Increasing cervical cancer screening among Vietnamese Americans: a community-based intervention trial.

Increasing cervical cancer screening among Vietnamese Americans: a community-based intervention trial.
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DOI:
10.1353/hpu.2015.0064
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发表时间:
2015-05
影响因子:
1.4
通讯作者:
Nguyen C
Nguyen C
中科院分区:
医学4区
文献类型:
--
作者:
Ma GX;Fang C;Tan Y;Feng Z;Ge S;Nguyen C

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越南妇女在宫颈癌的发病率和死亡率以及筛查方面存在显著的健康差距。这项研究旨在评估多方面和文化上适当的干预措施在提高巴氏杆菌检测率以减少高危人群中宫颈癌差异方面的有效性。共有30个越南社区组织被随机分为干预组和对照组。受试者(n=1,416)完成为期12个月的巴氏试验随访,收集并分析他们的自我报告和病历资料。结果显示,干预组的巴氏试验显著高于对照组(P<0.0001)。自我报告的巴氏试验筛查率与有效病历的筛查率高度一致。结果表明,干预组越南妇女的筛查率明显高于对照组。尽管干预效果很大,但距离2020年健康人群筛查率93%的目标还有差距。
Vietnamese women experience a significant health disparity in incidence and mortality rates and screening of cervical cancer. This study is to evaluate the effectiveness of a multifaceted and culturally appropriate intervention in increasing Pap testing rates to reduce cervical cancer disparity in this high-risk population. A total of 30 Vietnamese community organizations were randomized to either intervention or control condition. Participants (n=1,416) completed 12-month follow-up of Pap testing, their self-reported and medical record data were collected and analyzed. The findings showed a statistically significant increase in Pap testing among intervention group than control group (significance p< .0001). The self-reported Pap test screening rate is in high agreement with that of validated medical records. Results indicate the screening rate was significantly higher in Vietnamese women in the intervention group compared with the control. Despite large intervention effect, there still remains a gap to reach Healthy People 2020 goal of 93% screening rate.
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