Increasing Pap Smear Utilization among Samoan Women: Results from a Community Based Participatory Randomized Trial

被引:26
|
作者
Mishra, Shiraz I. [1 ,2 ,3 ,4 ]
Luce, Pat H.
Baquet, Claudia R.
机构
[1] Univ Maryland, Sch Med, Statewide Hlth Network, Dept Family & Community Med, Baltimore, MD 21201 USA
[2] Univ Maryland, Sch Med, Off Policy & Planning, Baltimore, MD 21201 USA
[3] Univ Calif Irvine, Dept Med, Irvine, CA 92717 USA
[4] Univ Calif Irvine, Chao Family Comprehens Canc Ctr, Irvine, CA 92717 USA
关键词
Pacific Islander; Samoan; minority; women's health; cancer; cervix; cervical; Papanicolaou; Pap smear; education program; intervention; randomized trial; disparities; knowledge; attitude; practice; screening; prevention and control; early detection; health behavior framework; empowerment pedagogy; Freirian pedagogy; community-based participatory research; FOREIGN-BORN WOMEN; CERVICAL-CANCER; UNITED-STATES; BREAST; RATES; PREDICTORS; CALIFORNIA; CARE;
D O I
10.1353/hpu.0.0160
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background. We tested the effectiveness of a theory-guided, culturally tailored cervical cancer education program designed to increase Pap smear use among Samoan women residing hi the U.S. Territory of American Samoa. Methods. WC Used a two-group, pretest-posttest design. The sample comprised 398 Samoan women age 20 and older recruited from Samoan Churches. Women in the intervention group received a culturally tailored cervical cancer education program in three weekly sessions. The primary outcome v,,as self-reported receipt of a Pap smear. Results. Overall, there was a significant intervention effect, with intervention compared with control group women twice (adjusted odds ratio = 2.0, 95% confidence interval = 1.3-3.2, p<.01) as likely to self-report Pap smear use at the posttest. Conclusions. The findings support the efficacy of the Multifaceted, theory-guided, culturally tailored community-based participatory cervical cancer education program for Samoan women in effecting positive changes in Pap smear use and cervical cancer related knowledge and attitudes.
引用
收藏
页码:85 / 101
页数:17
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