Skip to main content

Advertisement

Log in

Supporting Latina Breast Health with Community-based Navigation

  • Published:
Journal of Cancer Education Aims and scope Submit manuscript

Abstract

Latina women continue to face disproportionate breast cancer risk and well-documented breast health care barriers in Philadelphia. In response to breast health needs among Latinas in Philadelphia, a health-focused community-based organization, in partnership with a network of social and health service providers, began offering community-based navigation in 2005. Later, through funding from a federal agency, the organization launched the Naveguemos con Salud (NCS) Breast Health Partnership Project from 2010 to 2013. NCS offered breast health awareness and education to a broad audience of Latinas in Philadelphia and community-based navigation services to all interested in accessing a clinical breast exam (CBE) and/or mammogram. A 2017 survey revisited breast health needs among the same core population to inform next steps. Here, we explore how findings and lessons learned from a past program and an assessment of current needs can inform future community-clinical linkage and community-based navigation to improve access to breast cancer screening and a continuum of care for Latinas.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Notes

  1. Institutional review board [IRB] determination—exempt/non-research; PHMC IRB#00002451; PHMC FWA#00002489.

References

  1. American Cancer Society (2015) Cancer facts and figures for Hispanics/Latinos 2015-2017. Atlanta: American Cancer Society. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/cancer-facts-and-figures-for-hispanics-and-latinos/cancer-facts-and-figures-for-hispanics-and-latinos-2015-2017.pdf. Accessed 22 Jan 2018

  2. Freeman HP, Rodriguez RL (2011) History and principles of patient navigation. Cancer 117:3537–3540. https://doi.org/10.1002/cncr.26262

    Article  Google Scholar 

  3. American Cancer Society (2017) American Cancer Society guidelines for the early detection of cancer. https://www.cancer.org/healthy/find-cancer-early/cancer-screening-guidelines/american-cancer-society-guidelines-for-the-early-detection-of-cancer.html. Accessed 27 June 2017

  4. Ward E, Halpern M, Schrag N, Cokkinides V, DeSantis C, Bandi P, Siegel R, Stewart A, Jemal A (2008) Association of insurance with cancer care utilization and outcomes. CA Cancer J Clin 58:9–31. https://doi.org/10.3322/CA.2007.0011

    Article  PubMed  Google Scholar 

  5. Otero-Sabogal R, Owens D, Canchola J, Golding JM, Tabnak F, Fox P (2004) Mammography rescreening among women of diverse ethnicities: patient, provider, and health care system factors. J Health Care Poor Underserved 15:390–412. https://doi.org/10.1353/hpu.2004.0048

    Article  PubMed  Google Scholar 

  6. Timmins C (2002) The impact of language barriers on the health care of Latinos in the United States: a review of the literature and guidelines for practice. J Midwif Women’s Health 47(2):80–96

    Article  Google Scholar 

  7. Abouzaid S, Maio V (2009) The inequality in health care quality. Am J Med Qual 24:182–184. https://doi.org/10.1177/1062860609334172

    Article  PubMed  Google Scholar 

  8. Bickell NA, Shastri K, Fei K et al (2008) A tracking and feedback registry to reduce racial disparities in breast cancer care. J Natl Cancer Inst. https://doi.org/10.1093/jnci/djn387

  9. Natale-Pereira A, Enard KR, Nevarez L, Jones LA (2011) The role of patient navigators in eliminating health disparities. Cancer 117:3541–3550. https://doi.org/10.1002/cncr.26264

    Article  Google Scholar 

  10. Donaldson EA, Holtgrave DR, Duffin RA, Feltner F, Funderburk W, Freeman HP (2012) Patient navigation for breast and colorectal cancer in 3 community hospital settings. Cancer 118:4851–4859. https://doi.org/10.1002/cncr.27487

    Article  PubMed  Google Scholar 

  11. Drake BF, Tannan S, Anwuri VV, Jackson S, Sanford M, Tappenden J, Goodman MS, Colditz GA (2015) A community-based partnership to successfully implement and maintain a breast health navigation program. J Community Health 40:1216–1223. https://doi.org/10.1007/s10900-015-0051-z

    Article  PubMed  PubMed Central  Google Scholar 

  12. Freund KM, Battaglia TA, Calhoun E et al (2014) Impact of patient navigation on timely cancer care: the Patient Navigation Research Program. J Natl Cancer Inst. https://doi.org/10.1093/jnci/dju115

  13. Charlot M, Christina Santana M, Chen CA et al (2015) Impact of patient and navigator race and language concordance on care after cancer screening abnormalities. Cancer 121:1477–1483. https://doi.org/10.1002/cncr.29221

    Article  PubMed  PubMed Central  Google Scholar 

  14. Ell K, Vourlekis B, Lee P-J (2007) Patient navigation and case management following an abnormal mammogram: a randomized clinical trial. Prev Med 44:26–33. https://doi.org/10.1016/j.ypmed.2006.08.001

    Article  PubMed  Google Scholar 

  15. Jean-Pierre P, Hendren S, Fiscella K, Loader S, Rousseau S, Schwartzbauer B, Sanders M, Carroll J, Epstein R (2011) Understanding the processes of patient navigation to reduce disparities in cancer care: perspectives of trained navigators from the field. J Cancer Educ 26:111–120. https://doi.org/10.1007/s13187-010-0122-x

    Article  PubMed  PubMed Central  Google Scholar 

  16. Public Health Management Corporation (2015) Community Health Data Base, Southeastern Pennsylvania Household Health Survey. http://www.chdbdata.org/data-data-tools. Accessed 22 Jan 2018

  17. Harold P. Freeman Patient Navigation Institute. 2018. Our model: the gold standard. www.hpfreemanpni.org/our-model/. Accessed 22 Jan 2018

  18. National Cancer Institute (2015) Patient Navigation Research Program (PNRP). www.cancer.gov/about-nci/organization/crchd/disparities-research/pnrp. Accessed 22 Jan 2018

  19. Centers for Disease Control and Prevention (2016) Health equity: promotores de salud / community health workers. https://www.cdc.gov/minorityhealth/promotores/index.html. Accessed 22 Jan 2018

Download references

Acknowledgements

The authors would like to thank LCDR Ieshia K. Jones for her leadership during Naveguemos con Salud. Additional gratitude to the dedicated and talented navigation team at Health Promotion Council, with special thanks to Marla Vega, Maria Barrera, Elizabeth Rosario, and the full Breast Health Navigation Network.

Funding

NCS was funded by a grant from the US Department of Health and Human Services (HHS) Office of Minority Health (CPIMP101062) with additional support from Susan G. Komen for the Cure. Follow-up survey support was provided by and the Breast Cancer Work Group via the Pennsylvania Department of Health. This publication was supported by Grant Number 5U58DP003937-05, funded by the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention, the Department of Health and Human Services, or other funders.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jennifer D. Keith.

Ethics declarations

Human and Animal Rights and Informed Consent

This article does not contain any studies with human participants or animals performed by any of the authors.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Keith, J.D., Kang, N.E., Bodden, M. et al. Supporting Latina Breast Health with Community-based Navigation. J Canc Educ 34, 654–657 (2019). https://doi.org/10.1007/s13187-018-1351-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13187-018-1351-7

Keywords

Navigation