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Increasing Pap Smear Utilization among Samoan Women: Results from a Community Based Participatory Randomized Trial

2009; Johns Hopkins University Press; Volume: 20; Issue: 2A Linguagem: Inglês

10.1353/hpu.0.0160

1548-6869

Shiraz I. Mishra, Pat H. Luce, Claudia R. Baquet,

Cultural Competency in Health Care

Background . We tested the effectiveness of a theory-guided, culturally tailored cervical cancer education program designed to increase Pap smear use among Samoan women residing in the U.S. Territory of American Samoa. Methods . We used a two-group, pretest-posttest design. The sample comprised 398 Samoan women age 20 and older recruited from Samoan churches. Women in the intervention group received a culturally tailored cervical cancer education program in three weekly sessions. The primary outcome was self-reported receipt of a Pap smear. Results . Overall, there was a significant intervention effect, with intervention compared with control group women twice (adjusted odds ratio = 2.0, 95% confidence interval = 1.3–3.2, p<.01) as likely to self-report Pap smear use at the posttest. Conclusions . The findings support the efficacy of the multifaceted, theory-guided, culturally tailored community-based participatory cervical cancer education program for Samoan women in effecting positive changes in Pap smear use and cervical cancer related knowledge and attitudes.