Church-based breast cancer screening education: impact of two approaches on Latinas enrolled in public and private health insurance plans.

Church-based breast cancer screening education: impact of two approaches on Latinas enrolled in public and private health insurance plans. Research Abstract Details 

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Church-based breast cancer screening education: impact of two approaches on Latinas enrolled in public and private health insurance plans. Abstract Text:

Angela Sauaia,Sung-joon Min,David Lack,Cecilia Apodaca,Diego Osuna,Angela Stowe,Gretchen F MGinnis,Lisa M Latts,Tim Byers,

INTRODUCTION: The Tepeyac Project is a church-based health promotion project that was conducted from 1999 through 2005 to increase breast cancer screening rates among Latinas in Colorado. Previous reports evaluated the project among Medicare and Medicaid enrollees in the state. In this report, we evaluate the program among enrollees in the state's five major insurance plans. METHODS: We compared the Tepeyac Project's two interventions: the Printed Intervention and the Promotora Intervention. In the first, we mailed culturally tailored education packages to 209 Colorado Catholic churches for their use. In the second, promotoras (peer counselors) in four Catholic churches delivered breast-health education messages personally. We compared biennial mammogram claims from the five insurance plans in the analysis at baseline (1998-1999) and during follow-up (2000-2001) for Latinas who had received the interventions. We used generalized estimating equations (GEE) analysis to adjust rates for confounders. RESULTS: The mammogram rate for Latinas in the Printed Intervention remained the same from baseline to follow-up (58% [2979/5130] vs 58% [3338/5708]). In the Promotora Intervention, the rate was 59% (316/536) at baseline and 61% (359/590) at follow-up. Rates increased modestly over time and varied widely by insurance type. After adjusting for age, income, urban versus rural location, disability, and insurance type, we found that women exposed to the Promotora Intervention had a significantly higher increase in biennial mammograms than did women exposed to the Printed Intervention (GEE parameter estimate = .24 [+/-.11], P = .03). CONCLUSION: For insured Latinas, personally delivering church-based education through peer counselors appears to be a better breast-health promotion method than mailing printed educational materials to churches.

Church-based breast cancer screening education: impact of two approaches on Latinas enrolled in public and private health insurance plans. Publishing Authors By Initials

A Sauaia,SJ Min,D Lack,C Apodaca,D Osuna,A Stowe,GF MGinnis,LM Latts,T Byers,

For similar information science: communications media: teaching materials research abstracts see: information science: communications media: teaching materials research

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Church-based breast cancer screening education: impact of two approaches on Latinas enrolled in public and private health insurance plans. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: Preventing chronic disease

VOLUME: 4

Page Numbers: A99

Journal Abbreviation:

ISSN: 1545-1151

DAY: 15

MONTH: 09

YEAR: 2007

Church-based breast cancer screening education: impact of two approaches on Latinas enrolled in public and private health insurance plans. Information

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LANGUAGE: eng

NlmUniqueID: 101205018

Church-based breast cancer screening education: impact of two approaches on Latinas enrolled in public and private health insurance plans. Keywords Mesh Terms:

KEYWORDS: Teaching Materials

MESH TERMS: utilization

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AFFILIATION: Department of Medicine, Division of Health Care Policy and Research, University of Colorado Health Sciences Center, 13611 East Colfax Ave, Ste 100, Aurora, CO 80011, USA. Angela.Sauaia@UCHSC.edu

Country: United States

AGENCY: United States NCI

GRANT: 1R03CA110820-01

ACRONYM: CA

MEDLINETA: Prev Chronic Dis

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