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The National Breast and Cervical Cancer Early Detection Program: 25 Years of public health service to low-income women

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Abstract

This article presents an overview of the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), a valuable and successful national public health program in the USA that will soon celebrate its 25th anniversary. Simulation modeling and other analyses have demonstrated that the NBCCEDP has significantly reduced breast and cervical cancer mortality among low-income uninsured and underinsured women in the USA, a major goal of the original legislation. The NBCCEDP has also served to build cancer prevention and control capacity in state and local health agencies and created strong and unique public–private partnerships aimed at improving women’s health. As such, the impact of NBCCEDP extends beyond the millions of women served by the program to include increased public health system capacity and effectiveness regarding cancer early detection and control for all women.

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References

  1. Lee NC, Wong FL, Jamison PM, Jones SF, Galaska L, Brady KT, Wethers B, Stokes-Townsend GA (2014) Implementation of the national breast and cervical cancer early detection program: the beginning. Cancer 120(Suppl 16):2540–2548

    Article  PubMed  Google Scholar 

  2. US Congress (1990) Public Law 101-354: The breast and cervical cancer mortality prevention act of 1990. Congressional Record

  3. Lee NC (2001) The unequal cancer burden: efforts of the centers for disease control and prevention to bridge the gap through public health. Cancer 91(1):199–204

    Article  CAS  PubMed  Google Scholar 

  4. Ward E, Jemal A, Cokkinides V, Singh GK et al (2004) Cancer disparities by race/ethnicity and socioeconomic status. CA A Cancer J Clin 54(2):78–93

    Article  Google Scholar 

  5. Miller JW, Hanson V, Johnson GD, Royalty JE, Richardson LC (2014) From cancer screening to treatment: service delivery and referral in the national breast and cervical cancer early detection program. Cancer 120(Suppl 16):2549–2556

    Article  PubMed  Google Scholar 

  6. Orians CE, Erb J, Lantz PM, Joe JR, Burhansstipanov L, Liebow E (2003) Successful strategies for increasing breast and cervical cancer screening: lessons learned from tribal programs. Indian Health Serv Provid 28(3):53–57

    Google Scholar 

  7. Lantz PM, Orians C, Liebow E, Joe J, Burhansstipanov L, Erb J (2003) Implementing breast and cervical cancer screening programs in American Indian and Alaska native populations. Health Care Women Int 24(8):674–696

    Article  PubMed  Google Scholar 

  8. Lantz PM, Keeton K, Romano L, Degroff A (2004) Case management in public health screening programs: the experience of the national breast and cervical cancer early detection program. J Public Health Manag Pract 10(6):545–555

    Article  PubMed  Google Scholar 

  9. Lantz PM, Weisman CS, Itani Z (2003) A disease-specific expansion of medicaid for women: the breast and cervical cancer prevention and treatment act of 2000. Women’s Health Issues 13(3):79–92

    Article  PubMed  Google Scholar 

  10. Lantz PM, Richardson LC, Sever LE et al (2000) Mass screening in low-income populations: the challenges of securing diagnostic and treatment services in a national cancer screening program. J Health Polit Policy Law 25:451–471

    Article  CAS  PubMed  Google Scholar 

  11. Lantz PM, Sever LE (1998) Division of cancer prevention and control, centers for disease control and prevention. strategies for providing follow-up and treatment services in the national breast and cervical cancer early detection program—United States, 1997. Morb Mortal Wkly Rep 47:215–218

    Google Scholar 

  12. Breast and Cervical Cancer Prevention and Treatment Act of 2000 (Public Law 106-354)

  13. Lantz PM, Soliman S (2009) An evaluation of a medicaid expansion for cancer care: the breast and cervical cancer prevention and treatment act of 2000. Women’s Health Issues 19(4):221–231

    Article  PubMed  Google Scholar 

  14. National Breast and Cervical Cancer Early Detection Program Fact Sheet. http://www.cdc.gov/cancer/nbccedp/pdf/NBCCEDP_FactSheet.pdf (access Aug 2014)

  15. Benard VB, Howe W, Royalty J, Helsel W, Kammerer W, Richardson LC (2012) Timeliness of cervical cancer diagnosis and initiation of treatment in the national breast and cervical cancer early detection program. J Women’s Health 1(7):776–782

    Article  Google Scholar 

  16. Richardson LC, Royalty J, Howe W, Helsel W, Kammerer W, Benard VB (2010) Timeliness of breast cancer diagnosis and initiation of treatment in the national breast and cervical cancer early detection program, 1996–2005. Am J Public Health 100:1769–1776

    Article  PubMed Central  PubMed  Google Scholar 

  17. Yancy B, Royalty JE, Marroulis S, Mattingly C, Benard VB, DeGroff A (2014) Using data to effectively manage a national screening program. Cancer 120(Suppl 16):2575–2583

    Article  PubMed  Google Scholar 

  18. DeGroff A, Royalty JE, Howe W, Buckman DW et al (2014) When performance management works: a study of the national breast and early detection program. Cancer 120(Suppl 16):2566–2574

    Article  PubMed  Google Scholar 

  19. Ekwueme DU, Uzunangelov VJ, Hoerger TH, Miller JW, Saraiya M, et al (2014) Impact of the national breast and cervical cancer early detection program on cervical cancer mortality among uninsured low-income women in the U.S., 1991–2007. Am J Prev Med 47(3):300–8

  20. Hoerger TJ, Ekwueme DU, Miller JW, Uzunangelov V, Hall IJ, Segel J, Royalty J, Gardner JG, Smith JL, Li C (2011) Estimated effects of the national breast and cervical cancer early detection program on breast cancer mortality. Am J Prev Med 40(4):397–404

  21. Howard DH, Ekwueme DU, Gardner JG, Tangka FK, Li C, Miller JW (2011) The impact of a national program to provide free mammograms to low-income, uninsured women on breast cancer mortality rates. Cancer 116(19):4456–4462

    Article  Google Scholar 

  22. Benard VB, Saraiya MS, Soman A, Roland KB, Yabroff KR, Miller J (2011) Cancer screening practices among physicians in the national breast and cervical cancer early detection program. J Women’s Health 20(10):1479–1484

    Article  Google Scholar 

  23. Trogdon JG1, Ekwueme DU, Subramanian S, Crouse W (2014) Economies of scale in federally-funded state-organized public health programs: results from the national breast and cervical cancer early detection programs. Health Care Manag Sci 17(4):321–30

  24. Sanders LD, Larkins TL, Boyle JN, George SF, Triplett EW, Leypoldt MD (2014) National breast and cervical cancer early detection program partnerships in action. Cancer 120(Suppl 16):2612–2616

    Article  PubMed  Google Scholar 

  25. Hall IJ, Rim SH, Johnson-Turbes CA, Vanderpool R, Kamalu NN (2013) The African American women and mass media campaign: a CDC breast cancer screening project. J Women’s Health 21(11):1107–1113

    Article  Google Scholar 

  26. Levano W, Miller JW, Banning L, Bellick L et al (2014) Public education and targeted outreach to underserved women through the national breast and cervical cancer early detection program. Cancer 120(Suppl 16):2591–2596

    Article  PubMed  Google Scholar 

  27. Centers for Disease Control and Prevention (2012) Cancer screening—United States, 2010. MMWR 61(3):41–45

    Google Scholar 

  28. Tangka FKL, Howard D, Royalty J, Danzell LP, O’Hara B, Miller J, Sabatino S, Joseph K, Kenney K, Guy G, Hall IJ (2014) Cervical cancer screening of underserved women in the United States: results from the national breast and cervical cancer early detection program, 1997–2012. Cancer Causes Control. doi:10.1007/s10552-015-0524-5

  29. Howard D, Tangka FKL, Royalty J, Danzell LP, Miller J, O’Hara B, Joseph K, Kenney K, Guy G, Hall IJ (2015) Breast cancer screening of underserved women in the United States: results from the national breast and cervical cancer early detection program, 1998–2012. Cancer Causes Control. doi:10.1007/s10552-015-0553-0

  30. Congressional Budget Office. Final cost estimate, March 20, 2010. In: Selected CBO publications related to health care legislation, 2009–2010. Washington (DC): Congressional Budget Office; 2010. p 3

  31. Plescia M, Wong FL, Pieters J, Joseph D (2014) The national breast and cervical cancer early detection program in the era of health reform: a vision forward. Cancer 120(Suppl 16):2620–2624

    Article  PubMed  Google Scholar 

  32. Levy AR, Bruen BK, Ku L. Health care reform and women’s insurance coverage for breast and cervical cancer screening. [Erratum appears in Prev Chronic Dis 2012; 9. http://www.cdc.gov/pcd/issues/2012/12_0069e.htm.] Prev Chronic Dis 2012;9:120069. doi:10.5888/pcd9.120069

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Authors and Affiliations

  1. Department of Health Policy and Management, Milken Institute School of Public Health, 950 New Hampshire, Suite 600, Washington, DC, 20052, USA

    Paula M. Lantz

  2. Connecticut Department of Public Health, Hartford, CT, 06134-0308, USA

    Jewel Mullen

Authors
  1. Paula M. Lantz
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  2. Jewel Mullen
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Correspondence to Paula M. Lantz.

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Lantz, P.M., Mullen, J. The National Breast and Cervical Cancer Early Detection Program: 25 Years of public health service to low-income women. Cancer Causes Control 26, 653–656 (2015). https://doi.org/10.1007/s10552-015-0565-9

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  • DOI: https://doi.org/10.1007/s10552-015-0565-9

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