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AJPH First Look, published online ahead of print Feb 28, 2007
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American Journal of Public Health, 10.2105/AJPH.2006.086470

Research and Practice

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

Jeremiah Mock 1, Stephen J. McPhee 2*, Thoa Nguyen 2, Ching Wong 2, Hiep Doan 3, Ky Q. Lai 2, Kim H. Nguyen 4, Tung T. Nguyen 2, Ngoc Bui-Tong 5

1 Center for Health and Community, UCSF
2 Vietnamese Community Health Promotion Project, UCSF
3 Northern California Cancer Center
4 Harvard School of Public Health, Harvard University
5 Department of Health and Human Services

* To whom correspondence should be addressed. E-mail: smcphee{at}medicine.ucsf.edu.


  Abstract

Objectives. We sought to promote cervical cancer screening among Vietnamese in Santa Clara County, Calif. Methods. In 2001-2004, we recruited and randomized 1005 women into 2 groups: lay health worker outreach plus media-based education (combined intervention) or media-based education alone (media 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 the combined intervention (65.8% to 81.8%; P<.001) and the media-only (70.1% to 75.5%; P<.001) groups, but significantly more in the combined intervention group (P=.001). Among women who had never been 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%;so, okay P<.001) than did those in the media-only group (50.9% to 55.7%; P=.035). Being up-to-date was associated with being in the combined intervention group, reading Pap-related newspaper articles, and being married. Conclusions. Combined intervention motivated more women to obtain first Pap tests and to become up-to-date than did media education alone.

Key Words: Cancer, Health Education, Asians




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