Cancer Detection and Prevention
Volume 26, Issue 4, 2002, Pages 320-327

Evaluation of an outreach intervention to promote cervical cancer screening among Cambodian American women (Article)

Taylor V.M.* , Jackson J.C. , Yasui Y. , Kuniyuki A. , Acorda E. , Marchand A. , Schwartz S.M. , Tu S.-P. , Thompson B.
  • a Division of Public Health Sciences, Fred Hutchinson Cancer Res. Center, 1100 Fairview Avenue North (MP-702), Seattle, WA 98105, United States, Department of Health Services, University of Washington, Seattle, WA, United States
  • b Department of Medicine, University of Washington, Seattle, WA, United States, International Medicine Clinic, Harborview Medical Center, Seattle, WA, United States
  • c Division of Public Health Sciences, Fred Hutchinson Cancer Res. Center, 1100 Fairview Avenue North (MP-702), Seattle, WA 98105, United States
  • d Division of Public Health Sciences, Fred Hutchinson Cancer Res. Center, 1100 Fairview Avenue North (MP-702), Seattle, WA 98105, United States
  • e Division of Public Health Sciences, Fred Hutchinson Cancer Res. Center, 1100 Fairview Avenue North (MP-702), Seattle, WA 98105, United States
  • f Department of Medicine, University of Washington, Seattle, WA, United States
  • g Division of Public Health Sciences, Fred Hutchinson Cancer Res. Center, 1100 Fairview Avenue North (MP-702), Seattle, WA 98105, United States, Department of Epidemiology, University of Washington, Seattle, WA 98104, United States
  • h Department of Medicine, University of Washington, Seattle, WA, United States, International Medicine Clinic, Harborview Medical Center, Seattle, WA, United States
  • i Division of Public Health Sciences, Fred Hutchinson Cancer Res. Center, 1100 Fairview Avenue North (MP-702), Seattle, WA 98105, United States, Department of Health Services, University of Washington, Seattle, WA, United States

Abstract

Introduction: Southeast Asian women have low levels of Papanicolaou (Pap) testing participation. We conducted a group-randomized controlled trial to evaluate a cervical cancer screening intervention program targeting Seattle's Cambodian refugee community. Methods: Women who completed a baseline, community-based survey were eligible for the trial. Neighborhoods were the unit of randomization. Three hundred and seventy survey participants living in 17 neighborhoods were randomized to intervention or control status. Intervention group women received home visits by outreach workers and were invited to group meetings in neighborhood settings. The primary outcome measure was self-reported Pap testing in the year prior to completing a follow-up survey. Results: The proportion of women in the intervention group reporting recent cervical cancer screening increased from 44% at baseline to 61% at follow-up (+17%). The corresponding proportions among the control group were 51 and 62% (+11%). These temporal increases were statistically significant in both the intervention (P < 0.001) and control (P = 0.027) groups. Discussion: This study was unable to document an increase in Pap testing use specifically in the neighborhood-based outreach intervention group; rather, we found an increase in both intervention and control groups. A general awareness of the project among women and their health care providers as well as other ongoing cervical cancer screening promotional efforts may all have contributed to increases in Pap testing rates. © 2002 International Society for Preventive Oncology. Published by Elsevier Science Ltd. All rights reserved.

Author Keywords

Cambodian Americans Outreach Pap testing

Index Keywords

Vaginal Smears Uterine Cervical Neoplasms controlled study uterine cervix tumor female randomized controlled trial Aged Humans adult controlled clinical trial clinical trial Community-Institutional Relations Article public relations human vagina smear middle aged Adolescent
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-0036990845&doi=10.1016%2fS0361-090X%2802%2900055-7&partnerID=40&md5=1347f9659cbaf462be8588429d02b4f3
DOI: 10.1016/S0361-090X(02)00055-7
ISSN: 0361090X
Cited by: 28
Original Language: English