Community-based interventions to improve Breast and cervical Cancer screening Results of the Forsyth County Cancer Screening (FoCaS) project.
The FoCaS (Forsyth County Cancer Screening) Project was one of six projects funded by the National Cancer Institute « Public Health Approaches to Breast and Cervical Cancer » initiative.
The goal of this project was to improve the use of breast and cervical cancer screening among low-income, predominately African-American, women age 40 and older.
Strategies implemented in the intervention city included public health clinic in-reach strategies (chart reminders, exam room prompts, in-service meetings, and patient-directed literature) and community outreach strategies (educational sessions, literature distribution, community events, media, and church programs).
Baseline and follow-up data from independent cross-sectional samples in both the intervention and comparison cities were used to evaluate the effects of the intervention program.
A total of 248 women were surveyed at baseline, and 302 women were surveyed 3 years later at follow-up.
The proportion of women reporting regular use of mammography increased (31 to 56% ; P<0.001) in the intervention city.
In the comparison city, a nonsignificant (ns) increase in mammography utilization was observed (33 to 40% ; P=ns).
Pap smear screening rates also improved in the intervention city (73 to 87% ; P=0.003) but declined in the comparison city (67 to 60% ; P=ns).
These relationships hold in multivariate models.
The results suggest that a multifaceted intervention can improve screening rates in low-income populations. (...)
Mots-clés Pascal : Tumeur maligne, Glande mammaire, Homme, Femelle, Ethnie, Noir américain, Pauvreté, Dépistage, Etude transversale, Mammographie, Exploration radiologique, Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Evaluation, Glande mammaire pathologie
Mots-clés Pascal anglais : Malignant tumor, Mammary gland, Human, Female, Ethnic group, Black American, Poverty, Medical screening, Cross sectional study, Mammography, Radiologic investigation, United States, North America, America, Epidemiology, Evaluation, Mammary gland diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0288966
Code Inist : 002B20E02. Création : 16/11/1999.