29996
document
Do cervical cancer screening rates increase in association with an intervention designed to increase mammography usage ? OBJECTIVES To assess cervical cancer screening behaviors among underserved women participating in an intervention designed to increase mammography use . METHODS This was a randomized trial of 897 women from three racial groups ( white , African American , Native American ) living in a rural county in North Carolina . Baseline and followup surveys were completed by 815 women ; 775 women provided data to be included in these analyses . The intervention group received an educational program focused on mammography delivered by a lay health advisor , and the control group received a physician letter/brochure focusing on Pap tests . RESULTS Women in both the intervention ( OR 1.70 ; 1.31 , 2.21 , p < 0.001 ) and control groups ( OR 1.38 ; 1.04 , 1.82 , p = 0.025 ) significantly increased cervical cancer screening rates within risk appropriate guidelines . No differences by racial group were documented . Women categorized in the high-risk group for developing cervical cancer ( > 2 sexual partners , age < 18 years at first sexual intercourse , smoker ; treated for sexually transmitted disease [ STD ] or partner with treated STD ) significantly ( OR 1.88 ; 1.54 , 2.28 , p < 0.001 ) increased Pap test completion . However , a nonsignificant increase ( OR 1.25 ; 0.87 , 1.79 , p = 0.221 ) in Pap test completion was demonstrated in women categorized as low risk for cervical cancer . CONCLUSIONS This study suggests that women in an intensive behavioral intervention designed to increase mammography use may also increase Pap test completion , similar to a minimal intervention focused only on increasing Pap test completion . These results have implications for the design and evaluation of behavioral intervention studies .
29997
Intervention_Educational
educational program focused on mammography delivered by a lay health advisor
29998
Intervention_Educational
physician letter/brochure focusing on Pap tests
29999
Intervention_Educational
intensive behavioral intervention designed to increase mammography use
30000
Outcome_Mental
cervical cancer screening behaviors
30001
Outcome_Physical
cervical cancer screening rates
30002
Outcome_Mental
increased Pap test completion
30003
Outcome_Mental
Pap test completion
30004
Outcome_Mental
Pap test completion
30005
Outcome_Mental
Pap test completion
30006
Participant_Sex
women
30007
Participant_Sample-size
897
30008
Participant_Sex
women
30009
Participant_Sample-size
815
30010
Participant_Sex
women
30011
Participant_Sample-size
775
30012
Participant_Sex
women