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Mona Saraiya - One of the best experts on this subject based on the ideXlab platform.

  • assessing Cervical Cancer Screening coverage using a population based behavioral risk factor survey thailand 2010
    Journal of Womens Health, 2015
    Co-Authors: Rachael Joseph, Supawan Manosoontorn, Nawarat Petcharoen, Suleeporn Sangrajrang, Virginia Senkomago, Mona Saraiya
    Abstract:

    Abstract Cervical Cancer is the second most common Cancer and fourth leading cause of Cancer-related deaths among women in Thailand. In 2005, the Ministry of Public Health (MoPH) in Thailand initiated a phased national Cervical Cancer Screening program. To monitor progress toward national Screening targets—80% of women 30–60 years of age screened for Cervical Cancer once in the previous 5 years by 2013—the MoPH used the 2010 Thai Behavioral Risk Factor Surveillance System (BRFSS) to assess Cervical Cancer Screening coverage. Results from the survey showed that 67.4% of women aged 30–60 years had been screened for Cervical Cancer in the past 5 years with varying Screening coverage by region, residence, education, and marital status. Although the national Cervical Cancer Screening program in Thailand appears to be close to reaching its national targets, the causes of lower coverage in some subpopulations need to be identified so that targeted interventions can be developed to increase coverage in these groups.

  • evolution of Cervical Cancer Screening and prevention in united states and canada implications for public health practitioners and clinicians
    Preventive Medicine, 2013
    Co-Authors: Mona Saraiya, Marc Steben, Meg Watson, Lauri E Markowitz
    Abstract:

    Abstract Objective Declines in Cervical Cancer incidence and mortality in Canada and in the United States have been widely attributed to the introduction of the Papanicolaou (Pap) test. This article reviews changes in Screening and introduction of HPV vaccination. Method Sentinel events in Cervical Cancer Screening and primary prevention through HPV vaccination in the US and Canada are described. Results Despite commonalities, Cervical Cancer Screening and prevention differ between the two countries. Canada has a combination of opportunistic and organized programs at the provincial and territorial level, while the US has opportunistic Screening and vaccination systems. In the US, the HPV test along with the Pap test (co-testing) is part of national recommendations for routine Cervical Cancer Screening for women age 30 and older. Co-testing is not being considered anywhere in Canada, but primary HPV testing is currently recommended (but not implemented) in one province in Canada. Conclusion Many prevention strategies are available for Cervical Cancer. Continued public health efforts should focus on increasing vaccine coverage in the target age groups and Cervical Cancer Screening for women at appropriate intervals. Ongoing evaluation will be needed to ensure appropriate use of health resources, as vaccinated women become eligible for Screening.

Richard H Glazier - One of the best experts on this subject based on the ideXlab platform.

  • Cervical Cancer Screening among urban immigrants by region of origin a population based cohort study
    Preventive Medicine, 2010
    Co-Authors: Aisha Lofters, Rahim Moineddin, Stephen W Hwang, Richard H Glazier
    Abstract:

    Abstract Objectives We compared the prevalence of appropriate Cervical Cancer Screening among Screening-eligible immigrant women from major geographic regions of the world and native-born women. Methods We determined the proportion of women who were screened during the three-year period of 2006–2008 among 2.9 million Screening-eligible women living in urban centres in Ontario, Canada. In multivariate analyses, we adjusted for numerous variables including age, neighbourhood-level income, and prenatal visits during the study period. Results 61.3% of women were up-to-date on Cervical Cancer Screening. Screening rates were lowest among women from South Asia when compared to the referent group (Canadian-born women and immigrants who arrived before 1985) (adjusted rate ratio 0.81, 95% CI [0.80–0.82] among women aged 18–49 years, adjusted rate ratio 0.67 [0.65–0.69] among women aged 50–66 years). Of the older South Asian women living in the lowest-income neighbourhoods and not in a primary care enrolment model, 21.9% had been appropriately screened. In contrast, among Canadian-born women living in the highest-income neighbourhoods and in a primary care enrolment model, 79.0% had been appropriately screened. Conclusion Efforts to reduce Cervical Cancer Screening disparities should focus on women living in the lowest-income neighbourhoods and women from South Asia.

  • low rates of Cervical Cancer Screening among urban immigrants a population based study in ontario canada
    Medical Care, 2010
    Co-Authors: Aisha Lofters, Rahim Moineddin, Stephen W Hwang, Richard H Glazier
    Abstract:

    Objective:Women who are immigrants or socioeconomically disadvantaged have been found to have significantly lower Cervical Cancer Screening rates than their peers in Toronto, Ontario, Canada. The objective of this study was to examine rates of appropriate Cervical Cancer Screening among women living

Stephen W Hwang - One of the best experts on this subject based on the ideXlab platform.

  • Cervical Cancer Screening among urban immigrants by region of origin a population based cohort study
    Preventive Medicine, 2010
    Co-Authors: Aisha Lofters, Rahim Moineddin, Stephen W Hwang, Richard H Glazier
    Abstract:

    Abstract Objectives We compared the prevalence of appropriate Cervical Cancer Screening among Screening-eligible immigrant women from major geographic regions of the world and native-born women. Methods We determined the proportion of women who were screened during the three-year period of 2006–2008 among 2.9 million Screening-eligible women living in urban centres in Ontario, Canada. In multivariate analyses, we adjusted for numerous variables including age, neighbourhood-level income, and prenatal visits during the study period. Results 61.3% of women were up-to-date on Cervical Cancer Screening. Screening rates were lowest among women from South Asia when compared to the referent group (Canadian-born women and immigrants who arrived before 1985) (adjusted rate ratio 0.81, 95% CI [0.80–0.82] among women aged 18–49 years, adjusted rate ratio 0.67 [0.65–0.69] among women aged 50–66 years). Of the older South Asian women living in the lowest-income neighbourhoods and not in a primary care enrolment model, 21.9% had been appropriately screened. In contrast, among Canadian-born women living in the highest-income neighbourhoods and in a primary care enrolment model, 79.0% had been appropriately screened. Conclusion Efforts to reduce Cervical Cancer Screening disparities should focus on women living in the lowest-income neighbourhoods and women from South Asia.

  • low rates of Cervical Cancer Screening among urban immigrants a population based study in ontario canada
    Medical Care, 2010
    Co-Authors: Aisha Lofters, Rahim Moineddin, Stephen W Hwang, Richard H Glazier
    Abstract:

    Objective:Women who are immigrants or socioeconomically disadvantaged have been found to have significantly lower Cervical Cancer Screening rates than their peers in Toronto, Ontario, Canada. The objective of this study was to examine rates of appropriate Cervical Cancer Screening among women living

Aisha Lofters - One of the best experts on this subject based on the ideXlab platform.

  • Cervical Cancer Screening among urban immigrants by region of origin a population based cohort study
    Preventive Medicine, 2010
    Co-Authors: Aisha Lofters, Rahim Moineddin, Stephen W Hwang, Richard H Glazier
    Abstract:

    Abstract Objectives We compared the prevalence of appropriate Cervical Cancer Screening among Screening-eligible immigrant women from major geographic regions of the world and native-born women. Methods We determined the proportion of women who were screened during the three-year period of 2006–2008 among 2.9 million Screening-eligible women living in urban centres in Ontario, Canada. In multivariate analyses, we adjusted for numerous variables including age, neighbourhood-level income, and prenatal visits during the study period. Results 61.3% of women were up-to-date on Cervical Cancer Screening. Screening rates were lowest among women from South Asia when compared to the referent group (Canadian-born women and immigrants who arrived before 1985) (adjusted rate ratio 0.81, 95% CI [0.80–0.82] among women aged 18–49 years, adjusted rate ratio 0.67 [0.65–0.69] among women aged 50–66 years). Of the older South Asian women living in the lowest-income neighbourhoods and not in a primary care enrolment model, 21.9% had been appropriately screened. In contrast, among Canadian-born women living in the highest-income neighbourhoods and in a primary care enrolment model, 79.0% had been appropriately screened. Conclusion Efforts to reduce Cervical Cancer Screening disparities should focus on women living in the lowest-income neighbourhoods and women from South Asia.

  • low rates of Cervical Cancer Screening among urban immigrants a population based study in ontario canada
    Medical Care, 2010
    Co-Authors: Aisha Lofters, Rahim Moineddin, Stephen W Hwang, Richard H Glazier
    Abstract:

    Objective:Women who are immigrants or socioeconomically disadvantaged have been found to have significantly lower Cervical Cancer Screening rates than their peers in Toronto, Ontario, Canada. The objective of this study was to examine rates of appropriate Cervical Cancer Screening among women living

Lisa I. Iezzoni - One of the best experts on this subject based on the ideXlab platform.

  • disparities in receipt of breast and Cervical Cancer Screening for rural women age 18 to 64 with disabilities
    Womens Health Issues, 2015
    Co-Authors: Willi Hornerjohnson, Konrad Dobbertin, Lisa I. Iezzoni
    Abstract:

    Abstract Background Previous research has found breast and Cervical Cancer Screening disparities between women with and without disabilities, and between women living in rural versus urban areas. Living in a rural area may add to the barriers women with disabilities experience when attempting to obtain Screening for breast and Cervical Cancer. The purpose of this study was to examine the combination of disability status and rurality in association with receipt of breast and Cervical Cancer Screening among women age 18 to 64 in the United States. Methods We conducted cross-sectional analyses of data from the Medical Expenditure Panel Survey, using pooled annual data files from 2002 through 2008. We compared recent receipt of breast and Cervical Cancer Screening among four groups: 1) urban women without disabilities, 2) urban women with disabilities, 3) rural women without disabilities, and 4) rural women with disabilities. Findings Overall, women with disabilities were less likely to be up to date with mammograms and Pap tests compared with women with no disabilities. Similarly, women in rural areas were less likely to have received breast or Cervical Cancer Screening within recommended timeframes. Women who both had a disability and lived in a rural area were the least likely to be current with Screening. Conclusions Our findings suggest that living in rural regions compounds disparities in receipt of Cancer Screening among women with disabilities. Increased attention is needed to improve receipt of Cancer Screening among rural women with disabilities.

  • breast and Cervical Cancer Screening disparities associated with disability severity
    Womens Health Issues, 2014
    Co-Authors: Willi Hornerjohnson, Konrad Dobbertin, Elena M Andresen, Lisa I. Iezzoni
    Abstract:

    Abstract Background Prior research has noted disparities between women with and without disabilities in receipt of timely Screening for breast and Cervical Cancer. Some studies suggest greater disparities for women with more severe disabilities, but the research to date has yielded inconsistent findings. Our purpose was to further examine differences in receipt of breast and Cervical Cancer Screening in relation to severity of disability. Methods We analyzed Medical Expenditure Panel Survey annual data files from 2002 to 2008. Logistic regression analyses examined whether Pap smears and mammograms had been received within the recommended timeframe according to U.S. Preventive Services Task Force Guidelines. We compared four groups of women aged 18 to 64 years, categorized by presence and complexity of disability: 1) No limitations, 2) basic action difficulties only, 3) complex activity limitations only, and 4) both basic and complex activity limitations. Findings Women both with and without disabilities fell short of Healthy People 2020 goals for breast and Cervical Cancer Screening. Overall, women with disabilities were less likely to be up to date with both mammograms and Pap tests. The magnitude of disparities was greater for women with complex limitations. Disparities in Pap testing, but not mammography, remained significant when controlling for demographic, geographic, and socioeconomic factors. Conclusions Women with more complex or severe disability were less likely to be up to date with breast and Cervical Cancer Screenings. Targeted efforts are needed to reduce barriers to breast and Cervical Cancer Screening for women with significant disabilities, especially those who also experience other socioecological disadvantages.