Design and Outcomes of a Community Trial to Increase Pap Testing in Pacific Islander Women
| Autor: | Lourdes Quitugua, Alisa Chavarria, Vanessa Tui'one May, Jie W Weiss, Michele Mouttapa, Lola Sablan-Santos, Dorothy Schmidt-Vaivao, Jasmine DeGuzman Lacsamana, Sora Park Tanjasiri, Marina Tupua |
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| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
Adult medicine.medical_specialty Health Knowledge Attitudes Practice Native Hawaiian or Other Pacific Islander Epidemiology Ethnic group Psychological intervention Medical and Health Sciences 03 medical and health sciences Social support Young Adult 0302 clinical medicine medicine Humans Pap test Early Detection of Cancer Aged Cervical cancer Vaginal Smears Practice Cancer prevention medicine.diagnostic_test business.industry Health Knowledge Behavior change Middle Aged medicine.disease Oceanic Ancestry Group 030104 developmental biology Treatment Outcome Oncology 030220 oncology & carcinogenesis Family medicine Attitudes Pacific islanders Female business Papanicolaou Test |
| Zdroj: | Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, vol 28, iss 9 Tanjasiri, Sora P; Mouttapa, Michele; Santos, Lola; Weiss, Jie W; Chavarria, Alisa; Lacsamana, Jasmine DeGuzman; et al.(2019). Design and Outcomes of a Community Trial to Increase Pap Testing in Pacific Islander Women.. Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, cebp.1306.2018-cebp.1306.2018. doi: 10.1158/1055-9965.epi-18-1306. UC Irvine: Retrieved from: http://www.escholarship.org/uc/item/0tm7j9q8 |
| DOI: | 10.1158/1055-9965.epi-18-1306. |
| Popis: | Background: Pap tests remain an essential cervical cancer detection method in the United States, yet they are underutilized among Pacific Islanders (PI) who experience elevated cervical cancer incidence and mortality. This study describes the design, methods, participants, and outcomes of a multiyear (2010–2016), community-based randomized intervention trial in southern California. Based upon strong collectivistic norms, the trial tested the efficacy of a unique social support intervention targeting Chamorro, Samoan, and Tongan women and their male husbands/partners. Methods: A single-session educational intervention was designed and tailored for ethnic- and gender-specific groups to increase men's social support for their female wives/partners to receive a Pap test, and for women to receive a Pap test. The comparison group received preexisting brochures on Pap testing (for women) or general men's health (for men). Pretest and 6-month follow-up data were analyzed. Results: Intervention and comparison groups were mostly equivalent on pretest demographics and outcome variables. Intervention women who were not compliant with Pap screening recommendations at pretest were significantly more likely to have scheduled and received a Pap test at 6-month follow-up. However, 6-month follow-up results indicated no intervention effect on changes in women's Pap testing knowledge, fatalistic attitudes, or perceived social support from their male partner. Conclusions: Ethnic- and gender-tailored community interventions can successfully increase Pap test behaviors for PI women, although more research is needed on the specific pathways leading to behavior change. Impact: Collaborative community-based interventions lead to increases in women's cancer prevention and early detection for Pacific Islander and other collectivistic communities. |
| Databáze: | OpenAIRE |
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