Patient Navigation to Improve Breast Cancer Screening in Bosnian Refugees and Immigrants

Sanja Percac-Lima, Bosiljka Milosavljevic, Sarah Abernethy Oo, Danelle Marable, Barbara Bond

Research output: Contribution to journalArticlepeer-review

36 Citations (Scopus)


Refugee women have low breast cancer screening rates. This study highlights the culturally competent implementation and reports the outcomes of a breast cancer screening patient navigation program for refuge/immigrant women from Bosnia. Refugees/immigrant women from Bosnia age 40-79 were contacted by a Serbo-Croatian speaking patient navigator who addressed patient-reported barriers to breast cancer screening and, using individually tailored interventions, helped women obtain screening. The proportion of women up-to-date for mammography was compared at baseline and after 1-year using McNemar's Chi-Square test. 91 Serbo-Croatian speaking women were eligible for mammography screening. At baseline, 44.0% of women had a mammogram within the previous year, with the proportion increasing to 67.0% after 1-year (P = 0.001). A culturally-tailored, language-concordant navigator program designed to overcome specific barriers to breast cancer screening can significantly improve mammography rates in refugees/immigrants.
Original languageEnglish
Pages (from-to)727
Number of pages730
JournalJournal of immigrant and minority health
Issue number4
Publication statusPublished - 2012


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