A Community-Academic Partnership to Increase Pap Testing in Appalachian Kentucky
A Community-Academic Partnership to Increase Pap Testing in Appalachian Kentucky
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DOI：
10.1016/j.amepre.2015.04.028
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发表时间：
2015-08-01
影响因子：
5.5
通讯作者：
Cooper, Karen D.
中科院分区：
文献类型：
--
作者：
Collins, Tom;Stradtman, Lindsay R.;Cooper, Karen D.
简介：阿巴拉契亚肯塔基州是公认的宫颈癌发病率升高，这对这个医疗服务不足的地区造成了不应有的负担。本研究的目的是检查学术社区合作伙伴关系的影响，特别是区域卫生部门和CDC预防研究中心，在进行旨在提高巴氏试验率和检查的障碍，在阿巴拉契亚肯塔基州筛选不足的妇女外展。异常和阴性结果的妇女之间的差异也被检查。方法：预防研究中心向地区卫生部门提供技术援助，地区卫生部门反过来在县卫生部门举办“妇女健康日”活动，为从未接受过巴氏试验或至少3年未接受过巴氏试验的妇女提供奖励，以接受指南推荐的筛查。从2011年到2014年，317名妇女接受了宫颈癌筛查; 2014年对数据进行了分析。平均年龄为42.1岁（SD=13.6）。超过一半（54.5%）的样本报告说高中是他们的最高教育水平，57.7%的人家庭年收入为1000万美元。
Introduction: Appalachian Kentucky is recognized for elevated rates of cervical cancer, which exerts an undue burden in this medically underserved region. The purpose of this study was to examine the impact of an academic-community partnership, specifically a regional health department and a CDC Prevention Research Center, in conducting outreach aimed at improving Pap testing rates and examining barriers among under-screened women in Appalachian Kentucky. Differences between women with abnormal and negative results were also examined.Methods: The Prevention Research Center provided technical assistance to the district health department that, in turn, hosted "Women's Health Day" events at county health departments, providing incentives to women who had never had a Pap test or those who had not received one in at least 3 years to receive guideline-recommended screening.Results: From 2011 to 2014, 317 women were screened for cervical cancer; data were analyzed in 2014. The mean age was 42.1 (SD=13.6) years. More than half (54.5%) of the sample reported high school as their highest level of education, and 57.7% had an annual household income of