Adherence, Cervical Cancer, Cervical Precancer
Conditions
Brief summary
In the United States, the highest incidence of cervical cancer occurs in inner city urban centers, rural areas, the deep South, Appalachia and the U.S.-Mexico border. The goal of this study is to study predictors of adherence among patients seeking care at an inner city medical center in New York City and the U.S. Mexico border for cervical cancer prevention, namely, Pap smears and colposcopy exams.
Detailed description
Because there are multiple pathways through which a person is influenced to seek and receive care, the investigators will conduct interviews with patients seeking care for cervical cancer prevention at an inner city medical center. The investigators will ask questions related to previous screening, diagnostic, and treatment practices as well as barriers experienced in seeking such care. The investigators will also explore patients' level of resiliency and coping as predictors of adherence to timely care. Furthermore, among immigrants, questions about acculturation and discrimination will be asked. Additional measures of socioeconomic status, such as education, income and occupation will also be collected.
Interventions
None listed
Sponsors
Brookdale University Hospital Medical Center
Study design
Observational model
CASE_ONLY
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
FEMALE
Age
21 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* women who are at least 21 years old * are seeking care for a Pap smear exam * are seeking care for a colposcopy exam for the first time * are not pregnant by self-report * are able to provide informed consent
Exclusion criteria
* women who do not meet the above eligibility criteria * women who have no prior history of a hysterectomy * women who have previously participated in this study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adherence to screening, colposcopy and follow-up treatment | 1-2 hour interview during clinic visit and review of patients' medical records during surveillance period (up to 2 years) | A survey will be administered to patients who present for a routine Pap smear exam, a follow-up colposcopy exam. Medical records will be reviewed to document adherence to treatments post-colposcopy |
Countries
United States
Contacts
Primary ContactLeonid Fradkin, PhD
Backup ContactThelma Carrillo
Outcome results
None listed