Abstract
ObjectivesInterventions are needed to reduce disparities in breast and cervical cancer (BCC) for Latinas in the USA. This study compares screening adherence between two educational outreach messages followed by navigation support to increase BCC screening for Latinas.MethodsA cluster-randomized study (by group) of 1,333 diverse Latinas in Arkansas, Buffalo, and New York City (2007–2009) attending group educational programs on cancer or diabetes screening was conducted. Screening adherence by each program type was analyzed at 2 months followed by analysis of navigation support for non-adherent women at 8 months.ResultsParticipation in educational programs alone significantly increased mammography (O.R. = 2.16), clinical breast exams (O.R. = 2.14), and Pap tests (O.R. = 2.14) from baseline to 2 months with no significant differences by message type. Screening further increased with the addition of navigation.ConclusionsSpecific health messaging may not be as critical to increasing BCC screening behaviors as cultural- and language-specific outreach into the community disseminating resources about accessing services. Moreover, the addition of navigation services and, potentially, the time lapse between follow-up intervals, significantly increased screening regardless of country of birth, documentation status, insurance status, or geographic location.
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