Wisconsin Medical Journal
Volume 117, Issue 2, 2018, Pages 55-61

Increasing mammography uptake through academic-community partnerships targeting immigrant and refugee communities in Milwaukee (Article)

Kamaraju S.* , Denomie M. , Visotcky A. , Banerjee A. , Krause K. , Tavares E. , Rao A. , Drew E. , Neuner J. , Stolley M.
  • a Medical College of Wisconsin (MCW), Department of Medicine, Division of Hematology and Oncology, Milwaukee, WI, United States
  • b MCW, Department of Family and Community Medicine, Milwaukee, WI, United States
  • c MCW, Department of Biostatistics, Milwaukee, WI, United States
  • d MCW, Department of Biostatistics, Milwaukee, WI, United States
  • e MCW, Milwaukee, WI, United States
  • f MCW, Milwaukee, WI, United States
  • g MCW, Milwaukee, WI, United States
  • h University of Alaska Fairbanks, Division of Anthropology, Fairbanks, AK, United States
  • i MCW, Milwaukee, WI, United States
  • j MCW, Department of Medicine, Clinical Cancer Center, Milwaukee, WI, United States

Abstract

Introduction: Milwaukee, a city characterized by high rates of racial segregation and a growing immigrant population, has large race-based breast cancer survival disparities. To address these disparities, breast health education workshops were offered through a community-academic partnership (CAP) to women from various ethnic backgrounds. This paper explores attendance, satisfaction, and rates of screening mammography among workshop attendees. Methods: Partnerships were formed with community-based organizations, a mobile mammography unit, and the Wisconsin Well Woman Program, a state-supported program providing free mammograms. Multilingual staff provided monthly breast health education workshops at community settings and coordinated transportation. Participants completed surveys that included demographics, prior screening history, barriers to screening, and program evaluation. Descriptive statistics were used to summarize and analyze data. Results: Over a 24-month period, 493 women—most of whom sought services at partnering organizations that serve primarily immigrants, refugees, and racial minorities—attended breast health workshops, with 374 participants completing surveys (mean age = 45 years). A total of 360 were ≥ 40 years old. Among these women, 188 (113 insured [60%], 75 uninsured [40%]) reported no prior mammogram in the past 2 to 5 years. After attending the workshop, mammogram uptake was 100% among the insured and 80% among the uninsured. Satisfaction with the workshops was high; 73% of attendees rated them highly informative. Conclusions: Our CAP offered culturally tailored breast health education and access to screening via a mobile unit that was well attended, highly rated, and increased screening mammography. © 2018 Wisconsin Medical Society.

Author Keywords

[No Keywords available]

Index Keywords

urban population immigrant breast cancer refugee demography health care personnel human epidemiology Refugees middle aged statistics and numerical data early cancer diagnosis professional practice hazard ratio Early Detection of Cancer ethnology Public-Private Sector Partnerships program development United States diagnostic imaging Humans Breast Neoplasms migrant Mammography public-private partnership Community Health Nursing Emigrants and Immigrants breast tumor female patient satisfaction nurse practitioner Article cancer mortality organization and management Wisconsin program evaluation major clinical study health education adult health care disparity
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85051563507&partnerID=40&md5=4c48cf1ae685434ae5e818918683a133
ISSN: 10981861
Cited by: 3
Original Language: English