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Community Health Workers to Increase Cancer Screening: 3 Community Guide Systematic Reviews.
Devon L Okasako-Schmucker1, Yinan Peng1, Jamaicia Cobb1
1Community Guide Office, Office of the Associate Director for Policy and Strategy (OADPS), Centers for Disease Control and Prevention, Atlanta, Georgia.
Community health workers effectively increase breast, cervical, and colorectal cancer screening rates. These interventions improve health equity, particularly in underserved communities, and are recommended for wider implementation.
Area of Science:
- Public Health
- Preventive Medicine
- Health Services Research
Background:
- Many individuals in the U.S. are not current with recommended cancer screenings.
- Low screening rates contribute to delayed diagnoses and poorer health outcomes.
- Systematic reviews are crucial for evaluating interventions aimed at improving public health outcomes.
Approach:
- This systematic review synthesized evidence from 76 studies on community health worker interventions for cancer screening.
- Publications were identified from previous reviews (1966-2013) and an updated search (2014-2021).
- Included studies focused on breast, cervical, and colorectal cancer screening in high-income countries, with community health workers from or knowledgeable about the target community.
Key Points:
- Community health worker interventions significantly increased breast, cervical, and colorectal cancer screening.
- Median increases in screening ranged from 10.5 to 12.8 percentage points.
- Intervention effectiveness was consistent across various demographics and socioeconomic statuses, including race, ethnicity, income, and insurance.
Conclusions:
- Community health worker interventions are a recommended strategy by the Community Preventive Services Task Force to boost cancer screening.
- These programs are vital for improving health equity by reaching underserved populations.
- Enhanced training and financial support for community health workers can further improve cancer screening uptake.
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