A cancer screening intervention for underserved Latina women by Lay Educators

Linda Larkey, Patricia M. Herman, Denise J. Roe, Francisco Garcia, A. M. Lopez, J. Gonzalez, Prasadini N. Perera, Kathylynn Saboda

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Objectives: Inadequate screening adherence for breast, cervical, and colorectal cancer among Latinas places them at greater risk for poor survival rates, once diagnosed. The purpose of this study was to examine two delivery methods of lay health educators (promotoras de salud) to increase screening behavior and evaluate costs. Methods: This community-based group randomized trial assigned Latinas due for breast, cervical, or colorectal cancer screening (n=1006) to promotora-taught cancer screening/prevention classes delivered individually (IND) or in social support groups (SSG) over 8 weeks. Screening behaviors were assessed immediately after and 3 and 15 months after intervention. Intervention costs per study arm were compared. Results: Screening and maintenance behaviors were not significantly different between SSG and IND for any one type of cancer screening, but with a study entry requirement that participants were either never screened or due for screening, postintervention screening rates (that is, completing a screening that was due) were notable (39.4% and 45.5%, respectively). The cost of achieving any one screening was much higher for IND participants. Conclusions: SSG vs. IND delivery did not significantly affect cancer screening behaviors, but both interventions produced robust achievement of screenings for previously nonadherent participants. Group-based promotora-led interventions supporting social involvement are recommended as a more cost-effective approach to achieving cancer screening among Latina women.

Original languageEnglish (US)
Pages (from-to)557-566
Number of pages10
JournalJournal of Women's Health
Volume21
Issue number5
DOIs
StatePublished - May 1 2012

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Early Detection of Cancer
Hispanic Americans
Self-Help Groups
Social Support
Costs and Cost Analysis
Uterine Cervical Neoplasms
Colorectal Neoplasms
Breast Neoplasms
Health Educators
Survival Rate

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Larkey, L., Herman, P. M., Roe, D. J., Garcia, F., Lopez, A. M., Gonzalez, J., ... Saboda, K. (2012). A cancer screening intervention for underserved Latina women by Lay Educators. Journal of Women's Health, 21(5), 557-566. https://doi.org/10.1089/jwh.2011.3087

A cancer screening intervention for underserved Latina women by Lay Educators. / Larkey, Linda; Herman, Patricia M.; Roe, Denise J.; Garcia, Francisco; Lopez, A. M.; Gonzalez, J.; Perera, Prasadini N.; Saboda, Kathylynn.

In: Journal of Women's Health, Vol. 21, No. 5, 01.05.2012, p. 557-566.

Research output: Contribution to journalArticle

Larkey, L, Herman, PM, Roe, DJ, Garcia, F, Lopez, AM, Gonzalez, J, Perera, PN & Saboda, K 2012, 'A cancer screening intervention for underserved Latina women by Lay Educators', Journal of Women's Health, vol. 21, no. 5, pp. 557-566. https://doi.org/10.1089/jwh.2011.3087
Larkey, Linda ; Herman, Patricia M. ; Roe, Denise J. ; Garcia, Francisco ; Lopez, A. M. ; Gonzalez, J. ; Perera, Prasadini N. ; Saboda, Kathylynn. / A cancer screening intervention for underserved Latina women by Lay Educators. In: Journal of Women's Health. 2012 ; Vol. 21, No. 5. pp. 557-566.
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