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Breast and cervical cancer screening literacy among Korean American women: A community health worker-led intervention

Author

Listed:
  • Han, H.-R.
  • Song, Y.
  • Kim, M.
  • Hedlin, H.K.
  • Kim, K.
  • Lee, H.B.
  • Roter, D.

Abstract

Objectives. To test a community health worker (CHW)-led health literacy intervention on mammogram and Papanicolaou test screening among Korean American women. Methods. We conducted a cluster-randomized trial at 23 ethnic churches in the Baltimore, Maryland-Washington, DC, metropolitan area between 2010 and 2014. Trained CHWs enrolled 560 women. The intervention group received an individually tailored cancer-screening brochure followed by CHW-led health literacy training and monthly telephone counseling with navigation assistance. Study outcomes included receipt of an age-appropriate cancer screening test, health literacy, cancer knowledge, and perceptions about cancer screening at 6 months. Results. The odds of having received a mammogram were 18.5 (95% confidence interval [CI] = 9.2, 37.4) times higher in the intervention than in the control group, adjusting for covariates. The odds of receiving a Papanicolaou test were 13.3 (95% CI = 7.9, 22.3) times higher; the odds of receiving both tests were 17.4 (95% CI = 7.5, 40.3) times higher. Intervention effects also included increases in health literacy and positive perceptions about cancer screening. Conclusions. A health literacy-focused CHW intervention successfully promoted cancer-screening behaviors and related cognitive and attitudinal outcomes in Korean American women.

Suggested Citation

  • Han, H.-R. & Song, Y. & Kim, M. & Hedlin, H.K. & Kim, K. & Lee, H.B. & Roter, D., 2017. "Breast and cervical cancer screening literacy among Korean American women: A community health worker-led intervention," American Journal of Public Health, American Public Health Association, vol. 107(1), pages 159-165.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2016.303522_3
    DOI: 10.2105/AJPH.2016.303522
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    Cited by:

    1. Jiyun Kim & Yuna Paik & Seungmi Park, 2022. "Cancer Screening Program Delivered by Community Health Workers for Chinese Married Immigrant Women in Korea," IJERPH, MDPI, vol. 19(11), pages 1-9, May.

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