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A Community-Based Cervical Cancer Education and Navigation Program for Korean American Women.
Alison C Brecher1, Elizabeth A Handorf1, Yin Tan2
1Cancer Prevention and Control Program, Fox Chase Cancer Center.
Asian American Journal of Psychology
|October 7, 2024
Summary
Navigation services significantly increased cervical cancer screening rates in Korean American women. Culturally relevant education improved knowledge but did not directly boost screening uptake.
Area of Science:
- Public Health
- Health Disparities
- Health Behavior
Background:
- Cervical cancer screening rates are low among Asian American women, particularly Korean American women.
- The Health Belief Model guided the development of a multi-component intervention to address this disparity.
Purpose of the Study:
- To enhance Korean American women's knowledge and beliefs about cervical cancer screening.
- To increase cervical cancer screening uptake in this underserved population.
Main Methods:
- A multi-component intervention including culturally relevant education and navigation services was compared to a control group receiving standard information.
- Knowledge, beliefs, and screening behavior were assessed at baseline, post-program, and 12-month follow-up.
Main Results:
- The intervention group showed greater improvements in knowledge and perceived risk, and greater decreases in perceived barriers compared to the control group.
- Changes in knowledge and beliefs did not mediate the intervention's effect on screening behavior.
- Navigation services were strongly associated with increased screening uptake (OR=3.15) and diminished the group assignment effect.
Conclusions:
- While the educational component improved knowledge and beliefs, navigation services were the key driver for increasing cervical cancer screening rates.
- Navigation services are critical for improving screening uptake in underserved populations like Korean American women.
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