Chinese American and Canadian women have low levels of Papanicolaou (Pap) testing relative to other population sub-groups. We conducted a randomized controlled trial to evaluate the effectiveness of two alternative cervical cancer screening interventions for Chinese. Four hundred and eighty-two Pap testing under-utilizers were identified from community-based surveys conducted in Seattle, Washington and Vancouver, British Columbia. These women were randomized to one of two experimental arms or control status. The following Chinese language materials were used in both experimental arms: a video, motivational pamphlet, educational brochure, and fact sheet. Women in the first experimental group received the materials as well as tailored counseling and logistic assistance during home visits by trilingual, bicultural outreach workers. Those in the second experimental group received the materials by mail. Follow-up surveys were completed six months after randomization to ascertain participants’ Pap testing behavior (response rate: 83%). Seventy-nine (61%) of 129 women who received the outreach intervention, 65 (47%) of 139 women who received the direct mail intervention, and 46 (34%) of 134 controls reported recent cervical cancer screening (p<0.001 for outreach versus control and p<0.05 for direct mail versus control). Culturally and linguistically appropriate interventions can improve Pap testing levels among Chinese women in North America.
Learning Objectives: 1. Describe effective cervical cancer screening interventions for Chinese Americans and Canadians.
Keywords: Cervical Cancer, Screening
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.