title: Community level cancer control in a Texas barrio: Part II--Base-line and preliminary outcome findings.
abstract: In a quasiexperimental demonstration study, screening rates for breast and cervical cancers were measured among Mexican-American women in selected areas of San Antonio and Houston, Tex. This research was primarily designed to evaluate a cancer-screening promotion program in San Antonio by comparing changes in screening rates in panels from the two barrio communities. In a base-line population survey, we found a small, but significant, proportion of women (10%-15%) lacking Pap smears and a larger proportion (30%-40%) lacking mammography. In a panel study following women who lacked screening at base line, there was a trend toward greater Pap smear use among younger women and a significant increase in mammography for all age groups in San Antonio compared with groups in Houston. Although there was a difference in language use between the communities, rates of newly initiated screening within the communities were similar among monolingual Spanish speakers and among those who used English, supporting the hypothesis that the program increased both groups' participation in breast-cancer screening.
authors.affiliation: Center for Health Promotion Research and Development, University of Texas Health Science Center at Houston 77225, USA.
authors.forename: A L
authors.initials: AL
authors.lastname: McAlister
authors.forename: M E
authors.initials: ME
authors.lastname: Fernandez-Esquer
authors.forename: A G
authors.initials: AG
authors.lastname: Ramirez
authors.forename: F
authors.initials: F
authors.lastname: Trevino
authors.forename: K J
authors.initials: KJ
authors.lastname: Gallion
authors.forename: R
authors.initials: R
authors.lastname: Villarreal
authors.forename: L V
authors.initials: LV
authors.lastname: Pulley
authors.forename: S
authors.initials: S
authors.lastname: Hu
authors.forename: I
authors.initials: I
authors.lastname: Torres
authors.forename: Q
authors.initials: Q
authors.lastname: Zhang
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000208:ethnology* / Q000517:prevention & control* / Q000523:psychology; D003144:Communication Barriers; D019058:Community Networks / Q000458:organization & administration; D005260:Female; D006293:Health Promotion / Q000458:organization & administration*; D006306:Health Surveys; D006801:Humans; D007407:Interviews as Topic; D007802:Language; D008327:Mammography / Q000523:psychology / Q000706:statistics & numerical data; D008403:Mass Screening / Q000706:statistics & numerical data*; D017058:Mexican Americans / Q000523:psychology; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D065006:Papanicolaou Test; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D011204:Poverty Areas; D015397:Program Evaluation; D013781:Texas / Q000453:epidemiology; D014505:Urban Population; D002583:Uterine Cervical Neoplasms / Q000208:ethnology* / Q000517:prevention & control* / Q000523:psychology; D014626:Vaginal Smears / Q000523:psychology / Q000706:statistics & numerical data; D016387:Women's Health