The University of Texas Health Science Center at Houston School of Public Health, Center for Health Promotion and Prevention Research, Houston, TX, USA.
The University of Texas Health Science Center at Houston School of Public Health, Center for Health Promotion and Prevention Research, Houston, TX, USA.
Prev Med. 2021 Apr;145:106446. doi: 10.1016/j.ypmed.2021.106446. Epub 2021 Feb 4.
We examined the effectiveness of a lay health worker (promotora)-delivered intervention on increasing breast and cervical cancer screening among low-income, primarily uninsured Latinas living in El Paso, Texas.
In 2015, Breast and Cervical Cancer Screening (BCCS) program promotoras recruited Latinas overdue for breast and/or cervical cancer screening in community settings. Promotoras consented eligible women and conducted baseline surveys before individually randomizing women into control (n = 313) or intervention (n = 314) groups. Control participants received printed material providing basic information about breast and cervical cancer screening.Intervention participants received promotora-delivered one-on-one breast and cervical cancer screening education followed by navigation calls, providing assistance to address personal and logistic barriers to accessing clinical services. We assessed breast and cervical cancer screening outcomes using a 6-month follow-up survey. Per protocol (PP) and intent to treat (ITT) analyses are reported.
At follow-up, among women in need of breast cancer screening, those in the intervention group were significantly more likely to complete a mammogram than those in the control group (PP: 53.4% vs. 40.1%, p = .013; ITT: 47.9% vs. 35.2%, p = .011). Among women in need of Pap screening, only intervention group women 50 years and older were more likely to complete a Pap screening compared with control group women (PP: 64.5% vs. 43.5%, p = .019).
A promotora-delivered behavioral intervention, embedded in a community-based organization, increased mammography uptake in all women and Pap uptake among women 50 years and older in a sample of low-income Latinas. NCT04397744.
我们研究了由非专业卫生工作者（ promotora ）提供的干预措施对增加德克萨斯州埃尔帕索低收入、主要无保险的拉丁裔妇女进行乳腺癌和宫颈癌筛查的效果。
2015 年，乳腺癌和宫颈癌筛查（ BCCS ）项目 promotoras 在社区环境中招募了乳腺癌和/或宫颈癌筛查逾期的拉丁裔妇女。 promotoras 在对符合条件的女性进行同意后，在对女性进行个体随机分组到对照组（ n ＝ 313 ）或干预组（ n ＝ 314 ）之前，先进行基线调查。对照组参与者收到了提供有关乳腺癌和宫颈癌筛查基本信息的印刷材料。干预组参与者接受了 promotora 提供的一对一乳腺癌和宫颈癌筛查教育，然后进行了导航电话，以帮助解决获得临床服务的个人和后勤障碍。我们使用 6 个月的随访调查来评估乳腺癌和宫颈癌筛查的结果。报告了按方案（ PP ）和意向治疗（ ITT ）分析。
在随访时，在需要乳腺癌筛查的女性中，干预组中完成乳房 X 光检查的可能性明显高于对照组（ PP ：53.4％对 40.1％， p ＝.013 ； ITT ：47.9％对 35.2％， p ＝.011 ）。在需要巴氏涂片检查的女性中，只有 50 岁及以上的干预组女性完成巴氏涂片检查的可能性高于对照组女性（ PP ：64.5％对 43.5％， p ＝.019 ）。
在一个低收入的拉丁裔样本中，由 promotora 提供的行为干预措施，嵌入在一个社区组织中，增加了所有女性的乳房 X 光检查率，并增加了 50 岁及以上女性的巴氏涂片检查率。 NCT04397744 。
