COMPREHENSIVE CANCER SCREENINGS AMONG UNMARRIED WOMEN

Summary

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

Top Publications

  1. ncbi Planning for future care needs: experiences of unmarried heterosexual and sexual minority women
    Melissa A Clark
    Department of Community Health, Brown University, Warren Alpert School of Medicine, Providence, Rhode Island 02912, USA
    Women Health 50:599-617. 2010
  2. ncbi Advance care planning by unmarried women of different sexual orientations: the importance of social support
    Ulrike Boehmer
    Department of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA
    J Women Aging 22:306-20. 2010
  3. pmc Prevalence and correlates of recent and repeat mammography among California women ages 55-79
    William 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
  4. pmc Repeat mammography screening among unmarried women with and without a disability
    Melissa 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
  5. pmc Comprehensive cancer screening among unmarried women aged 40-75 years: results from the cancer screening project for women
    Melissa 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
  6. pmc Patient-provider communication about sexual health among unmarried middle-aged and older women
    Mary 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
  7. pmc 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
  8. pmc Patient-provider communication and cancer screening among unmarried women
    Mary 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
  9. pmc Differential response effects of data collection mode in a cancer screening study of unmarried women ages 40-75 years: a randomized trial
    Melissa 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
  10. ncbi Strategies and cost of recruitment of middle-aged and older unmarried women in a cancer screening study
    Melissa 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

Detail Information

Publications14

  1. ncbi Planning for future care needs: experiences of unmarried heterosexual and sexual minority women
    Melissa 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...
  2. ncbi Advance care planning by unmarried women of different sexual orientations: the importance of social support
    Ulrike 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...
  3. pmc Prevalence and correlates of recent and repeat mammography among California women ages 55-79
    William 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...
  4. pmc Repeat mammography screening among unmarried women with and without a disability
    Melissa 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
    ....
  5. pmc Comprehensive cancer screening among unmarried women aged 40-75 years: results from the cancer screening project for women
    Melissa 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...
  6. pmc Patient-provider communication about sexual health among unmarried middle-aged and older women
    Mary 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
    ....
  7. pmc 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...
  8. pmc Patient-provider communication and cancer screening among unmarried women
    Mary 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...
  9. pmc Differential response effects of data collection mode in a cancer screening study of unmarried women ages 40-75 years: a randomized trial
    Melissa 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...
  10. ncbi Strategies and cost of recruitment of middle-aged and older unmarried women in a cancer screening study
    Melissa 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...
  11. ncbi 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...
  12. ncbi Correlates of mammography in a national analysis compared to results in quintile- and regionally-defined samples
    William 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...
  13. ncbi Smoking status and mammography among women aged 50-75 in the 2002 behavioral risk factor surveillance system
    William 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...
  14. ncbi Measuring sexual orientation and gender expression among middle-aged and older women in a cancer screening study
    Melissa 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...