title: Celebremos la salud! a community randomized trial of cancer prevention (United States).
abstract: BACKGROUND
  Compared to non-Hispanic whites, Hispanics in the United States are at higher risk for certain types of cancer.
  
  
  METHODS
  In a randomized controlled trial of 20 communities, we examined whether a comprehensive intervention influenced cancer screening behaviors and lifestyle practices in rural communities in Eastern Washington State. Cross-sectional surveys at baseline and post-intervention included interviews with a random sample of approximately 100 households per community. The interview included questions on ever use and recent use of Pap test, mammogram, and fecal occult blood test (FOBT) and sigmoidoscopy/colonoscopy, fruit and vegetable consumption and smoking practices.
  
  
  RESULTS
  We found few significant changes in use of screening services for cervical (Pap test), breast (mammogram) or colorectal cancer (fecal occult blood test (FOBT) or sigmoidoscopy/colonoscopy) between intervention and control communities. We found no significant differences in fruit and vegetable consumption nor in smoking prevalence between the two groups. We found more awareness of and participation in intervention activities in the treatment communities than the control communities.
  
  
  CONCLUSIONS
  Our null findings might be attributable to the low dose of the intervention, a cohort effect, or contamination of the effect in non-intervention communities. Further research to identify effective strategies to improve cancer prevention lifestyle behaviors and screening practices are needed.
authors.affiliation: Cancer Prevention Research Program, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N; M3-B232, P.O. Box 19024, Seattle, WA 98109, USA. bthompso@fhcrc.org
authors.forename: Beti
authors.initials: B
authors.lastname: Thompson
authors.forename: Gloria
authors.initials: G
authors.lastname: Coronado
authors.forename: Lu
authors.initials: L
authors.lastname: Chen
authors.forename: Ilda
authors.initials: I
authors.lastname: Islas
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000517:prevention & control*; D015179:Colorectal Neoplasms / Q000517:prevention & control*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*