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Decreasing Disparities in Breast Cancer Screening in Refugee Women Using Culturally Tailored Patient Navigation
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In: Social Work Faculty Publications (2013)
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Abstract:
BACKGROUND: Patient navigator (PN) programs can improve breast cancer screening in low income, ethnic/racial minorities. Refugee women have low breast cancer screening rates, but it has not been shown that PN is similarly effective. OBJECTIVE: Evaluate whether a PN program for refugee women decreases disparities in breast cancer screening. DESIGN: Retrospective program evaluation of an implemented intervention. PARTICIPANTS: Women who self-identified as speaking Somali, Arabic, or Serbo-Croatian (Bosnian) and were eligible for breast cancer screening at an urban community health center (HC). Comparison groups were English-speaking and Spanish-speaking women eligible for breast cancer screening in the same HC. INTERVENTION: Patient navigators educated women about breast cancer screening, explored barriers to screening, and tailored interventions individually to help complete screening. MAIN MEASURES: Adjusted 2-year mammography rates from logistic regression models for each calendar year accounting for clustering by primary care physician. Rates in refugee women were compared to English-speaking and Spanish-speaking women in the year before implementation of the PN program and over its first 3 years. RESULTS: There were 188 refugee (36 Somali, 48 Arabic, 104 Serbo-Croatian speaking), 2,072 English-speaking, and 2,014 Spanish-speaking women eligible for breast cancer screening over the 4-year study period. In the year prior to implementation of the program, adjusted mammography rates were lower among refugee women (64.1 %, 95 % CI: 49–77 %) compared to English-speaking (76.5 %, 95 % CI: 69 %–83 %) and Spanish-speaking (85.2 %, 95 % CI: 79 %–90 %) women. By the end of 2011, screening rates increased in refugee women (81.2 %, 95 % CI: 72 %–88 %), and were similar to the rates in English-speaking (80.0 %, 95 % CI: 73 %–86 %) and Spanish-speaking (87.6 %, 95 % CI: 82 %–91 %) women. PN increased screening rates in both younger and older refugee women. CONCLUSION: Linguistically and culturally tailored PN decreased disparities over time in breast cancer screening among female refugees from Somalia, the Middle East and Bosnia.
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Keyword:
breast cancer screening; disparities; patient navigation; Social Work; vulnerable populations; Women's Health
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URL: https://vc.bridgew.edu/socialwork_fac/35
https://doi.org/10.1007/s11606-013-2491-4
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| 62 |
Entrainment on the move and in the lab: The Walking Around Corpus
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In: http://www.psychology.sunysb.edu/sbrennan-/papers/bsb_cogsci_2013.pdf (2013)
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| 63 |
Former des "apprentis-linguistes"
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In: L'écriture experte : enjeux sociaux et scientifiques ; https://halshs.archives-ouvertes.fr/halshs-00998098 ; L'écriture experte : enjeux sociaux et scientifiques, Jun 2013, Sherbrooke, Canada (2013)
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| 64 |
Spatialized Audio and Landmarks in Team Navigation
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In: http://rave.ohiolink.edu/etdc/view?acc_num=wright1376403917 (2013)
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| 65 |
New Proposals for the Design of Integrated Online Wine Industry Dictionaries
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In: Lexikos; Vol. 23 (2013) ; 2224-0039 (2013)
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| 66 |
How Dictionary Users Choose Senses in Bilingual Dictionary Entries: An Eye-Tracking Study
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In: Lexikos; Vol. 23 (2013) ; 2224-0039 (2013)
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| 67 |
Old Communication – New Means: The Linguistic Study of Ukrainian Orthodox Church and Ukrainian Greek-Catholic Church Websites
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Pankovskyi, Iaroslav. - : University of Alberta. Department of Modern Languages and Cultural Studies., 2013
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| 68 |
Old Communication – New Means: The Linguistic Study of Ukrainian Orthodox Church and Ukrainian Greek-Catholic Church Websites
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Pankovskyi, Iaroslav. - : University of Alberta. Department of Modern Languages and Cultural Studies., 2013
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| 69 |
Spatialized Audio and Landmarks in Team Navigation
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In: Browse all Theses and Dissertations (2013)
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| 70 |
How Dictionary Users Choose Senses in Bilingual Dictionary Entries: An Eye-Tracking Study
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In: Lexikos, Vol 23, Pp 228-254 (2013) (2013)
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| 71 |
New Proposals for the Design of Integrated Online Wine Industry Dictionaries
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In: Lexikos, Vol 23, Pp 209-227 (2013) (2013)
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| 72 |
A Novel Complete Reading Embedded System for the Vision Impaired
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| 73 |
Graph Mining Under Linguistic Constraints to Explore LargeTexts ; Fouille de graphes sous contraintes linguistiques pour l'exploration de grands textes
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In: Actes de la conférence conjointe JEP-TALN-RECITAL 2012 [vol. 2 : TALN] ; Conférence sur le Traitement Automatique des Langues Naturelles (TALN'12) ; https://hal.archives-ouvertes.fr/hal-00702606 ; Conférence sur le Traitement Automatique des Langues Naturelles (TALN'12), Jun 2012, Grenoble, France. pp.253-266 ; https://www.aclweb.org/anthology/F12-2019.pdf (2012)
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| 74 |
La navigation discursive. L'anaphore réomptive et mouvement discursif
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In: L'analyse du discours dans la société ; https://halshs.archives-ouvertes.fr/halshs-00715050 ; Pugnière-Saavedra F., Sitri F., Venard M. L'analyse du discours dans la société, Honoré Champion, pp.365-389, 2012 (2012)
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| 75 |
Author manuscript, published in "Proceedings of International Workshop on Smalltalk Technologies (IWST'09) (2009)" Tackling Software Navigation Issues of the Smalltalk IDE
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In: http://hal.inria.fr/docs/00/74/62/47/PDF/10.1.1.192.364.pdf (2012)
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| 77 |
Tidal Inlet Morphology Classification and Empirical Determination of Seaward and Down-Drift Extents of Tidal Inlets
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In: DTIC (2012)
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| 78 |
Мультимедийная журналистика как фактор развития информационной культуры периодических изданий ; Multimedia journalism as the factor of development of information culture of periodicals
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| 79 |
Textual autocorrelation : formalism and illustrations
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In: 11èmes Journées internationales d'analyse statistique des données textuelles, pp. 109-120 (2012)
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