Publications by authors named "Maria Daheri"

Study Objective: Overdue cervical cancer screening increases the risk of invasive cervical cancer. It is important to identify settings where self-collection for primary human papillomavirus (HPV) testing can be implemented to have high effect on cervical cancer screening among hard-to-reach women with overdue screening. Herein, we examined the acceptability of HPV self-collection, including completion rates, attitudes, and experiences among women seeking noncritical care at a high-volume urban safety-net hospital emergency department (ED) in Houston, Texas, United States.

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Article Synopsis
  • Cervical cancer is preventable, but access to screening and prevention services is inequitable, especially in medically underserved areas (MUAs) of Texas, where rates are 55% higher than elsewhere in the US.
  • In 2019, a comprehensive program was launched partnering with 13 clinics and mobile vans in these MUAs, focusing on community education, patient navigation, and training for local healthcare providers to enhance diagnostic and treatment capabilities.
  • From 2019 to 2022, the initiative educated over 75,000 individuals, facilitated nearly 45,000 screenings, and significantly improved access to diagnostic procedures like colposcopy and LEEP, demonstrating effective cervical cancer prevention outreach in underserved populations.
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Introduction: Self-sampling for human papillomavirus testing is increasingly recognized as a strategy to expand cervical cancer screening access and utilization. Acceptability is a key determinant of uptake. This study assesses the acceptability of and experiences with mailed self-sampling kits for human papillomavirus testing among underscreened patients in a safety net health system.

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Article Synopsis
  • A study aimed to evaluate the effects of a comprehensive cervical cancer prevention program on women with cervical dysplasia treated with LEEP, analyzing the duration between their colposcopy and treatment.
  • The multicomponent intervention included outreach, patient navigation, and provider training, and it was assessed through a retrospective cohort study that reviewed medical records over multiple years.
  • Results showed a significant increase in women receiving treatment within 90 days, rising from 76.2% at baseline to 92.9% by year 4, and the average wait time for treatment decreased from 62 days to 45 days.
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Background: Home-based self-sampling for human papillomavirus (HPV) testing may be an alternative for women not attending clinic-based cervical cancer screening.

Methods: We assessed barriers to care and motivators to use at-home HPV self-sampling kits during the COVID-19 pandemic as part of a randomized controlled trial evaluating kit effectiveness. Participants were women aged 30-65 and under-screened for cervical cancer in a safety-net healthcare system.

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Home-based self-sample human papillomavirus (HPV) testing may be an alternative for women who do not attend clinic-based cervical cancer screening. We assessed barriers to care and motivators to use at-home HPV self-sampling kits during the COVID-19 pandemic as part of a randomized controlled trial evaluating kit effectiveness. Participants were women, aged 30-65 years and underscreened for cervical cancer in a safety-net healthcare system.

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Article Synopsis
  • A community program aimed at screening for hepatitis C virus (HCV) had a low success rate in finding infected patients to refer for treatment.
  • The majority of positive findings came from addiction centers and specific birth cohorts, indicating these are key areas for focus.
  • Future efforts should prioritize outreach to these groups to improve infection detection and treatment linkage.
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Background: The purpose was to identify barriers including logistical and health belief correlates of late stage presentation of cervical cancer (CxCa) among medically underserved women presenting to a safety net health care system.

Methods: Women presenting with newly diagnosed CxCa were asked to complete a detailed health belief survey that included questions about barriers to care and their knowledge of CxCa. All information was collected prior to initiating cancer treatment.

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