A community-based randomized trial of a faith-placed intervention to reduce cervical cancer burden in Appalachia

作者：Studts Christina R^*; Tarasenko Yelena N; Schoenberg Nancy E; Shelton Brent J; Hatcher Keller Jennifer; Dignan Mark B

来源：Preventive Medicine, 2012, 54(6): 408-414.

DOI：10.1016/j.ypmed.2012.03.019

• Cervical cancer screening
• Randomized controlled trial
• Faith-placed
• Appalachia

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 3 years). %26lt;br%26gt;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. %26lt;br%26gt;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% Cl: 1.03-638, p = 0.04. Independent of group, recently screened participants (last Pap %26gt;1 but %26lt;5 years ago) had significantly higher odds of obtaining screening during the study than rarely or never screened participants (last Pap %26gt;= 5 years ago), OR = 2.50. 95% Cl: 1.48-425, p = 0.001. %26lt;br%26gt;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.

• 出版日期2012-6