School of Nursing and Health Studies, University of Missouri-Kansas City, Kansas City, MO, USA.
Preventive Medicine and Public Health, University of Kansas, Wichita, KS, USA.
Am J Health Promot. 2020 Jan;34(1):87-90. doi: 10.1177/0890117119863714. Epub 2019 Jul 17.
To assess effectiveness, 1-year post-intervention, of a program delivered in jails with women to improve cervical health literacy (CHL) and up-to-date Papanicolaou (Pap) screening.
Pre-post design to evaluate Pap screening and CHL effects 1 year after our original randomized wait-list control study.
Surveys conducted in Kansas City, 2015 to 2017 (baseline in 2014).
Adult women (n = 133).
One-week (10-contact-hour), small-group, CHL program.
Surveys to assess CHL components and up-to-date Pap screening.
χ and tests, followed by best-subsets logistic regression using sociodemographic and CHL components to fit an optimal model for up-to-date screening 1-year post-intervention.
73% (133/182) women retained at 1-year. From pre-intervention, 6 of 8 CHL components improved (.01 > > .001). Up-to-date Pap screenings increased over pre-intervention (72%-82%, < .05). Best-subset model to predict up-to-date screening included age; public benefits; medical insurance; 5 CHL components (knowledge, benefits, barriers, seriousness, susceptibility).
A brief intervention to promote cervical health literacy, delivered with women during a jail detention, can lead to sustained improvements in CHL and prevention practices.
评估一项针对女性的监狱内项目的效果，该项目旨在提高宫颈健康素养（CHL）并更新巴氏涂片（Pap）筛查，干预后 1 年。
对我们原始的随机等待对照研究进行干预后 1 年的 Pap 筛查和 CHL 效果的前后设计评估。
堪萨斯城 2015 年至 2017 年的调查（2014 年基线）。
成年女性（n = 133）。
为期一周（10 个接触小时）的小组 CHL 项目。
调查评估 CHL 成分和最新的 Pap 筛查情况。
使用 χ 检验和 检验，然后使用最佳子集逻辑回归，根据社会人口统计学和 CHL 成分拟合最佳模型，以预测干预后 1 年的最新筛查情况。
73%（133/182）的女性在 1 年后保留下来。从干预前开始，8 个 CHL 成分中的 6 个得到了改善（.01 > >.001）。最新的 Pap 筛查率从干预前的 72%提高到 82%（<.05）。预测最新筛查的最佳子集模型包括年龄；公共福利；医疗保险；5 个 CHL 成分（知识、益处、障碍、严重性、易感性）。
在监狱拘留期间向女性提供的简短干预措施可以促进宫颈健康素养的持续提高和预防实践。
