Evaluation of a Cervical Cancer Control Intervention Using Lay Health Workers for Vietnamese American Women.

• Autores: Victoria M. Taylor, J. Carey Jackson, Yutaka Yasui, Tung T. Nguyen, Erica Woodall, Elizabeth Acorda, Lin Li, Scott Ramsey
• Localización: American journal of public health, ISSN 0090-0036, Vol. 100, Nº. 10, 2010, págs. 1924-1929
• Idioma: inglés
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• Resumen

  • Objectives. We conducted a trial to evaluate the effectiveness of a cervical cancer control intervention for Vietnamese American women that used lay health workers. Methods. The study group included 234 women who had not received a Papanicolaou (Pap) test in the last 3 years. Experimental group participants received a lay health worker home visit. Our trial endpoint was Pap test receipt within 6 months of randomization. Pap testing completion was ascertained through women's self-reports and medical record reviews. We examined intervention effects among women who had ever received a Pap test (prior to randomization) and women who had never received a Pap test. Results. Three quarters of the women in the experimental group completed a home visit. Ever-screened experimental group women were significantly more likely to report Pap testing (P<.02) and to have records verifying Pap testing (P<.04) than were ever-screened control group women. There were no significant differences between the trial arms for women who had never been screened. Conclusions. Our findings indicate that lay health worker--based interventions for Vietnamese American women are feasible to implement and can increase levels of Pap testing use among ever-screened women but not among never-screened women. [ABSTRACT FROM AUTHOR]