Results of a randomized trial to increase breast and cervical cancer screening among Filipino American women
Results of a randomized trial to increase breast and cervical cancer screening among Filipino American women
复制标题
DOI：
10.1016/s0091-7435(03)00088-4
复制
发表时间：
2003-08-01
影响因子：
5.1
通讯作者：
Warda, US
中科院分区：
文献类型：
--
作者：
Maxwell, AE;Bastani, R;Warda, US
背景本文报告了第一次评估干预措施，以增加乳腺癌和宫颈癌筛查菲律宾裔美国妇女。40岁以上的菲律宾妇女是通过洛杉矶县的9个社区组织和6个教堂招募的。在完成简短的基线访谈后，所有妇女都被邀请参加与她们的一些同龄人和一名菲律宾女性健康教育工作者的小组会议。每个组织中的妇女被随机分配接受癌症筛查模块（干预）或身体活动模块（对照）。在小组会议后12个月进行电话随访，评估干预的影响。在受邀的530名妇女中，有444人（84%）参加了会议。在基线和随访时，乳腺癌和宫颈癌的筛查率在研究组之间没有差异。在研究的两个组中均观察到筛查率适度增加（9至12个百分点）。在美国居住时间少于10年的相对较新的移民中，干预组的乳腺X线检查筛查率比对照组高得多（27个百分点比6个百分点，P < 0.05）。我们的干预措施只对增加基线筛查率非常低的相对较新的移民的癌症筛查有效。(C)2003年美国健康基金会和爱思唯尔科学（美国）。All rights reserved.
Background. This paper reports the first evaluation of an intervention to increase breast and cervical cancer screening among Filipino American women.Methods. Filipino women over 40 years of age were recruited through nine community-based organizations and six churches in Los Angeles County. After completion of a short baseline interview, all women were invited to attend a group session with some of their peers and a female Filipino health educator. Women within each organization were randomized to receive a cancer screening module (intervention) or a physical activity module (control). Telephone follow-up interviews 12 months after the group session assessed the impact of the intervention.Results. Of the 530 women invited, 444 (84%) attended a session. At baseline and follow-up, screening rates for breast and cervical cancer did not differ between study groups. Moderate increases in screening rates (9 to 12 percentage points) were observed in both arms of the study. Among relatively recent immigrants who had spent less than 10 years in the United States, mammography screening increased substantially more in the intervention arm than under the control condition (a 27 vs 6 percentage point increase, P < 0.05).Conclusion. Our intervention was only effective in increasing cancer screening among relatively recent immigrants who had very low baseline screening rates. (C) 2003 American Health Foundation and Elsevier Science (USA). All rights reserved.