Evidence map›Paper›PMID 38847944›Full record

ArticleJournal of racial and ethnic health disparities2025

Barriers and Facilitators to Breast and Cervical Cancer Screenings for Hispanic Women in a Rural State.

Sally Moyce, David Claudio, Elizabeth Aghbashian, Kelly Keenan, Danika Lee Comey, Genesis Chavez-Reyes

Abstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sally MoyceCollege of Nursing, Montana State University, Bozeman, MT, USA.
David ClaudioCollege of Nursing, Montana State University, Bozeman, MT, USA.
Elizabeth AghbashianCollege of Nursing, Montana State University, Bozeman, MT, USA.
Kelly KeenanCollege of Nursing, Montana State University, Bozeman, MT, USA.
Danika Lee ComeyCollege of Nursing, Montana State University, Bozeman, MT, USA. danika.comey@montana.edu.ORCID 0000-0001-7000-4777
Genesis Chavez-ReyesCollege of Nursing, Montana State University, Bozeman, MT, USA.

Funding

Robert Wood Johnson Foundation 79693Robert Wood Johnson Foundation 97113
6 · The paper itself

Abstract

introductionThe Centers for Disease Control and Prevention (CDC) and the Division of Cancer Prevention of Control administer the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), designed to increase early detection of cancers among low-income uninsured and underinsured women. However, rates of cancer diagnosis and survivorship differ among women of different ethnicities. We investigated two questions: 1) what are the potential barriers and facilitators for women to complete recommended breast and cervical cancer screenings, and 2) are the barriers and facilitators different for Hispanic women when compared to non-Hispanic White women?

methodsWe used a community-based participatory research approach and mixed methods: qualitative interviews with women enrolled in the program and a systematic process improvement approach to identify root causes of completing or not completing screenings. We conducted semi-structured interviews in English (n = 11) and Spanish (n = 9) and analyzed responses using fishbone diagrams.

resultsWe recruited 20 participants in four categories: (a) non-Hispanic White women who completed screenings (n = 9), (b) non-Hispanic White women who did not complete screenings (n = 2), (c) Hispanic women who completed screenings (n = 7), and (d) Hispanic women who did not complete screenings (n = 2). Among all women, facilitators included assistance from program staff with appointments and reminders. Hispanic women reported barriers including language difficulties and confusion about the program. Non-Hispanic White women identified barriers as confusion about the role of insurance.

conclusionsWe found that there are differences in barriers and facilitators for non-Hispanic White women and Hispanic women due to language, the role of insurance, and the level of trust in the program. Reasons for not completing screenings for Hispanic women were structural and systemic in nature; reasons for non-Hispanic White women were based on personal choices.

Indexed as

Breast NeoplasmsEarly Detection of CancerHealth Services AccessibilityHispanic or LatinoRural PopulationUterine Cervical NeoplasmsAdultAgedCommunity-Based Participatory ResearchFemaleHumansInterviews as TopicMiddle AgedQualitative ResearchBreast and cervical cancer screeningCommunity-based participatory researchHispanicQualitative researchSystematic process improvement approach

Identifiers

PMID38847944
PMCPMC12241181

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Registered trials

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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.