Why a Peer Intervention Program for Mexican-American Women Failed to Modify the Secular Trend in Cancer Screening

Suarez, Lucina; Roche, Rich Ann; Pulley, LeaVonne; Weiss, Nancy S.; Goldman, Daniel A.; Simpson, Diane M.

doi:10.1016/s0749-3797(18)30133-8

Cited by 42 publications

(60 citation statements)

References 14 publications

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“…In the face of strong secular trends, these studies revealed relatively small (approximately 3%) or nonsignificant increases in screening use. 50,51 Small changes in behavior, however, may have a large impact when they are observed in a population, and clinical standards for effect sizes may not be appropriate in the case of population-based research. 52 In future population-based studies, detection of these small but important changes probably will require very large sample sizes.…”

Section: Discussionmentioning

confidence: 99%

Increasing Use of Mammography Among Older, Rural African American Women: Results From a Community Trial

Earp

Eng²,

O’Malley³

et al. 2002

Am J Public Health

192

172

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Objectives. A community trial was undertaken to evaluate the effectiveness of the North Carolina Breast Cancer Screening Program, a lay health advisor network intervention intended to increase screening among rural African American women 50 years and older.Methods. A stratified random sample of 801 African American women completed baseline (1993-1994) and follow-up (1996-1997) surveys.The primary outcome was self-reported mammography use in the previous 2 years.Results. The intervention was associated with an overall 6 percentage point increase (95% confidence interval [CI] = −1, 14) in communitywide mammography use. Low-income women in intervention counties showed an 11 percentage point increase (95% CI = 2, 21) in use above that exhibited by lowincome women in comparison counties. Adjustment for potentially confounding characteristics did not change the results.Conclusions. A lay health advisor intervention appears to be an effective public health approach to increasing use of screening mammography among low-income, rural populations.

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Section: Discussionmentioning

confidence: 99%

Increasing Use of Mammography Among Older, Rural African American Women: Results From a Community Trial

Earp

Eng²,

O’Malley³

et al. 2002

Am J Public Health

192

172

View full text Add to dashboard Cite

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“…Of the studies of interventions to improve screening for cervical cancer in racial and ethnic minority populations, one was of very good quality, 14 ten were of good quality, 15,22,23,[32][33][34][35][36]39,40 12 were of fair quality, 12,13,[16][17][18][19][20][21]25,37,38,41 and one was of poor quality. 26 Of the studies of interventions to improve the diagnosis and treatment of premalignant disease of the cervix, three were of good quality [27][28][29] and three were of fair quality.…”

Section: Quality Assessmentmentioning

confidence: 99%

“…[13][14][15][16][18][19][20][21][22][23]25,26,[35][36][37]39,41 The most common interventions were educational materials and education programs. Nineteen interventions included educational materials 12,13,15,16,[18][19][20][21][22][23]25,26,32,33,36,37,[39][40][41] and 15 included education programs. 15,16,18,19,[21][22][23]25,26,[35][36][37]39,41 Seven interventions included navigation (including assistance scheduling appointments, finding low-cost sources of care and with transportatio...…”

Section: Types Of Interventions Examinedmentioning

confidence: 99%

“…Nineteen interventions included educational materials 12,13,15,16,[18][19][20][21][22][23]25,26,32,33,36,37,[39][40][41] and 15 included education programs. 15,16,18,19,[21][22][23]25,26,[35][36][37]39,41 Seven interventions included navigation (including assistance scheduling appointments, finding low-cost sources of care and with transportation), [13][14][15]22,23,35,36 five included strategies to provide low-cost screening, 16,21,26,37,42 five included strategies to improve access to screening, 17,18,21,34,…”

Section: Types Of Interventions Examinedmentioning

confidence: 99%

“…[18][19][20][21]25,26,39,41 Due to the high risk of bias conferred by a single quasi-experimental study of good quality 39 or a single study of fair or poor quality, 16 strength of evidence is insufficient that these combinations of interventions improve the rate of screening for cervical cancer in minority populations (Tables 1 and 2). …”

Section: Impact Of Interventions To Increase Screeningmentioning

confidence: 99%

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Cervical Cancer Screening, Diagnosis and Treatment Interventions for Racial and Ethnic Minorities: A Systematic Review

et al. 2012

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OBJECTIVES To systematically review the literature to determine which interventions improve the screening, diagnosis or treatment of cervical cancer for racial and/or ethnic minorities. DATA SOURCES Medline on OVID, Cochrane Register of Controlled Trials, CINAHL, PsycINFO and Cochrane Systematic Reviews. STUDY ELIGIBILITY CRITERIA, PARTICIPANTS AND INTERVENTIONS We searched the above databases for original articles published in English with at least one intervention designed to improve cervical cancer prevention, screening, diagnosis or treatment that linked participants to the healthcare system; that focused on US racial and/or ethnic minority populations; and that measured health outcomes. Articles were reviewed to determine the population, intervention(s), and outcomes. Articles published through August 2010 were included. STUDY APPRAISAL AND SYNTHESIS METHODS One author rated the methodological quality of each of the included articles. The strength of evidence was assessed using the criteria developed by the GRADE Working Group.45,46 RESULTS Thirty-one studies were included. The strength of evidence is moderate that telephone support with navigation increases the rate of screening for cervical cancer in Spanish- and English-speaking populations; low that education delivered by lay health educators with navigation increases the rate of screening for cervical cancer for Latinas, Chinese Americans and Vietnamese Americans; low that a single visit for screening for cervical cancer and follow up of an abnormal result improves the diagnosis and treatment of premalignant disease of the cervix for Latinas; and low that telephone counseling increases the diagnosis and treatment of premalignant lesions of the cervix for African Americans. LIMITATIONS Studies that did not focus on racial and/or ethnic minority populations may have been excluded. In addition, this review excluded interventions that did not link racial and ethnic minorities to the health care system. While inclusion of these studies may have altered our findings, they were outside the scope of our review. CONCLUSIONS AND IMPLICATIONS OF KEY FINDINGS Patient navigation with telephone support or education may be effective at improving screening, diagnosis, and treatment among racial and ethnic minorities. Research is needed to determine the applicability of the findings beyond the populations studied.

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Community‐Based Breast and Cervical Cancer Control Research in Asian Immigrant Populations

Taylor

Hislop

Yasui

et al. 2007

Wiley Encyclopedia of Clinical Trials

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Asian‐American women are less likely to receive mammography and Papanicolaou (Pap) testing than women from other racial/ethnic groups. Screening rates are particularly low among Asian women who are not proficient in English. This article focuses on community‐based breast and cervical cancer control research in Asian populations. First, the authors address community participatory research principles and several important program evaluation issues: sampling, survey methods, recruitment and retention, translation, data quality, and control group “contamination.” Second, the authors summarize community‐based studies that aimed to increase mammography or Pap testing levels among women of Asian descent. Overall, 9 relevant studies are identified that targeted Asian communities in Canada, the United States, and England. Overall, three of the studies randomized individual women to intervention or control status, two randomized groups of women, and four used a quasi‐experimental (two‐community) study design. These studies, which reported mixed results, highlight the methodological challenges in conducting evaluative public health research, particularly in racial/ethnic minority communities.

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Why a Peer Intervention Program for Mexican-American Women Failed to Modify the Secular Trend in Cancer Screening

Cited by 42 publications

References 14 publications

Increasing Use of Mammography Among Older, Rural African American Women: Results From a Community Trial

Increasing Use of Mammography Among Older, Rural African American Women: Results From a Community Trial

Cervical Cancer Screening, Diagnosis and Treatment Interventions for Racial and Ethnic Minorities: A Systematic Review

Community‐Based Breast and Cervical Cancer Control Research in Asian Immigrant Populations

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