Increasing Mammography Uptake Through Academic-Community Partnerships Targeting Immigrant and Refugee Communities in Milwaukee (WMJ volume 117, no. 2)
Release date (enduring material): July 1, 2018
Expiration date: December 31, 2020
Authors: Sailaja Kamaraju, MD, MS; Melissa DeNomie, MS; Alexis Visotcky, MS; Anjishnu Banerjee, PhD; Kate Krause, BS; Emmanuel Tavares, BA; Amrita Rao, BS; Elaine Drew, PhD; Joan Neuner, MD, MPH; Melinda Stolley, PhD
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.
At the end of this educational activity, participants should be able to:
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- Identify barriers to breast cancer screening among various racial and ethnic groups.
- Describe the benefits of a community-academic partnership for addressing barriers and increasing awareness of breast health.
- Identify tools and strategies that can be utilized to increase access and effectiveness of care for these populations.
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