| Titre : | Effective lay health worker outreach and media-based education for promoting cervical cancer screening among Vietnamese American women. (2007) |
| Auteurs : | MOCK (Jeremiah) : USA. Department of Anthropology. History and Social Medicine and the Center for Health and Community at the University of California. San Francisco. ; BUI-TONG (Ngoc) : USA. Department of Health and Human Services. Ambulatory and Community Health Services. Santa Clara County. California. ; . CHING WONG ; Hiep DOAN ; Ky-Q LAI ; Stephen-J MCPHEE ; Thoa NGUYEN ; Kim-H NGUYEN ; Tung-T NGUYEN ; Vietnamese Community Health Promotion Project. Division of General Internal Medicine. Department of Medicine. University of California. San Francisco. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 97, n° 9, 2007) |
| Pagination : | 1693-1700 |
| Langues: | Anglais |
| Mots-clés : | Cancer ; Média ; Education ; Enseignement ; Dépistage ; Vietnam ; Femme ; Homme ; Asie |
| Résumé : | [BDSP. Notice produite par INIST-CNRS H4GR0xkV. Diffusion soumise à autorisation]. Objectives. We sought to promote cervical cancer screening among Vietnamese American women in Santa Clara County, Calif. Methods. In 2001-2004, we recruited and randomized 1005 Vietnamese American women into 2 groups : lay health worker outreach plus media-based education (combined intervention) or media-based education only. Lay health workers met with the combined intervention group twice over 3 to 4 months to promote Papanicolaou (Pap) testing. We used questionnaires to measure changes in awareness, knowledge, and Pap testing. Results. Testing increased among women in both the combined intervention (65.8% to 81.8% ; P<. 001) and media-only (70.1% to 75.5% ; P<. 001) groups, but significantly more in the combined intervention group (P=001). Among women never previously screened, significantly more women in the combined intervention group (46.0%) than in the media-only group (27.1%) obtained tests (P<. 001). Significantly more women in the combined intervention group obtained their first Pap test or obtained one after an interval of more than 1 year (became up-to-date ; 45.7% to 67.3%, respectively ; P<. 001) than did those in the media-only group (50.9% to 55.7%, respectively ; P=035). Conclusions. Combined intervention motivated more Vietnamese American women to obtain their first Pap tests and to become up-to-date than did media education alone. |
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