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Research Grants Awarded
Exploring Navigation Solutions to Mammography Barriers among Hispanic Women in New Mexico
Breast Cancer Disparities
The primary goal of this study, "Exploring Navigation Solutions to Mammography Utilization Barriers," is to conduct preliminary research for the purpose of developing and conducting patient navigation interventions to increase screening mammography. The secondary goal is to create a model for investigating navigation modalities that are needed to improve mammography utilization. To accomplish this, the specific aims of this research are: (1) conduct a confirmatory analysis of barriers to breast cancer screening as described in current literature and explore: whether a patient navigation system could address: (a) the existing subjective and objective barriers that Hispanic, rural, and/or lower SES women age 40 to 64 living in New Mexico experience and (b) levels of understanding women have of available resources and access to breast cancer screening services; (2) conduct an exploratory analysis of how and whether a patient navigation system could address the subjective and objective barriers that providers, including community health workers experience in offering breast cancer screening in order to increase uptake of currently available services; and (3) develop hypotheses about the effectiveness of patient navigation interventions to increase mammography utilization in Hispanic populations of women aged 40 to 64. Research data will be collected through existing databases, focus groups, face-to-face interviews and surveys. Qualitative and quantitative methods of data analysis will be employed. This exploratory research will address the Susan G. Komen priority to reduce breast cancer health disparities.
Hispanic women, ages 40 and older, in New Mexico use screening mammography less, are more likely to be diagnosed with breast cancer in later stages, and have lower rates of breast cancer survival than do 40 years and older non-Hispanic White women in the state. The primary goal of this study - "Exploring Navigation Solutions to Mammography Utilization Barriers" - is to assess why Hispanic women in New Mexico do not seek mammography screening; and then to seek possible patient navigation methods with the goal to improve rates of mammography screening among Hispanic women. Information will be gathered and compared from focus groups with Hispanic women who have had a screening mammogram in the past two years and focus groups with Hispanic women who have not had a screening mammogram in the past two years. Data collection methods also include focus groups with community health workers (Promotoras), and interviews with primary care physicians. The focus group and interview topics will address barriers and facilitators to mammography for Hispanic women as well as recommendations for improving mammography usage among Hispanic women from the health care workers' experience and point-of-view. The information gathered will be used to develop, implement and study patient navigation interventions that may prove effective in increasing rates of mammography use among Hispanic women in New Mexico.