COMPREHENSIVE CANCER SCREENINGS AMONG UNMARRIED WOMEN
Principal Investigator: Melissa A Clark
Abstract: Over the next several years, I plan to organize my research around investigations of cancer-related practices and attitudes among hard-to-reach populations of women. My particular interests are in the role of psychosocial factors on cancer screening behaviors among unmarried women. In this context, my objective of this proposed 5-year K07 award is to gain necessary substantive and methodological skills to conduct survey research in important subgroups of the unmarried population. My program of training and research will be under the direction of a Primary Mentor, William Rakowski, PhD and a nine-member Advisory Committee. Training activities will include: "shadowing" a women's health physician; participating in activities at a survey research center; and coursework related to hidden or hard-to- reach populations, cancer biology, and qualitative research methods. The project will focus on unmarried women 40 to 75 years, with allocation among four strata defined according to legal marital status and sexual orientation: 1) Never Married women who are heterosexual; 2) Never Married women who are lesbian; 3) Divorced, Separated, or Widowed women who are heterosexual; and 4) Divorced, Separated, or Widowed women who are lesbian. The research project will be conducted in three sequential phases, using a combination of qualitative and quantitative methods. The specific aims for each phase are: Phase I: Formative Research: 1) To explore the behavioral, cognitive, and environmental factors that influence unmarried women's decisions for breast, cervical, and colorectal cancer screening; 2) To explore relationships between breast, cervical, and colorectal cancer screening among unmarried women. Phase II: Instrument Development: 3) To develop and test survey instruments and data collection protocols for measuring factors associated with cancer screenings among unmarried women. Phase III: Field Trial: 4) To evaluate three survey protocols [mailed questionnaire, telephone interview, and computerized self-administered questionnaire] for collecting data about attitudes and practices regarding cancer screenings among unmarried women; and 5) To compare behavioral, cognitive, and environmental factors that influence comprehensive cancer screenings across subgroups of unmarried women. Phase I will consist of focus groups and individual cognitive interviews. Phase II will include focus group interviews and pretests of the survey instruments and three data collection protocols. In Phase III, women will be randomly assigned to one of three survey protocols, and data will be collected at a baseline and a 4-week reliability assessment.
Funding Period: 2000-08-01 - 2005-08-31
more information: NIH RePORT
- Planning for future care needs: experiences of unmarried heterosexual and sexual minority womenMelissa A Clark
Department of Community Health, Brown University, Warren Alpert School of Medicine, Providence, Rhode Island 02912, USA
Women Health 50:599-617. 2010..Women who are not in traditional marriage relationships tend to adopt long-term care planning strategies that legally clarify and establish the nature of their important relationships...
- Advance care planning by unmarried women of different sexual orientations: the importance of social supportUlrike Boehmer
Department of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA
J Women Aging 22:306-20. 2010..For WPM, having a partner for social support was not associated with naming a health-care proxy. These insights help in the understanding of women's advance care planning...
- Prevalence and correlates of recent and repeat mammography among California women ages 55-79William Rakowski
Department of Community Health, Program in Public Health, 121 South Main Street, 2nd Floor, Brown University, Providence, RI 02912, USA
Cancer Epidemiol 34:168-77. 2010..Two large, population-based state surveys provide the opportunity to investigate repeat and recent mammography prevalence and correlates among California's diverse population...
- Repeat mammography screening among unmarried women with and without a disabilityMelissa A Clark
Departmentsof Community Health, Brown University Warren Alpert School of Medicine and Program in Public Health, Providence, Rhode Island 02912, USA
Womens Health Issues 19:415-24. 2009....
- Comprehensive cancer screening among unmarried women aged 40-75 years: results from the cancer screening project for womenMelissa A Clark
Department of Community Health, Brown University Warren Alpert School of Medicine and Program in Public Health, Providence, Rhode Island 02912, USA
J Womens Health (Larchmt) 18:451-9. 2009..We compared women who partner with women (WPW) or with women and men (WPWM) to women who partner exclusively with men (WPM). We also compared barriers to on-schedule cancer screenings between WPW/WPWM and WPM...
- Patient-provider communication about sexual health among unmarried middle-aged and older womenMary C Politi
Center for Behavioral Medicine, The Miriam Hospital, Brown Medical School, Coro Building, Suite 500, One Hoppin St, Providence, RI 02903, USA
J Gen Intern Med 24:511-6. 2009....
- Breast and cervical cancer screening practices among disabled women aged 40-75: does quality of the experience matter?Sze Y Liu
Department of Community Health, Brown Medical School, Providence, Rhode Island 02903, USA
J Womens Health (Larchmt) 17:1321-9. 2008..We examined the relationship between disability status and routine breast and cervical cancer screening among middle-aged and older unmarried women and the differences in reported quality of the screening experience...
- Patient-provider communication and cancer screening among unmarried womenMary C Politi
Warren Alpert Medical School of Brown University The Miriam Hospital, Centers for Behavioral and Preventive Medicine, CORO Suite 500, One Hoppin Street, Providence, RI 02903, USA
Patient Educ Couns 73:251-5. 2008..The purpose of this study was to investigate the relationship between patient and provider communication, barriers to cancer screening, and on-schedule breast and cervical cancer screening (BCCS) among unmarried women...
- Differential response effects of data collection mode in a cancer screening study of unmarried women ages 40-75 years: a randomized trialMelissa A Clark
Center for Gerontology and Health Care Research, Program in Public Health, Brown University, Providence, Rhode Island, USA
BMC Med Res Methodol 8:10. 2008..The purpose of this study is to examine the effects of data collection mode on response to indicators of cancer screenings by unmarried middle-aged and older women...
- Strategies and cost of recruitment of middle-aged and older unmarried women in a cancer screening studyMelissa A Clark
Center for Gerontology and Health Care Research, Brown University Medical School and Program in Public Health, Box G S121, 6th Floor, Providence, RI 02903, USA
Cancer Epidemiol Biomarkers Prev 16:2605-14. 2007..We compared strategies and costs associated with recruiting unmarried middle-aged and older women who partner with women (WPW) and women who partner with men (WPM) into an observational study about experiences with cancer screening...
- Correlates of repeat and recent mammography for women ages 45 to 75 in the 2002 to 2003 Health Information National Trends Survey (HINTS 2003)William Rakowski
Department of Community Health, Box G H1, Brown University, Providence, RI 02912, USA
Cancer Epidemiol Biomarkers Prev 15:2093-101. 2006..It is also important to investigate the similarity of correlates for repeat and recent mammography...
- Correlates of mammography in a national analysis compared to results in quintile- and regionally-defined samplesWilliam Rakowski
Department of Community Health, Brown University, Providence, RI 02912, USA
Prev Med 42:386-9. 2006..This study investigated the consistency of results about correlates of mammography from a single national-level analysis versus the results from analyses within each of five quintiles of mammography rates and nine Census subdivisions...
- Smoking status and mammography among women aged 50-75 in the 2002 behavioral risk factor surveillance systemWilliam Rakowski
Department of Community Health, Center for Gerontology and Health Care Research, Brown University, Providence, RI 02912, USA
Women Health 41:1-21. 2005..Since the late 1980's, data show an association between smoking status and mammography. Women smokers reported 12-15% lower rates than non-smokers. This study investigated whether an association persists in a recent national-level database...
- Measuring sexual orientation and gender expression among middle-aged and older women in a cancer screening studyMelissa A Clark
Department of Community Health and Center for Gerontology and Health Care Research, Brown University, RI 02912, USA
J Cancer Educ 20:108-12. 2005..The Cancer Screening Project for Women is about the experiences of legally unmarried women aged 40 to 75 years...