| Primary care cancer control interventions including Latinos: a review. | |
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MedLine Citation:
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PMID: 14507536 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Even though 86% of adult Latinos have a usual source of care, there is a paucity of literature on primary care-based interventions to promote cancer prevention and control in this population. This systematic review examines published primary care-based cancer control interventions that included Latinos. METHODS: MEDLINE, the Cochrane Registry, and EMBASE were searched from January 1985 to January 2003. Any primary care-based intervention using a controlled trial, quasi-experimental, or pre-post design that targeted breast, cervical, or colorectal cancer was included if at least 5% of the sample was Latino. RESULTS: A total of 14 intervention studies met inclusion criteria. Seven of the 14 studies described patient or provider reminder interventions. Other interventions incorporated into the primary care setting one of the following: community health educators, culturally sensitive videos, audit with feedback, materials from the "Put Prevention Into Practice" campaign, and vouchers for free screenings. The heterogeneity of designs and outcome variables and the low number of Latinos presented obstacles to combining data to estimate the overall effectiveness of primary care interventions for this population. Qualitatively, patient and physician reminders and management systems strategies including audit with feedback for providers appear to result in improved screening utilization. CONCLUSIONS: There is a paucity of data on the effectiveness of primary care cancer control interventions directed at Latinos. Primary care-based interventions that have been effective in non-Latinos could incorporate culturally appropriate elements and lessons from community-based research and could be applied to Latinos so that their effectiveness can be assessed in this group. |
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Authors:
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Ann S O'Malley; Rosa M Gonzalez; Vanessa B Sheppard; Elmer Huerta; Jeanne Mandelblatt |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S.; Review |
Journal Detail:
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Title: American journal of preventive medicine Volume: 25 ISSN: 0749-3797 ISO Abbreviation: Am J Prev Med Publication Date: 2003 Oct |
Date Detail:
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Created Date: 2003-09-25 Completed Date: 2004-02-19 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8704773 Medline TA: Am J Prev Med Country: Netherlands |
Other Details:
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Languages: eng Pagination: 264-71 Citation Subset: IM |
Affiliation:
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Georgetown University Medical Center, Lombardi Cancer Center, Cancer Control Program, Washington, District of Columbia, USA. omalleya@georgetown.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Health Promotion Hispanic Americans* Humans Neoplasms / ethnology*, prevention & control* Patient Education as Topic Primary Health Care* Reminder Systems |
| Grant Support | |
ID/Acronym/Agency:
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1KO7 CA91848-01/CA/NCI NIH HHS; UO1 CA 86114-01/CA/NCI NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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