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Recruitment Costs and Women's Perceptions of Cervical Cancer Screening Costs in a Trial of Low-Income, Under-Screened Women
Recruitment Costs and Women's Perceptions of Cervical Cancer Screening Costs in a Trial of Low-Income, Under-Screened Women
Detailed Information
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202104805
- ISBN
- 9798291558300
- DDC
- 614.4
- 서명/저자
- Recruitment Costs and Womens Perceptions of Cervical Cancer Screening Costs in a Trial of Low-Income, Under-Screened Women
- 발행사항
- [Sl] : The University of North Carolina at Chapel Hill, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 133 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 87-02, Section: A.
- 주기사항
- Advisor: Smith, Jennifer S.
- 학위논문주기
- Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2025.
- 초록/해제
- 요약Both in the US and globally, cervical cancer incidence and mortality occurs disproportionately in underserved populations. Women at the highest risk of cervical cancer, however, are frequently missed by screening programs. Mailed at-home HPV testing creates opportunities to increase screening access. Best practices to reach under-screened populations and overcome traditional screening barriers are needed to maximize utility of self-collected HPV-based screening. The objective of this dissertation was to provide essential information for interventions targeting high-risk populations, using MBMT-3 trial data.In Aim 1, we tallied trial recruitment methods material and staffing costs and calculated the cost per person eligible, enrolled, and screened in the trial. Of 898 eligible women, the majority (65%, n=579) heard about the trial through Craigslist, which had the lowest cost per eligible woman ($25) and enrollee ($34). Postcards/posters/ flyers ($86 per enrollee) and bus ads ($124) were also successful. In contrast, costs per enrollee were highest for email broadcast ($1,307), 211 hotline ($1,275), and radio ads ($1,123). Craigslist tended to enroll those younger (median: 42 years, IQR: 33-51), more educated (63% ≥ some college), and a higher proportion identifying as White (49%). Postcards/posters/flyers and bus ads enrolled more reporting lower annual income (both median $10,400) and self-identifying as Black (postcards: 62%, bus: 76%).In Aim 2, we examined expected in-clinic screening costs as a potential screening barrier and compared expected to actual costs for control group participants. We explored differences between costs for Black and White participants to examine whether perceived financial barriers contribute to disparities. We found participants consistently overestimated screening costs; the median expected costs for participants completing screening was $215 compared to $5 for actual costs. While expected costs were higher for Black versus White participants (median $265 and $205, respectively), actual costs were similar.We find that Craigslist can be an effective and affordable outreach method for low-income, under-screened women, but using additional methods is important to ensure women of different socio-demographic backgrounds are reached. Outreach and educational interventions for existing affordable screening services may alleviate the impact of perceived costs as a barrier to cervical cancer screening, particularly for historically marginalized populations.
- 일반주제명
- Epidemiology
- 일반주제명
- Public health
- 일반주제명
- Oncology
- 일반주제명
- Womens studies
- 키워드
- Cancer screening
- 키워드
- Cervical cancer
- 키워드
- Screening
- 기타저자
- The University of North Carolina at Chapel Hill Epidemiology
- 기본자료저록
- Dissertations Abstracts International. 87-02A.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■020 ▼a9798291558300
■035 ▼a(MiAaPQ)AAI32165395
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a614.4
■1001 ▼aIsaacson, Sinead.
■24510▼aRecruitment Costs and Women's Perceptions of Cervical Cancer Screening Costs in a Trial of Low-Income, Under-Screened Women
■260 ▼a[Sl]▼bThe University of North Carolina at Chapel Hill▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a133 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 87-02, Section: A.
■500 ▼aAdvisor: Smith, Jennifer S.
■5021 ▼aThesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2025.
■520 ▼aBoth in the US and globally, cervical cancer incidence and mortality occurs disproportionately in underserved populations. Women at the highest risk of cervical cancer, however, are frequently missed by screening programs. Mailed at-home HPV testing creates opportunities to increase screening access. Best practices to reach under-screened populations and overcome traditional screening barriers are needed to maximize utility of self-collected HPV-based screening. The objective of this dissertation was to provide essential information for interventions targeting high-risk populations, using MBMT-3 trial data.In Aim 1, we tallied trial recruitment methods material and staffing costs and calculated the cost per person eligible, enrolled, and screened in the trial. Of 898 eligible women, the majority (65%, n=579) heard about the trial through Craigslist, which had the lowest cost per eligible woman ($25) and enrollee ($34). Postcards/posters/ flyers ($86 per enrollee) and bus ads ($124) were also successful. In contrast, costs per enrollee were highest for email broadcast ($1,307), 211 hotline ($1,275), and radio ads ($1,123). Craigslist tended to enroll those younger (median: 42 years, IQR: 33-51), more educated (63% ≥ some college), and a higher proportion identifying as White (49%). Postcards/posters/flyers and bus ads enrolled more reporting lower annual income (both median $10,400) and self-identifying as Black (postcards: 62%, bus: 76%).In Aim 2, we examined expected in-clinic screening costs as a potential screening barrier and compared expected to actual costs for control group participants. We explored differences between costs for Black and White participants to examine whether perceived financial barriers contribute to disparities. We found participants consistently overestimated screening costs; the median expected costs for participants completing screening was $215 compared to $5 for actual costs. While expected costs were higher for Black versus White participants (median $265 and $205, respectively), actual costs were similar.We find that Craigslist can be an effective and affordable outreach method for low-income, under-screened women, but using additional methods is important to ensure women of different socio-demographic backgrounds are reached. Outreach and educational interventions for existing affordable screening services may alleviate the impact of perceived costs as a barrier to cervical cancer screening, particularly for historically marginalized populations.
■590 ▼aSchool code: 0153.
■650 4▼aEpidemiology
■650 4▼aPublic health
■650 4▼aOncology
■650 4▼aWomens studies
■653 ▼aCancer screening
■653 ▼aCervical cancer
■653 ▼aFinancial barriers
■653 ▼aHealth disparities
■653 ▼aRecruitment methods
■653 ▼aScreening
■690 ▼a0766
■690 ▼a0453
■690 ▼a0992
■690 ▼a0573
■71020▼aThe University of North Carolina at Chapel Hill▼bEpidemiology.
■7730 ▼tDissertations Abstracts International▼g87-02A.
■790 ▼a0153
■791 ▼aPh.D.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17358883▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
