Browsing by Subject "Barriers"
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Item Barriers to Medicaid Enrollment: A Study of the Texas Healthy Kids Corporation(2000-12-01) Barlow, Daphne J.; Doug A. Mains; Sally BlakleyBarlow, Daphne J., Barriers to Medicaid Enrollment: A Study of the Texas Healthy Kids Corporation. Masters of Public Health (Health Administration), December, 2000, 38 pp., 18 tables, References, 13 titles. Recently Medicaid eligibility was expanded to include more children than ever before in Texas. However, many Medicaid eligible families have not obtained benefits. This study concerns potentially Medicaid eligible families who applied to the Texas Health Kids Corporation. A random telephone survey of these applicants examined the outcome of Medicaid eligibility notification. Data was analyzed to determine the predictors of attempting or completing an application. No significant sensitivity to profilers such as primary language, race/ethnicity, education level or age was detected. Instead, having prior knowledge of Medicaid eligibility and being female were predictive factors to consider when engineering outreach programs. While these results indicated a statistical significance, further study of repeat notification and gender in order to conclusively recommend policy change. These results have implicated for the Texas CHIP program.Item REMOVING BARRIERS TO BREAST CANCER SCREENING AMONG ETHNIC MINORITIES IN TEXAS(2014-03) Oyewole, Olusegun; Linnear, Kim; Cardarelli, Kathryn; Martin, Marcus; Petties, Karin; Williams, Angela; Lafayette, Camille; Martinez, Erika; Harris, PhyllisPurpose (a): This project seeks to reduce breast cancer mortality among ethnic minorities in Dallas County, Texas through an integrated breast cancer prevention program that includes outreach and education, delivery of screening services, follow-up navigation and screening behavior maintenance. While perceived susceptibility, perceived severity, perceived benefits and cues to action are important predictors of health-seeking behaviors, removal of perceived barriers has been found to be the most important factor in moving people from inactivity to action. This research seeks to answer the question: Does this program significantly reduce the perceived barriers to mammography screening among the participants? Methods (b): Participants had a pre-survey assessing their knowledge, attitude and behavior about breast cancer determinants and prevention as well as their perceived severity of breast cancer, perceived susceptibility to it, perceived benefit of regular screening and perceived barriers to regular screening. This was followed by up to 8 weeks of education and a post-survey. McNemar’s tests were done to compare the pre- and post-surveys on questions relating to perceived barriers to screening and mammogram use. Results (c): A significant reduction in perceived barrier to breast cancer screening was found among study participants. There was also a significant improvement in mammogram use among them during the intervention. Conclusions (d): The integrated breast cancer prevention program leads to a significant reduction in perceived barriers to screening with consequent improvement in mammogram use in study participants.