Journal of Immigrant and Minority Health

, Volume 14, Issue 4, pp 727–730

Patient Navigation to Improve Breast Cancer Screening in Bosnian Refugees and Immigrants

  • Sanja Percac-Lima
  • Bosiljka Milosavljevic
  • Sarah Abernethy Oo
  • Danelle Marable
  • Barbara Bond
Brief Communication

DOI: 10.1007/s10903-011-9539-5

Cite this article as:
Percac-Lima, S., Milosavljevic, B., Oo, S.A. et al. J Immigrant Minority Health (2012) 14: 727. doi:10.1007/s10903-011-9539-5

Abstract

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.

Keywords

Refugees Breast cancer Mammograms Patient navigation 

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Sanja Percac-Lima
    • 1
    • 2
    • 3
  • Bosiljka Milosavljevic
    • 1
    • 2
  • Sarah Abernethy Oo
    • 1
    • 2
  • Danelle Marable
    • 2
  • Barbara Bond
    • 4
  1. 1.Chelsea HealthCare CenterMassachusetts General HospitalChelseaUSA
  2. 2.Center for Community Health ImprovementMassachusetts General HospitalBostonUSA
  3. 3.General Medicine Division, Department of MedicineMassachusetts General Hospital, and Harvard Medical SchoolBostonUSA
  4. 4.Cancer CenterMassachusetts General HospitalBostonUSA