Breast screening navigator programs within three settings that assist underserved women

Linda Burhansstipanov, Mark B. Dignan, Sr Ann Schumacher, Linda U. Krebs, Grace Alfonsi, Ce Cilia Ceci Apodaca

Research output: Contribution to journalArticlepeer-review

39 Scopus citations


Medically underserved women in the Greater Denver Metropolitan Area had low rates of routine repeat mammograms in the latter 1990s. "Increasing Mammography Adherence among Medically Underserved Women" was designed to increase annual rescreening among medically underserved populations living in this area. Four communitybased organizations collaborated to implement this 5-year study. A culturally modified navigator model including both face-to-face and telephone formats was used to facilitate mammography for African Americans, Latinas, Native Americans, and poor White women who had not been rescreened in more than 18 months. The navigatorimplemented intervention was statistically significant at the 0.05 level for increasing rescreening.

Original languageEnglish
Pages (from-to)247-252
Number of pages6
JournalJournal of Cancer Education
Issue number2
StatePublished - Jun 2010

Bibliographical note

Funding Information:
This study was possible due to the dedication and work of the following staff, navigators, and advisory committee members: Marisela Acosta (Navigator), La Clínica Tepeyac; Alice A. Bradley, MA (Advisory Committee), Bradley Consulting; Paula Espinoza, PhD (Advisory Committee), University of Colorado Denver; Susan Gallo, PhD (former Executive Directive), La Clínica Tepeyac; Erin Greene (Navigator), Exempla/Saint Joseph Hospital; Nancy Hernandez (Navigator), La Clínica Tepeyac; Lisa Harjo, BS, MA (Native Sister/Navigator), Native American Cancer Research; Judy Hariton (Project Coordinator), Native American Cancer Research and Exempla/Saint Joseph Hospital; Linda U. Krebs, RN, PhD, AOCN, FAAN (Advisory Committee), University of Colorado Denver, School of Nursing; Rose Lee, BS (Native Sister/Navigator), Native American Cancer Research; Johanna Leyba (former Executive Director), La Clínica Tepeyac; Terri Rattler, BS (Native Sister/Navigator), Native American Cancer Research; and Rosanna Reyes, RN, MPA (former Executive Director), La Clínica Tepeyac. The grant, “Increasing Mammogram Adherence In Minority Women,” was supported by the National Cancer Institute [PI: Burhansstipanov, NCI R25 CA 96540]. Exempla/Saint Joseph Hospital through the assistance of Carl Unrein provided contributions for community events throughout the study.


  • African-American women
  • American Indians
  • Breast cancer
  • Community-based participatory research
  • Early detection
  • Intervention
  • Latinas
  • Medically underserved
  • Navigators
  • Poor White women
  • Screening

ASJC Scopus subject areas

  • Oncology
  • Public Health, Environmental and Occupational Health


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