TACLE
Temporal Analysis of a Community-based Latino Education

Funded by: National Cancer Institute
Project Period: 8/04 - 7/06

Abstract

Objectives: 1) to describe and disseminate the development and implementation of the Tepeyac project, a four-year church-based, community-participatory intervention to reduce breast cancer screening (BCS) disparities between Latinas (L) and non-Latinas (NL); 2) to evaluate the sustainability of the Tepeyac project's effect on breast cancer screening rates among Medicare Latinas; and 3) to evaluate the intervention effect in L and NL enrolled in Medicare, Medicaid, and managed care organizations.

Methods: The evaluation will be performed using mammogram claims filed with the three insurance groups over a time period spanning 1998 through 2004. Generalized estimating equations will be utilized to model the mammogram rates over time comparing the slopes of each period of time for L and NL.

Current Project Status: Preliminary unadjusted results are displayed in the graphs. All differences between Medicare Latinas and non-Latinas are significant except for the 1999-2000 and 2000-2001 rates of the Promotora intervention; for HMO-D, none of the comparisons (L -NL) were significant, while for HMO-A only, the differences in follow-up were significant.



Key Staff: Sauaia, Kramer, Fish, Min

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