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Jeremiah Mock, PhD, MSc, Stephen J. McPhee, MD, Thoa Nguyen, Ching Wong, BS, Hiep Doan, MD, Ky Q. Lai, MD, MPH, Kim H. Nguyen, MPH, Tung T. Nguyen, MD and Ngoc Bui-Tong, MHA

Jeremiah Mock is with the Department of Anthropology, History and Social Medicine and the Center for Health and Community at the University of California, San Francisco. Stephen J. McPhee, Thoa Nguyen, Ching Wong, Ky Q. Lai, Tung T. Nguyen, Hiep Doan, and Kim H. Nguyen are with the Vietnamese Community Health Promotion Project, Division of General Internal Medicine, Department of Medicine, University of California, San Francisco. Ngoc Bui-Tong is with the Department of Health and Human Services, Ambulatory and Community Health Services, Santa Clara County, California.

Correspondence: 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{at}medicine.ucsf.edu) or Jeremiah Mock (e-mail: Jeremiah.Mock{at}ucsf.edu).

Objectives. We sought to promote cervical cancer screening among Vietnamese American women in Santa Clara County, Calif.

Methods. 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.

Results. 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).

Conclusions. Combined intervention motivated more Vietnamese American women to obtain their first Pap tests and to become up-to-date than did media education alone.

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