A secondary analysis of mammography and pap screening among women with diabetes
Janet G. Marshall, PhD, RN
- Sigma Affiliation
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Marshall, Janet by View
Popular Works for Marshall, Janet by Download
Using a national database for secondary analysis, the purpose of this investigation was to determine if women with diabetes have different patterns of screening for breast and cervical cancer than women of the general population; and, if so, identify the determinants of the screening pattern. The PRECEDE Model was the organizing framework for this investigation of the complex issues related to cancer screening. The 12 states utilizing the optional women's health module for the 2003 Behavioral Risk Factor Surveillance System (BRFSS) was downloaded into STATA Software. Inclusion criteria were women who self-report that they have diabetes in comparison to women who report not having diabetes. For mammography, selected women were 40 years of age or older which provided a weighted population size of 9,017,661. Pap screening age of 21 and older yielded a weighted population size of 13,025,863. Contingency tables were used to identify the prevalence of cancer screening in women with and without diabetes. No significant association was found between having a diagnosis of diabetes and mammography screening rates (F = 1.5, p-value = .22). Cervical cancer screening rates were statistically significantly different among women with diabetes and those without diabetes (F = 39.01, p-value = .00). Regional exceptions were noted when the 12 states were viewed individually. The states demonstrating inadequate screening rates were the states with the most negative predisposing and enabling factors. Using logistic regression, 10 of the 11 PRECEDE variables demonstrated a significant association with Pap screening rates. Women with poorer perceptions of general and mental health, unemployment, low income, decreased education, lack of health plan coverage, not having a personal physician, having a disability that limits activity or requires the use of special equipment had lower Pap screening rates. Whites were less likely to be screened than non-whites. This study represented an improvement over other studies limited to a single practice or region. Further studies utilizing secondary analysis of state and national data will assist in confirming these findings and promote the development of trend data to evaluate the success of current local, state and national cancer screening programs that will guide the direction of future programs.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3189186; ProQuest document ID: 305365735. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
|None: Degree-based Submission
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Warren, Dulce M.The purpose of this study was to add to the body of knowledge about the high rates of cervical cancer among non-immigrant Hispanic women of Mexican origin (NIHWMO). This problem was studied by investigating predictors of ...
Relationships among health literacy, empowerment, and diabetes self-care behaviors: Empowerment as a mediator Lee, Eun-Hyun; Shin, Kyung SukThe findings of this study indicate that patients with a better health literacy show greater empowerment, which makes them more likely to eat healthy food and exercise regularly.
The relationships between healthy literacy and self-care of diabetic management in children with diabetes mellitus Yang, Yi-Ling; Huang, Li-Chi; Wang, Chung-Hsing; Lee, Jo-HuaThis study will to explore the relationships between healthy literacy and self-care of diabetic management in adolescent children with diabetes mellitus, inculding Type I and Type II.
A study of the health-promoting behavioral effects of an exercise educational intervention in adult diabetics Wisnewski, Charlotte A.The purpose of this study was to investigate if using a health promotion approach when teaching adult diabetics the importance of exercise would have a positive effect on the healthy behaviors in which they engage and ...
Nurse-midwives perceived client related barriers influencing intentions to use cervical cancer screening services among women aged 42 and older in Blantyre, Malawi Ehlers, Valerie Janet; van der Wal, Dirk M.; Hami, Melanie (2013-10-22)Session presented on: Tuesday, July 23, 2013: Purpose: The purpose of the study was to identify from nurse/midwives' perspective client related barriers to utilisation of cervical cancer screening services among women ...