Patient Navigation to Improve Breast Cancer Screening in Bosnian Refugees and Immigrants
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Refugee women have low breast cancer screening rates. This study highlights the culturally competent implementation and reports the outcomes of a breast cancer screening patient navigation program for refuge/immigrant women from Bosnia. Refugees/immigrant women from Bosnia age 40–79 were contacted by a Serbo-Croatian speaking patient navigator who addressed patient-reported barriers to breast cancer screening and, using individually tailored interventions, helped women obtain screening. The proportion of women up-to-date for mammography was compared at baseline and after 1-year using McNemar’s Chi-Square test. 91 Serbo-Croatian speaking women were eligible for mammography screening. At baseline, 44.0% of women had a mammogram within the previous year, with the proportion increasing to 67.0% after 1-year (P = 0.001). A culturally-tailored, language-concordant navigator program designed to overcome specific barriers to breast cancer screening can significantly improve mammography rates in refugees/immigrants.
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- Patient Navigation to Improve Breast Cancer Screening in Bosnian Refugees and Immigrants
Journal of Immigrant and Minority Health
Volume 14, Issue 4 , pp 727-730
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Breast cancer
- Patient navigation
- Industry Sectors
- Author Affiliations
- 1. Chelsea HealthCare Center, Massachusetts General Hospital, 151 Everett Avenue, Chelsea, MA, 02150, USA
- 2. Center for Community Health Improvement, Massachusetts General Hospital, Boston, MA, USA
- 3. General Medicine Division, Department of Medicine, Massachusetts General Hospital, and Harvard Medical School, Boston, MA, USA
- 4. Cancer Center, Massachusetts General Hospital, Boston, MA, USA