{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T05:30:14Z","timestamp":1777786214260,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Adolescent and Young Adult Oncology"],"published-print":{"date-parts":[[2023,4,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Costs of Papanicolaou (Pap) tests and mammograms are a primary barrier for women aged 18\u201339 seeking screening and diagnostic services. Race\/ethnicity and rural\/border resident status compound their risks for delayed diagnosis, possibly resulting in higher mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We analyzed cross-sectional data from young adult (YA) women (aged 18\u201339) from a cancer education and patient navigation (PN) program in rural and border Texas from 2012 to 2016. Descriptive statistics, Chi-square tests, and logistic regressions summarized sociodemographic variables and receipt of PN, Pap tests, and mammograms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The sample consisted of 1181 women aged 31.8 years (standard deviation 5.5) on average. A total of 795 (67.3%) received PN, 494 (41.8%) received a Pap test, and 121 (10.3%) received a mammogram. The YA women attending the program due to cost (odds ratio [OR]: 7.24; confidence interval [CI]: 4.74\u201311.05) and reporting 1 (OR: 3.84; CI: 2.40\u20136.14) or 2+ barriers (OR: 6.00; CI: 3.61\u20139.99) had higher odds of being navigated than those not concerned about cost and not identifying a barrier. The YA women attending due to cost (OR: 2.22, CI: 1.61\u20133.05) and receiving navigation (OR: 1.92; CI: 1.29\u20132.84) had higher odds of receiving a Pap test than their counterparts. The majority receiving a mammogram were worried about cost (85.1%); 40.5% had a family history of breast cancer, and a doctor or nurse recommended a mammogram for 15.7%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Detection of cervical and breast cancer in YA women residing in rural and border Texas may be improved with PN to assist with financial barriers to care and service coordination.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jayao.2022.0013","type":"journal-article","created":{"date-parts":[[2022,4,27]],"date-time":"2022-04-27T10:23:07Z","timestamp":1651054987000},"page":"159-167","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Navigating Financial Barriers to Papanicolaou Tests and Mammograms for Young Adult Women Residing in Rural and Border Areas of Texas"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5929-8874","authenticated-orcid":false,"given":"Derek","family":"Falk","sequence":"first","affiliation":[{"name":"Department of Social Sciences and Health Policy and Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Cubbin","sequence":"additional","affiliation":[{"name":"Steve Hicks School of Social Work, The University of Texas at Austin, Austin, Texas, USA."},{"name":"LIVESTRONG Cancer Institutes, Dell Medical School, The University of Texas at Austin, Austin, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John M.","family":"Salsman","sequence":"additional","affiliation":[{"name":"Department of Social Sciences and Health Policy and Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, North Carolina, USA."},{"name":"Atrium Health Wake Forest Baptist Comprehensive Cancer Center, Medical Center Boulevard, Winston-Salem, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen M.","family":"Winkfield","sequence":"additional","affiliation":[{"name":"Meharry-Vanderbilt Alliance, Nashville, Tennessee, USA."},{"name":"Department of Radiation Oncology, Vanderbilt University Medical Center, Nashville, Tennessee, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristie L.","family":"Foley","sequence":"additional","affiliation":[{"name":"Department of Social Sciences and Health Policy and Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, North Carolina, USA."},{"name":"Atrium Health Wake Forest Baptist Comprehensive Cancer Center, Medical Center Boulevard, Winston-Salem, North Carolina, USA."},{"name":"Department of Implementation Science, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lailea","family":"Noel","sequence":"additional","affiliation":[{"name":"Steve Hicks School of Social Work, The University of Texas at Austin, Austin, Texas, USA."},{"name":"LIVESTRONG Cancer Institutes, Dell Medical School, The University of Texas at Austin, Austin, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Jones","sequence":"additional","affiliation":[{"name":"Steve Hicks School of Social Work, The University of Texas at Austin, Austin, Texas, USA."},{"name":"LIVESTRONG Cancer Institutes, Dell Medical School, The University of Texas at Austin, Austin, Texas, USA."},{"name":"Departments of Health Social Work, Oncology, Population Health, and Psychiatry, Dell Medical School, The University of Texas at Austin, Austin, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,4,14]]},"reference":[{"key":"e_1_3_6_2_2","unstructured":"National Cancer Institute. Adolescents and young adults with cancer. Accessed January26 2021 from: https:\/\/www.cancer.gov\/types\/aya"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21637"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21654"},{"key":"e_1_3_6_5_2","unstructured":"Surveillance Epidemiology and End Results (SEER) Program. SEER*Stat Database: Incidence\u2014SEER Research Data 9 Registries Nov 2019 Sub (1975\u20132017) \u2014Linked to County Attributes\u2014Time Dependent (1990\u20132017) Income\/Rurality 1969\u20132017 Counties; 2020. Accessed January2021. Rockville MA: US National Institutes of Health National Cancer Institute."},{"key":"e_1_3_6_6_2","unstructured":"American Cancer Society. Cancer Facts & Figures 2020. Atlanta GA: American Cancer Society; 2020."},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-018-4699-9"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1257\/pol.20120298"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-008-0305-x"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21628"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2016.11.005"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.32147"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-017-1294-4"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2017.35.8_suppl.155"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-016-1147-6"},{"key":"e_1_3_6_16_2","unstructured":"American Cancer Society. The American Cancer Society Guidelines for the Prevention and Early Detection of Cervical Cancer. Accessed June6 2019 from: http:\/\/www.cancer.org\/cancer\/cervical-cancer\/prevention-and-early-detection\/cervical-cancer-screening-guidelines.html"},{"key":"e_1_3_6_17_2","unstructured":"National Cancer Institute. Evidence-Based Cancer Control Programs (EBCCP). Accessed March27 2021 from https:\/\/ebccp.cancercontrol.cancer.gov\/index.do"},{"issue":"2","key":"e_1_3_6_18_2","first-page":"229","article-title":"A review of cervical cancer: incidence and disparities","volume":"112","author":"Buskwofie A","year":"2020","unstructured":"Buskwofie A, , David-West G, , Clare CA. A review of cervical cancer: incidence and disparities. 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