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A community-based randomized trial of a faith-placed intervention to reduce cervical cancer burden in Appalachia
- Source :
-
Preventive Medicine . Jun2012, Vol. 54 Issue 6, p408-414. 7p. - Publication Year :
- 2012
-
Abstract
- Abstract: Objective: Faith Moves Mountains assessed the effectiveness of a faith-placed lay health advisor (LHA) intervention to increase Papanicolaou (Pap) test use among middle-aged and older women in a region disproportionately affected by cervical cancer and low screening rates (regionally, only 68% screened in prior 3years). Method: This community-based RCT was conducted in four Appalachian Kentucky counties (December 2005–June 2008). Women aged 40–64 and overdue for screening were recruited from churches and individually randomized to treatment (n =176) or wait-list control (n =169). The intervention provided LHA home visits and newsletters addressing barriers to screening. Self-reported Pap test receipt was the primary outcome. Results: Intention-to-treat analyses revealed that treatment group participants (17.6% screened) had over twice the odds of wait-list controls (11.2% screened) of reporting Pap test receipt post-intervention, OR=2.56, 95% CI: 1.03–6.38, p =0.04. Independent of group, recently screened participants (last Pap >1 but <5years ago) had significantly higher odds of obtaining screening during the study than rarely or never screened participants (last Pap ≥5years ago), OR=2.50, 95% CI: 1.48–4.25, p =0.001. Conclusions: The intervention was associated with increased cervical cancer screening. The faith-placed LHA addressing barriers comprises a novel approach to reducing cervical cancer disparities among Appalachian women. [Copyright &y& Elsevier]
Details
- Language :
- English
- ISSN :
- 00917435
- Volume :
- 54
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Preventive Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 76328247
- Full Text :
- https://doi.org/10.1016/j.ypmed.2012.03.019