Racial/Ethnic Disparities in Cervical Cancer Screening Services Among Contractors of the Connecticut Breast and Cervical Cancer Early Detection Program
Purpose: Racial/ethnic minority women are at increased risk for cervical cancer. The objective of this study is to use performance management data from the Connecticut Breast and Cervical Cancer Early Detection Program (CBCCEDP) to determine whether race/ethnicity disparities exist in human papillom...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Mary Ann Liebert
2018-04-01
|
Series: | Health Equity |
Subjects: | |
Online Access: | https://www.liebertpub.com/doi/full/10.1089/HEQ.2017.0038 |
id |
doaj-6fdb3c2b2de14aae81b0a94704dc7952 |
---|---|
record_format |
Article |
spelling |
doaj-6fdb3c2b2de14aae81b0a94704dc79522020-11-25T00:06:20ZengMary Ann LiebertHealth Equity 2473-12422018-04-0121303610.1089/HEQ.2017.0038Racial/Ethnic Disparities in Cervical Cancer Screening Services Among Contractors of the Connecticut Breast and Cervical Cancer Early Detection ProgramMorgan A. Pratte0Amy Griffin1Amy Griffin2Chioma Ogazi3Susan Yurasevecz4Carol A. Blanks5Lisa McCooey6Joy S. Kaufman7Joy S. Kaufman8Department of Family Medicine, SUNY Upstate Medical UniversityProgram and Service System Evaluation, The Consultation CenterDepartment of Psychiatry, Yale UniversityComprehensive Cancer ProgramComprehensive Cancer ProgramComprehensive Cancer ProgramComprehensive Cancer ProgramProgram and Service System Evaluation, The Consultation CenterDepartment of Psychiatry, Yale UniversityPurpose: Racial/ethnic minority women are at increased risk for cervical cancer. The objective of this study is to use performance management data from the Connecticut Breast and Cervical Cancer Early Detection Program (CBCCEDP) to determine whether race/ethnicity disparities exist in human papillomavirus (HPV) co-testing uptake across CBCCEDP contractors. Methods: Secondary analysis of Connecticut's Minimum Data Elements data for 2013–2015 among 10 contractors participating in the CBCCEDP. Participants included women aged 30–64 years and eligible to receive routine cervical cancer screening services through the CBCCEDP (n=5,262). HPV co-testing uptake was compared across contractors and race/ethnicity groups within each contractor using chi-square and Fisher's exact tests as appropriate. Results: Overall, 62.9% of women received HPV co-testing services. Significant differences in co-testing rates were detected between racial/ethnic groups when data were examined across all contractors (p<0.001). Black women were least likely to receive co-testing (49.1%), while Hispanic women were most likely to receive co-testing (68.2%). When data were examined at the individual contractor level, significant differences between racial/ethnic groups were observed in 50% of the contractors. Conclusions: This study identified racial/ethnic disparities in uptake of HPV co-testing both overall and within individual contractors involved in the CBCCEDP. These findings will be used to guide program improvement with the goal of increasing quality and consistency of care for all women seeking screening services.https://www.liebertpub.com/doi/full/10.1089/HEQ.2017.0038cancer screeninghealth disparitiespublic health clinics |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Morgan A. Pratte Amy Griffin Amy Griffin Chioma Ogazi Susan Yurasevecz Carol A. Blanks Lisa McCooey Joy S. Kaufman Joy S. Kaufman |
spellingShingle |
Morgan A. Pratte Amy Griffin Amy Griffin Chioma Ogazi Susan Yurasevecz Carol A. Blanks Lisa McCooey Joy S. Kaufman Joy S. Kaufman Racial/Ethnic Disparities in Cervical Cancer Screening Services Among Contractors of the Connecticut Breast and Cervical Cancer Early Detection Program Health Equity cancer screening health disparities public health clinics |
author_facet |
Morgan A. Pratte Amy Griffin Amy Griffin Chioma Ogazi Susan Yurasevecz Carol A. Blanks Lisa McCooey Joy S. Kaufman Joy S. Kaufman |
author_sort |
Morgan A. Pratte |
title |
Racial/Ethnic Disparities in Cervical Cancer Screening Services Among Contractors of the Connecticut Breast and Cervical Cancer Early Detection Program |
title_short |
Racial/Ethnic Disparities in Cervical Cancer Screening Services Among Contractors of the Connecticut Breast and Cervical Cancer Early Detection Program |
title_full |
Racial/Ethnic Disparities in Cervical Cancer Screening Services Among Contractors of the Connecticut Breast and Cervical Cancer Early Detection Program |
title_fullStr |
Racial/Ethnic Disparities in Cervical Cancer Screening Services Among Contractors of the Connecticut Breast and Cervical Cancer Early Detection Program |
title_full_unstemmed |
Racial/Ethnic Disparities in Cervical Cancer Screening Services Among Contractors of the Connecticut Breast and Cervical Cancer Early Detection Program |
title_sort |
racial/ethnic disparities in cervical cancer screening services among contractors of the connecticut breast and cervical cancer early detection program |
publisher |
Mary Ann Liebert |
series |
Health Equity |
issn |
2473-1242 |
publishDate |
2018-04-01 |
description |
Purpose: Racial/ethnic minority women are at increased risk for cervical cancer. The objective of this study is to use performance management data from the Connecticut Breast and Cervical Cancer Early Detection Program (CBCCEDP) to determine whether race/ethnicity disparities exist in human papillomavirus (HPV) co-testing uptake across CBCCEDP contractors.
Methods: Secondary analysis of Connecticut's Minimum Data Elements data for 2013–2015 among 10 contractors participating in the CBCCEDP. Participants included women aged 30–64 years and eligible to receive routine cervical cancer screening services through the CBCCEDP (n=5,262). HPV co-testing uptake was compared across contractors and race/ethnicity groups within each contractor using chi-square and Fisher's exact tests as appropriate.
Results: Overall, 62.9% of women received HPV co-testing services. Significant differences in co-testing rates were detected between racial/ethnic groups when data were examined across all contractors (p<0.001). Black women were least likely to receive co-testing (49.1%), while Hispanic women were most likely to receive co-testing (68.2%). When data were examined at the individual contractor level, significant differences between racial/ethnic groups were observed in 50% of the contractors.
Conclusions: This study identified racial/ethnic disparities in uptake of HPV co-testing both overall and within individual contractors involved in the CBCCEDP. These findings will be used to guide program improvement with the goal of increasing quality and consistency of care for all women seeking screening services. |
topic |
cancer screening health disparities public health clinics |
url |
https://www.liebertpub.com/doi/full/10.1089/HEQ.2017.0038 |
work_keys_str_mv |
AT morganapratte racialethnicdisparitiesincervicalcancerscreeningservicesamongcontractorsoftheconnecticutbreastandcervicalcancerearlydetectionprogram AT amygriffin racialethnicdisparitiesincervicalcancerscreeningservicesamongcontractorsoftheconnecticutbreastandcervicalcancerearlydetectionprogram AT amygriffin racialethnicdisparitiesincervicalcancerscreeningservicesamongcontractorsoftheconnecticutbreastandcervicalcancerearlydetectionprogram AT chiomaogazi racialethnicdisparitiesincervicalcancerscreeningservicesamongcontractorsoftheconnecticutbreastandcervicalcancerearlydetectionprogram AT susanyurasevecz racialethnicdisparitiesincervicalcancerscreeningservicesamongcontractorsoftheconnecticutbreastandcervicalcancerearlydetectionprogram AT carolablanks racialethnicdisparitiesincervicalcancerscreeningservicesamongcontractorsoftheconnecticutbreastandcervicalcancerearlydetectionprogram AT lisamccooey racialethnicdisparitiesincervicalcancerscreeningservicesamongcontractorsoftheconnecticutbreastandcervicalcancerearlydetectionprogram AT joyskaufman racialethnicdisparitiesincervicalcancerscreeningservicesamongcontractorsoftheconnecticutbreastandcervicalcancerearlydetectionprogram AT joyskaufman racialethnicdisparitiesincervicalcancerscreeningservicesamongcontractorsoftheconnecticutbreastandcervicalcancerearlydetectionprogram |
_version_ |
1725422588526592000 |