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Regional variations in cancer screening rates found in women with diabetes.
- Source :
-
Nursing research [Nurs Res] 2010 Jan-Feb; Vol. 59 (1), pp. 34-41. - Publication Year :
- 2010
-
Abstract
- Background: A review of the literature gives conflicting findings regarding gender-specific cancer screening rates found in women with chronic illness.<br />Objectives: The purpose of this study was to determine if women with diabetes have different patterns of cancer screening than women of the general population, and if so, to identify the determinants of these screening patterns guided by the Predisposing, Reinforcing, and Enabling Constructs in Educational Diagnosis and Evaluation (PRECEDE) model.<br />Methods: The 12 states using the optional women's health module for the 2003 Behavioral Risk Factor Surveillance System were downloaded into the STATA software. Contingency tables were used to identify the prevalence of cancer screening in women who self-report that they have diabetes in comparison with women who report being nondiabetic. Logistic regression was used to examine the association between the PRECEDE model determinants and the screening behaviors.<br />Results: No significant association was found between having a diagnosis of diabetes and having mammography screening rates (F = 1.5, p =.22). However, cervical cancer screening rates were statistically significantly different between the two groups of women (F = 39.01, p <.01). A gap in cervical cancer screening rates was identified among women with diabetes as compared with women without diabetes (78% versus 86%, respectively). Regional exceptions were noted between the 12 states. Ten of the 11 PRECEDE variables demonstrated a significant association with Papanicolaou test screening rates. The states demonstrating inadequate screening rates were the states with the most negative PRECEDE factors.<br />Discussion: Research has shown that the primary reason women seek cancer screening is when they are encouraged by a healthcare provider. If other care providers are focused on disease management, nurses who provide holistic care can build on the advocacy role inherent in nursing and encourage screening in underserved areas of the country.
- Subjects :
- Adult
Aged
Behavioral Risk Factor Surveillance System
Breast Neoplasms prevention & control
Comorbidity
Diabetes Mellitus, Type 2 prevention & control
Female
Health Knowledge, Attitudes, Practice
Humans
Logistic Models
Middle Aged
Patient Acceptance of Health Care psychology
Risk Factors
Sickness Impact Profile
Socioeconomic Factors
United States epidemiology
Uterine Cervical Neoplasms prevention & control
Women's Health
Breast Neoplasms epidemiology
Diabetes Mellitus, Type 2 epidemiology
Mammography statistics & numerical data
Mass Screening statistics & numerical data
Patient Acceptance of Health Care statistics & numerical data
Uterine Cervical Neoplasms epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1538-9847
- Volume :
- 59
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Nursing research
- Publication Type :
- Academic Journal
- Accession number :
- 20010043
- Full Text :
- https://doi.org/10.1097/NNR.0b013e3181c3bd07