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Effective Lay Health Worker Outreach and Media-Based Education for Promoting Cervical Cancer Screening Among Vietnamese American Women

Mock, Jeremiah ; McPhee, Stephen J ; Nguyen, Thoa ; Wong, Ching ; Doan, Hiep ; Lai, Ky Q ; Nguyen, Kim H ; Nguyen, Tung T ; Bui-Tong, Ngoc

American journal of public health (1971), 2007-09, Vol.97 (9), p.1693-1700 [Periódico revisado por pares]

Washington, DC: Am Public Health Assoc

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Título:
Effective Lay Health Worker Outreach and Media-Based Education for Promoting Cervical Cancer Screening Among Vietnamese American Women
Autor: Mock, Jeremiah ; McPhee, Stephen J ; Nguyen, Thoa ; Wong, Ching ; Doan, Hiep ; Lai, Ky Q ; Nguyen, Kim H ; Nguyen, Tung T ; Bui-Tong, Ngoc
Assuntos: Adult ; Aged ; Asian Americans ; Asian Americans - education ; Biological and medical sciences ; California ; Cardiovascular disease ; Cervical cancer ; Community ; Community Health Workers ; Community organizations ; Community-Institutional Relations ; Disease control ; Education ; Female ; Female genital diseases ; Gynecology. Andrology. Obstetrics ; Health education ; Health Education - methods ; Health Knowledge, Attitudes, Practice ; Health services ; Hispanic Americans ; Human papillomavirus ; Humans ; Immigrants ; Immigration ; Mass Media ; Mass Screening - utilization ; Medical sciences ; Medical screening ; Middle Aged ; Minority & ethnic groups ; Miscellaneous ; Noncitizens ; Pap smear ; Papanicolaou Test ; Patient Acceptance of Health Care - ethnology ; Prevention and actions ; Program Evaluation ; Public health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Research and Practice ; Risk factors ; Social networks ; Surveys and Questionnaires ; Tumors ; Uterine Cervical Neoplasms - diagnosis ; Uterine Cervical Neoplasms - ethnology ; Uterine Cervical Neoplasms - prevention & control ; Vaginal Smears - utilization ; Vietnam - ethnology ; Women's Health - ethnology ; Womens health ; Workers
É parte de: American journal of public health (1971), 2007-09, Vol.97 (9), p.1693-1700
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-News-2
ObjectType-Feature-3
content type line 23
ContributorsJ. Mock oversaw all aspects of the evaluation research, conducted and synthesized analyses, and led the writing of the article. S. J. McPhee originated the study and supervised all aspects of its implementation. T. Nguyen organized the lay health worker outreach program. C. Wong developed the media education campaign. H. Doan and K. Q. Lai assisted with the implementation of the study. K. H. Nguyen contributed to the data analysis. T.T. Nguyen and N. Bui-Tong assisted with the study implementation. All authors helped to conceptualize ideas, interpret findings, and review drafts of the article.
Peer Reviewed
Requests for reprints should be sent to Stephen J. McPhee, MD, Vietnamese Community Health Promotion Project, University of California, San Francisco, 44 Page St, Suite 500, San Francisco, CA 94102 (e-mail: smcphee@medicine.ucsf.edu) or Jeremiah Mock (e-mail: Jeremiah.Mock@ucsf.edu).
Descrição: We sought to promote cervical cancer screening among Vietnamese American women in Santa Clara County, Calif. In 2001-2004, we recruited and randomized 1005 Vietnamese American women into 2 groups: lay health worker outreach plus media-based education (combined intervention) or media-based education only. Lay health workers met with the combined intervention group twice over 3 to 4 months to promote Papanicolaou (Pap) testing. We used questionnaires to measure changes in awareness, knowledge, and Pap testing. Testing increased among women in both the combined intervention (65.8% to 81.8%; P<.001) and media-only (70.1% to 75.5%; P<.001) groups, but significantly more in the combined intervention group (P=.001). Among women never previously screened, significantly more women in the combined intervention group (46.0%) than in the media-only group (27.1%) obtained tests (P<.001). Significantly more women in the combined intervention group obtained their first Pap test or obtained one after an interval of more than 1 year (became up-to-date; 45.7% to 67.3%, respectively; P<.001) than did those in the media-only group (50.9% to 55.7%, respectively; P=.035). Combined intervention motivated more Vietnamese American women to obtain their first Pap tests and to become up-to-date than did media education alone.
Editor: Washington, DC: Am Public Health Assoc
Idioma: Inglês

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Effective Lay Health Worker Outreach and Media-Based Education for Promoting Cervical Cancer Screening Among Vietnamese American Women

Mock, Jeremiah ; McPhee, Stephen J ; Nguyen, Thoa ; Wong, Ching ; Doan, Hiep ; Lai, Ky Q ; Nguyen, Kim H ; Nguyen, Tung T ; Bui-Tong, Ngoc

Washington, DC: Am Public Health Assoc

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