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Titolo:
EFFECT OF A CANCER SCREENING INTERVENTION CONDUCTED BY LAY HEALTH-WORKERS AMONG INNER-CITY WOMEN
Autore:
SUNG JFC; BLUMENTHAL DS; COATES RJ; WILLIAMS JF; ALEMAMENSAH E; LIFF JM;
Indirizzi:
MOREHOUSE COLL,MOREHOUSE SCH MED,DEPT COMMUNITY HLTH & PREVENT MED,720 WESTVIEW DR SW ATLANTA GA 30310
Titolo Testata:
American journal of preventive medicine
fascicolo: 1, volume: 13, anno: 1997,
pagine: 51 - 57
SICI:
0749-3797(1997)13:1<51:EOACSI>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
CERVICAL-CANCER; AVOIDABLE MORTALITY; COMMUNITY; PREVENTION; PROJECT; PROGRAM;
Keywords:
INTERVENTION STUDIES; PAPANICOLAOU SMEAR; MAMMOGRAPHY; URBAN HEALTH; HEALTH SERVICES; INDIGENOUS COMMUNITY HEALTH AIDES; BREAST;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
25
Recensione:
Indirizzi per estratti:
Citazione:
J.F.C. Sung et al., "EFFECT OF A CANCER SCREENING INTERVENTION CONDUCTED BY LAY HEALTH-WORKERS AMONG INNER-CITY WOMEN", American journal of preventive medicine, 13(1), 1997, pp. 51-57

Abstract

Introduction: We conducted a randomized controlled trial to determineif an in-home educational intervention conducted by lay health workers (LHWs) could increase adherence among low-income, inner-city, African-American women to breast and cervical cancer screening schedules. Methods: We recruited 321 African-American women from diverse inner-citysources. After baseline interviews, they were randomly assigned to either the intervention (n = 163) or the control (n = 158) group. Those in the intervention group were visited in their homes up to three times by LHWs who provided a culturally sensitive educational program thatemphasized the need for screening. Results: Ninety-three (93) women in the intervention group and 102 in the control group completed the postintervention interview. For Pap smears, the increase in screening was similar in both groups. For clinical breast exams (CBEs), however, there was a modest increase in the intervention group. The improvement was greatest for mammography, for which there was a 10% to 12% increase. Among women who were not on recommended schedules at baseline, the improvement was substantial and greater in the intervention group. Conclusions: LHWs' intervention appeared to improve the rate at which inner-city women obtained CBEs and mammograms, but had no effect on Pap smears. A high attrition rate weakened our ability to make conclusive statements about the exact impact of the intervention.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/04/20 alle ore 22:16:30