Ohio Appalachian Women's Perceptions of the Cost of Cervical Cancer Screening

被引:8
作者
McAlearney, Ann Scheck [1 ,2 ]
Song, Paula H. [1 ]
Rhoda, Dale A. [2 ,3 ]
Tatum, Cathy [2 ]
Lemeshow, Stanley [2 ,3 ,4 ]
Ruffin, Mack [5 ]
Harrop, J. Phil [1 ,2 ]
Paskett, Electra D. [2 ,6 ]
机构
[1] Ohio State Univ, Coll Publ Hlth, Div Hlth Serv Management & Policy, Columbus, OH 43210 USA
[2] Ohio State Univ, Ctr Comprehens Canc, Ctr Populat Hlth & Hlth Dispar, Columbus, OH 43210 USA
[3] Ohio State Univ, Ctr Biostat, Columbus, OH 43210 USA
[4] Ohio State Univ, Coll Publ Hlth, Div Biostat, Columbus, OH 43210 USA
[5] Univ Michigan, Sch Med, Dept Family Med, Ann Arbor, MI USA
[6] Ohio State Univ, Coll Publ Hlth, Div Epidemiol, Columbus, OH 43210 USA
关键词
Papanicolaou test; disparities; perception of cost; access; cost barriers; underserved populations; Appalachia; cancer screening; CARE; BREAST; MAMMOGRAPHY; DISPARITIES; INSURANCE; EDUCATION; AMERICAN; BARRIERS;
D O I
10.1002/cncr.25491
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
BACKGROUND: Despite evidence of the importance of cervical cancer screening, screening rates in the United States remain below national prevention goals. Women in the Appalachia Ohio region have higher cervical cancer incidence and mortality rates along with lower cancer screening rates. This study explored the expectations of Appalachian Ohio women with regard to Papanicolaou (Pap) test cost and perceptions of cost as a barrier to screening. METHODS: Face-to-face interviews were conducted with 571 women who were part of a multilevel, observational community-based research program in Appalachia Ohio. Eligible women were identified through 14 participating health clinics and asked questions regarding Pap test cost and perceptions of cost as a barrier to screening. Estimates of medical costs were compared with actual costs reported by clinics. RESULTS: When asked about how much a Pap test would cost, 80% of the women reported they did not know. Among women who reportedly believed they knew the cost, 40% overestimated test cost. Women who noted cost as a barrier were twice as likely to not receive a test within screening guidelines as those who did not perceive a cost barrier. Furthermore, uninsured women were more than 8.5 times as likely to note cost as a barrier than women with private insurance. CONCLUSIONS: Although under-served women in need of cancer screening commonly report cost as a barrier, the findings of the current study suggest that women may have a very limited and often inaccurate understanding concerning Pap test cost. Providing women with this information may help reduce the impact of this barrier to screening. Cancer 2010; 116: 4727-34. (C) 2010 American Cancer Society.
引用
收藏
页码:4727 / 4734
页数:8
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