{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T11:06:47Z","timestamp":1779188807540,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"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":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2026,3]]},"abstract":"\n Background:<\/jats:title>\n Uninsured, low-income Spanish-speaking women face systemic barriers to accessing gynecologic care, especially within Fort Worth, Texas. Because of this health disparity, we elected to evaluate screening outcomes of patients receiving care at La Cl\u00ednica de las Mujeres (LCDM), a student-run clinic (SRC) providing free, culturally competent care to this population in Fort Worth, Texas.<\/jats:p>\n <\/jats:sec>\n \n Objectives:<\/jats:title>\n To assess the structure and utilization of an SRC on cancer screening adherence among uninsured, Spanish-speaking women in Fort Worth, Texas.<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n Retrospective descriptive pre-post study.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Chart review of patients seen at LCDM from August 2022 to September 2024 was conducted. Data included 147 clinical encounters with 114 individual patients, assessing demographics, screening history, services, and referrals. McNemar\u2019s test assessed changes in screening adherence.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Patients (mean age: 47.5\u2009years; 95.6% Hispanic) primarily resided in underserved zip codes (77.2% in 76110). Pre-intervention, 46% adhered to Pap smear guidelines and 64% to mammography guidelines. Post-intervention adherence approaches complete compliance among those with available post-intervention data (Pap \u03c7\u00b2[1]\u2009=\u200966.0,\n p<\/jats:italic>\n \u2009<\u20090.0001; Mammogram \u03c7\u00b2[1]\u2009=\u200927.0,\n p<\/jats:italic>\n \u2009<\u20090.0001). Services included pelvic ultrasounds (\n n<\/jats:italic>\n \u2009=\u200920), specialist referrals (\n n<\/jats:italic>\n \u2009=\u200911), and contraceptive access (\n n<\/jats:italic>\n \u2009=\u200912).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n LCDM was associated with significant improvements in gynecologic preventive care adherence for uninsured Spanish-speaking populations in Fort Worth, Texas. Student-run models may help address critical gaps in accessibility to women\u2019s health services and mitigate systemic barriers to care for underserved populations.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/17455057261424823","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T10:29:27Z","timestamp":1773224967000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Structure, utilization, and screening adherence of a student-run women\u2019s health clinic for uninsured Spanish-speaking women: A descriptive analysis"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-2991-8279","authenticated-orcid":false,"given":"Alicia M.","family":"Faszholz","sequence":"first","affiliation":[{"name":"Anne Burnett Marion School of Medicine at Texas Christian University, Fort Worth, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4510-6496","authenticated-orcid":false,"given":"Vanessa","family":"Lozano","sequence":"additional","affiliation":[{"name":"Anne Burnett Marion School of Medicine at Texas Christian University, Fort Worth, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline","family":"Garda","sequence":"additional","affiliation":[{"name":"Anne Burnett Marion School of Medicine at Texas Christian University, Fort Worth, TX, USA"},{"name":"Department of Obstetrics and Gynecology, Baylor Scott & White All Saints Medical Center, Fort Worth, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,6]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxp008"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-010-1507-6"},{"key":"e_1_3_3_4_2","first-page":"129","article-title":"Barriers and facilitators of cervical cancer screening among Hispanic women","volume":"17","author":"Byrd TL","year":"2007","unstructured":"Byrd TL, Chavez R, Wilson KM. Barriers and facilitators of cervical cancer screening among Hispanic women. Ethn Dis 2007; 17: 129\u2013134.","journal-title":"Ethn Dis"},{"key":"e_1_3_3_5_2","article-title":"Inadequate functional health literacy in Spanish as a barrier to cervical cancer screening among immigrant Latinas in New York City","volume":"1","author":"Garbers S","year":"2004","unstructured":"Garbers S, Chiasson MA. Inadequate functional health literacy in Spanish as a barrier to cervical cancer screening among immigrant Latinas in New York City. Prev Chronic Dis 2004; 1: A07.","journal-title":"Prev Chronic Dis"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0000000000000587"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.14675"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-021-01001-3"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-006-0073-4"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.170506"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.184036"},{"key":"e_1_3_3_12_2","first-page":"646","article-title":"Medical student perceptions of the educational value of a student-run free clinic","volume":"44","author":"Smith SD","year":"2012","unstructured":"Smith SD, Johnson ML, Rodriguez N, et al. Medical student perceptions of the educational value of a student-run free clinic. Fam Med 2012; 44: 646\u2013649.","journal-title":"Fam Med"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-019-04847-5"},{"key":"e_1_3_3_14_2","unstructured":"Federal Register (ed.). Annual update of the HHS poverty guidelines 2025 https:\/\/www.federalregister.gov\/documents\/2025\/01\/17\/2025-01377\/annual-update-of-the-hhs-poverty-guidelines"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0b013e3181577511"}],"container-title":["Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17455057261424823","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17455057261424823","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17455057261424823","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T10:12:54Z","timestamp":1779185574000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17455057261424823"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":14,"alternative-id":["10.1177\/17455057261424823"],"URL":"https:\/\/doi.org\/10.1177\/17455057261424823","relation":{},"ISSN":["1745-5057","1745-5065"],"issn-type":[{"value":"1745-5057","type":"print"},{"value":"1745-5065","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"article-number":"17455057261424823"}}