Breast and Cervical Cancer Screening Literacy Among Korean American Women: A Community Health Worker–Led Intervention.
| Autor: | Hae-Ra Han, Youngshin Song, Miyong Kim, Hedlin, Haley K., Kyounghae Kim, Hochang Ben Lee, Roter, Debra |
|---|---|
| Předmět: |
BREAST tumor diagnosis
CERVIX uteri tumors BEHAVIOR modification MAMMOGRAMS COMMUNITY health workers CONFIDENCE intervals HEALTH attitudes HEALTH behavior HEALTH promotion MEDICAL screening PROBABILITY theory QUESTIONNAIRES RESEARCH funding STATISTICS ASIANS DATA analysis HEALTH literacy DESCRIPTIVE statistics ODDS ratio DIAGNOSIS PSYCHOLOGY |
| Zdroj: | American Journal of Public Health; Jan2017, Vol. 107 Issue 1, p159-165, 7p, 4 Charts |
| Abstrakt: | Objectives. To test a community health worker (CHW)-led health literacy intervention on mammogram and Papanicolaou test screening among Korean American women. Methods. We conducted a cluster-randomized trial at 23 ethnic churches in the Baltimore, Maryland–Washington, DC, metropolitan area between 2010 and 2014. Trained CHWs enrolled 560 women. The intervention group received an individually tailored cancer-screening brochure followed by CHW-led health literacy training and monthly telephone counseling with navigation assistance. Study outcomes included receipt of an age-appropriate cancer screening test, health literacy, cancer knowledge, and perceptions about cancer screening at 6 months. Results. The odds of having received a mammogram were 18.5 (95% confidence interval [CI] = 9.2, 37.4) times higher in the intervention than in the control group, adjusting for covariates. The odds of receiving a Papanicolaou test were 13.3 (95% CI = 7.9, 22.3) times higher; the odds of receiving both tests were 17.4 (95% CI = 7.5, 40.3) times higher. Intervention effects also included increases in health literacy and positive perceptions about cancer screening. Conclusions. A health literacy–focused CHW intervention successfully promoted cancer-screening behaviors and related cognitive and attitudinal outcomes in Korean American women. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
| Externí odkaz: |
|