009

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This bookexamines ways in which cancer health disparities exist due to class and context inequities even in the most advanced society of the world. This volume, while articulating health disparities in the St. Louis, Missouri metropolitan area, including East St. Louis, Illinois, seeks to move beyond deficit models to focus on health equity. As cancer disparities continue to persist for low-income and women of color, the promotion and attainment of health equity becomes a matter of paramount importance. The volume demonstrates the importance of place and the historical inequity in socio-environmental settings that have contributed to marked health disparities. Through original research, this volume demonstrates that addressing the causes and contributors to women’s health disparities is a complex process that requires intervention from a socio-ecological framework, at micro-, meso-, and macro-levels of influence. The book highlights critical aspects of a practical multidimensional model of community engagement with important influences of the various levels of research, policy and practice. More pointedly, the authors support a new model of community engagement that focuses on individuals in their broader ecological context. In so doing, they seek to advance the art and science of community engagement and collaboration, while disavowing the ‘parachute’ model of research, policy and practice that reinforces and sustains the problems associated with the status quo. The bookconcludes with broader national policy considerations in the face of the erosion of the social safety net for America’s citizenry.

Black Women's Health
Black Women's Health

Author: Hope Landrine

Publisher: Psychology Press

Published: 2014-10-13

Total Pages: 233

ISBN-13: 1135065055

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In this special issue, top researchers from a diversity of disciplines provide an overview of and insights into the major social, cultural, and structural variables that play a role in Black women's poor health, and differential morbidity and mortality. The articles focus on the major threats to Black women's health such as diabetes, obesity, cancer, violence, and AIDS, and utilize a wide range of qualitative and quantitative methods from medicine, psychology, sociology, and feminist analysis. Among the articles are: * An examination of the role of Black women's cultural and ethnomedical beliefs in their use of cancer screening by Laurie Hoffman-Goetz and Sherry Mills of the National Cancer Institute; * An empirical analysis of Black women's utilization of health services entailing more than 18,000 women by Lonnie Snowden and his colleagues at the University of California-Berkeley Center for Mental Health Services Research; * A comprehensive review and empirical analysis of the role of violence in Black women's health by Nancy Felipe Russo (Arizona State University), Mary Koss (University of Arizona), and Gwen Keita (APA Office on Women); * An empirical investigation of the role of social and contextual variables in HIV risk among low-income Black women by Kathleen Sikkema, Timothy Heckman, and Jeffrey Kelly of the Center for AIDS Intervention Research, Medical College of Wisconsin. Other articles include comprehensive and critical analyses and reviews of diabetes, breast cancer risk perceptions, and obesity among Black women, as well as analyses of Black women's exclusion from research in medicine, women's health, health psychology, and behavioral medicine. The first issue of any psychology journal to be devoted to the health of Black women, this special issue is a step in the direction of redressing the long-overdue neglect of Black women's health. It provides a cogent overview of the state of Black women's health, numerous empirical investigations, and clear suggestions for future research.

Fulfilling the Potential of Cancer Prevention and Early Detection
Fulfilling the Potential of Cancer Prevention and Early Detection

Author: National Research Council

Publisher: National Academies Press

Published: 2003-05-07

Total Pages: 564

ISBN-13: 0309170133

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Cancer ranks second only to heart disease as a leading cause of death in the United States, making it a tremendous burden in years of life lost, patient suffering, and economic costs. Fulfilling the Potential for Cancer Prevention and Early Detection reviews the proof that we can dramatically reduce cancer rates. The National Cancer Policy Board, part of the Institute of Medicine, outlines a national strategy to realize the promise of cancer prevention and early detection, including specific and wide-ranging recommendations. Offering a wealth of information and directly addressing major controversies, the book includes: A detailed look at how significantly cancer could be reduced through lifestyle changes, evaluating approaches used to alter eating, smoking, and exercise habits. An analysis of the intuitive notion that screening for cancer leads to improved health outcomes, including a discussion of screening methods, potential risks, and current recommendations. An examination of cancer prevention and control opportunities in primary health care delivery settings, including a review of interventions aimed at improving provider performance. Reviews of professional education and training programs, research trends and opportunities, and federal programs that support cancer prevention and early detection. This in-depth volume will be of interest to policy analysts, cancer and public health specialists, health care administrators and providers, researchers, insurers, medical journalists, and patient advocates.

Understanding Racial and Ethnic Differences in Health in Late Life
Understanding Racial and Ethnic Differences in Health in Late Life

Author: National Research Council

Publisher: National Academies Press

Published: 2004-09-08

Total Pages: 184

ISBN-13: 0309165865

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As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.

Unequal Treatment
Unequal Treatment

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2009-02-06

Total Pages: 781

ISBN-13: 030908265X

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Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

Guidance for the National Healthcare Disparities Report
Guidance for the National Healthcare Disparities Report

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2002-10-25

Total Pages: 215

ISBN-13: 0309085195

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The Agency for Healthcare Research Quality commissioned the Institute of Medicine establish a committee to provide guidance on the National Healthcare Disparities Report is of access to health care, utilization of services, and the services received. The committee was asked to con population characteristics as race and ethnicity, society status, and geographic location. It was also asked to examine factors that included possible data sources and types of measures for the report.

The Unequal Burden of Cancer
The Unequal Burden of Cancer

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1999-06-11

Total Pages: 353

ISBN-13: 0309071542

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We know more about cancer prevention, detection, and treatment than ever beforeâ€"yet not all segments of the U.S. population have benefited to the fullest extent possible from these advances. Some ethnic minorities experience more cancer than the majority population, and poor peopleâ€"no matter what their ethnicityâ€"often lack access to adequate cancer care. This book provides an authoritative view of cancer as it is experienced by ethnic minorities and the medically underserved. It offers conclusions and recommendations in these areas: Defining and understanding special populations, and improving the collection of cancer-related data. Setting appropriate priorities for and increasing the effectiveness of specific National Institutes of Health (NIH) research programs, to ensure that special populations are represented in clinical trials. Disseminating research results to health professionals serving these populations, with sensitivity to the issues of cancer survivorship. The book provides background data on the nation's struggle against cancer, activities and expenditures of the NIH, and other relevant topics.