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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Community health worker intervention to decrease cervical cancer disparities in Hispanic women.

Matthew J O'Brien1, Chanita Hughes Halbert, Rebecca Bixby

  • 1Division of General Internal Medicine, Temple University School of Medicine, 3223 North Broad St, Suite 175, Philadelphia, PA 19140, USA. dmob76@gmail.com

Journal of General Internal Medicine
|July 8, 2010
PubMed
Summary

A promotora-led educational intervention significantly improved cervical cancer knowledge, self-efficacy, and Pap smear screening rates among Hispanic women. This highlights the effectiveness of community health workers in reducing cancer disparities.

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Area of Science:

  • Public Health
  • Health Disparities
  • Cancer Prevention

Background:

  • Hispanic women face a disproportionately high burden of cervical cancer in the U.S.
  • Community health workers (promotoras) are a potential strategy to address these racial and ethnic health disparities.
  • This study evaluated a promotora-led educational intervention for cervical cancer in a Hispanic community.

Purpose of the Study:

  • To assess the effectiveness of a promotora-led educational intervention on cervical cancer knowledge, self-efficacy, and screening rates.
  • To reduce cervical cancer disparities in the Hispanic community.

Main Methods:

  • A randomized trial involving four promotoras leading educational workshops.
  • Pre- and post-intervention questionnaires measured sociodemographics, risk factors, screening history, knowledge, and self-efficacy.
  • Statistical analyses included chi-square, t-tests, Mann-Whitney, and multivariate logistic regression.

Main Results:

  • Significant improvements were observed in Pap smear screening rates (65% vs. 36%), cervical cancer knowledge (5.4 vs. 3.5), and self-efficacy (4.7 vs. 4.0).
  • Multivariate analysis showed cervical cancer knowledge (OR 1.68) and intervention assignment (OR 6.74) were associated with Pap smear receipt.
  • No significant baseline differences were found between groups.

Conclusions:

  • The promotora-led intervention effectively increased Pap screening, knowledge, and self-efficacy.
  • Educating vulnerable populations about disproportionately affecting diseases is crucial.
  • Larger-scale evaluations and identification of novel intervention targets are recommended.