ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2016
Multilevel Intervention Raises Latina Participation in Mammography Screening: Findings from ¡Fortaleza Latina!
Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 9 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 9 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Pooled it
- Advancing Mammographic Screening Among Underserved Groups: A Systematic Review and Meta-Analysis of Intervention Strategies to Increase Breast Cancer Screening Uptake.Public health reviews · 2025Pooled it
- Video Interventions for Reducing Health Inequity in Cancer Screening Programmes: a Systematic Review.Journal of racial and ethnic health disparities · 2024Pooled it
- Shared decision-making for supporting women's decisions about breast cancer screening.The Cochrane database of systematic reviews · 2024Pooled it
- Community Health Workers to Increase Cancer Screening: 3 Community Guide Systematic Reviews.American journal of preventive medicine · 2023Pooled it
- Cultural adaptations of motivational interviewing: A systematic review.Psychological services · 2023Pooled it
- Interventions to Reduce Healthcare Disparities in Cancer Screening Among Minority Adults: a Systematic Review.Journal of racial and ethnic health disparities · 2021Pooled it
- Systematic Review of Mammography Screening Educational Interventions for Hispanic Women in the United States.Journal of cancer education : the official journal of the American Association for Cancer Education · 2019Pooled it
- Social determinants of health and US cancer screening interventions: A systematic review.CA: a cancer journal for cliniciansPooled it
- Group Versus Individual Educational Sessions With aAJR. American journal of roentgenology · 2019Trial
- Mobile Versus Fixed Facility: Latinas' Attitudes and Preferences for Obtaining a Mammogram.Journal of the American College of Radiology : JACR · 2018Trial
- A global scoping review of interventions to increase participation in screening programmes for breast, cervical and colorectal cancer between 2016 and 2025.BMC public health · 2026Article
- Centering intersectional breast cancer screening experiences among black, Latina, and white women: a qualitative analysis.Frontiers in public health · 2024Article
- Challenges and successes in the sustainment of Dutch community-level smoking cessation interventions for residents with a low socioeconomic position.BMC public health · 2023Article
- Interventions to reduce cancer screening inequities: the perspective and role of patients, advocacy groups, and empowerment organizations.International journal for equity in health · 2023Article
- Training promotores to lead virtual hereditary breast cancer education sessions for Spanish-speaking individuals of Latin American heritage in California.BMC women's health · 2022Article
- Designing and Assessing Multilevel Interventions to Improve Minority Health and Reduce Health Disparities.American journal of public health · 2019Article
- Barriers in Latin America for the management of locally advanced breast cancer.Ecancermedicalscience · 2019Review
- Promoting guideline-based cancer genetic risk assessment for hereditary breast and ovarian cancer in ethnically and geographically diverse cancer survivors: Rationale and design of a 3-arm randomized controlled trial.Contemporary clinical trials · 2018Article
- Breast Cancer Beliefs as Potential Targets for Breast Cancer Awareness Efforts to Decrease Late-Stage Presentation in Uganda.Journal of global oncology · 2018Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundBreast cancer is the most commonly diagnosed cancer in women in the United States, and Latinas have relatively low rates of screening participation. The Multilevel Intervention to Increase Latina Participation in Mammography Screening study (¡Fortaleza Latina!) sought to assess the efficacy of a clinic- and patient-level program to increase breast cancer screening among Latinas in Western Washington who seek care at a safety net health center.
methodsThe study enrolled 536 Latinas ages 42 to 74 who had a primary care clinic visit in the previous 5 years and had not obtained a mammogram in the previous 2 years. Participants were block-randomized within clinic to either (i) a control arm (usual care) or (ii) a promotora-led, motivational interviewing intervention that included a home visit and telephone follow-up. At the clinic level, two of four participating clinics were provided additional mammography services delivered by a mobile mammography unit.
resultsRates of screening mammography 1 year post-randomization were 19.6% in the intervention group and 11.0% in the usual care group (P < 0.01), based on medical record data. No significant differences in participants' mammography screening were observed in clinics randomized to additional mammography services versus usual care (15.8% vs. 14.4%; P = 0.68).
conclusionThis multilevel intervention of promotora-delivered motivational interviewing and free mammography services modestly raised rates of participation in breast cancer screening among Latinas. IMPACT: Our findings can inform future efforts to boost mammography participation in safety net practices. Cancer Epidemiol Biomarkers Prev; 25(4); 584-92. ©2016 AACR SEE ALL ARTICLES IN THIS CEBP FOCUS SECTION, "MULTILEVEL APPROACHES TO ADDRESSING CANCER HEALTH DISPARITIES".
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.