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Cervical cancer screening with AMIGAS: a cost-effectiveness analysis
David R Lairson1, Yu-Chia Chang1, Theresa L Byrd2
1School of Public Health, University of Texas Health Science Center at Houston, Houston, Texas.
American Journal of Preventive Medicine
|May 21, 2014
Summary
The AMIGAS program effectively increased cervical cancer screening among Mexican American women. The full program, including video and flipchart, showed a 6.8% increase in screening rates.
Area of Science:
- Public Health
- Health Economics
- Gynecologic Oncology
Background:
- Hispanic women face higher cervical cancer incidence.
- Mexican American women exhibit lower cervical cancer screening rates.
- The AMIGAS intervention demonstrated increased screening in a prior RCT.
Purpose of the Study:
- To assess the cost-effectiveness of AMIGAS intervention variations.
- To evaluate methods for increasing cervical cancer screening.
- Focus on low-income Mexican descent women in the U.S.
Main Methods:
- Cost data collected alongside the AMIGAS RCT (2008-2011).
- Analysis focused on Pap test receipt within 6 months.
- Cost-effectiveness analysis conducted during 2012-2013.
Main Results:
- Video-only intervention cost $980 per additional woman screened.
- Including participant time increased cost to $1,309.
- Full AMIGAS program yielded 6.8% more women screened at $3.90/participant.
Conclusions:
- AMIGAS program elements offer valuable cost-effectiveness data.
- Results aid policymakers in budgeting for cervical cancer screening interventions.
- Supports targeted interventions for low-income Mexican descent women.