Increasing pap smear utilization among Samoan women: results from a community based participatory randomized trial.

Increasing pap smear utilization among Samoan women: results from a community based participatory randomized trial.
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DOI:
10.1353/hpu.0.0160
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发表时间:
2009-05
影响因子:
1.4
通讯作者:
Baquet CR
Baquet CR
中科院分区:
医学4区
文献类型:
--
作者:
Mishra SI;Luce PH;Baquet CR

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我们测试了一个理论指导的,文化上定制的宫颈癌教育计划,旨在增加巴氏涂片的使用萨摩亚妇女居住在美国领土的美属萨摩亚的有效性。我们采用了两组,前测后测设计。样本包括398名年龄在20岁及以上的萨摩亚妇女,我们从萨摩亚教堂招募她们。干预组的妇女每周三次接受文化定制的宫颈癌教育计划。主要结局是自我报告接受巴氏涂片检查。总的来说,有一个显着的干预效果,与对照组妇女相比,干预两次(调整后的比值比= 2.0,95%置信区间= 1.3-3.2,p<0.01),可能自我报告巴氏涂片使用后测试。研究结果支持萨摩亚妇女多方面、理论指导、文化上适合的社区参与性宫颈癌教育方案在积极改变巴氏涂片检查使用和宫颈癌相关知识和态度方面的功效。
We tested the effectiveness of a theory-guided, culturally tailored cervical cancer education program designed to increase Pap smear use among Samoan women residing in the U.S. Territory of American Samoa. We used a two-group, pretest-posttest design. The sample comprised 398 Samoan women age 20 and older who we recruited from Samoan churches. Women in the intervention group received a culturally tailored cervical cancer education program in three weekly sessions. The primary outcome was self-reported receipt of a Pap smear. Overall, there was a significant intervention effect, with intervention compared with control group women twice (adjusted odds ratio = 2.0, 95% confidence interval = 1.3–3.2, p<.01) as likely to self-report Pap smear use at the posttest. The findings support the efficacy of the multifaceted, theory-guided, culturally tailored community-based participatory cervical cancer education program for Samoan women in effecting positive changes in Pap smear use and cervical cancer related knowledge and attitudes.
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