A systematic literature review of the effectiveness of community-based strategies to increase cervical cancer screening
A systematic literature review of the effectiveness of community-based strategies to increase cervical cancer screening
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DOI：
10.1007/bf03404575
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发表时间：
2002-09-01
影响因子：
4.3
通讯作者：
Mann, V
中科院分区：
文献类型：
--
作者：
Black, ME;Yamada, J;Mann, V
Objective: To evaluate and summarize evidence of the effectiveness of interventions available to public health staff that could be used to increase cervical cancer screening to women.Method: A thorough literature review was conducted, articles screened for relevance and assessed for quality.Results: Of 42 relevant studies, 1 was rated 'strong', 18 'moderate' and 23 'weak'. Among the strong/moderate studies, 10 were aimed at disadvantaged women. The most frequently used intervention was mass media campaigns, alone or combined with individual strategies; followed by individual education using lay health educators; and last, letters of invitation. Thirteen of the moderate/strong studies evaluated strategies that reported statistically significant increases in Pap smear rates and other outcomes.Conclusions: Strategies that combined mass media campaigns with direct tailored education to women and/or health care providers seemed most successful. The importance of accurate centralized cytology databases for recall is underscored.
