title: Effective lay health worker outreach and media-based education for promoting cervical cancer screening among Vietnamese American women.
abstract: OBJECTIVE
  We sought to promote cervical cancer screening among Vietnamese American women in Santa Clara County, Calif.
  
  
  METHODS
  In 2001-2004, we recruited and randomized 1005 Vietnamese American women into 2 groups: lay health worker outreach plus media-based education (combined intervention) or media-based education only. Lay health workers met with the combined intervention group twice over 3 to 4 months to promote Papanicolaou (Pap) testing. We used questionnaires to measure changes in awareness, knowledge, and Pap testing.
  
  
  RESULTS
  Testing increased among women in both the combined intervention (65.8% to 81.8%; P<.001) and media-only (70.1% to 75.5%; P<.001) groups, but significantly more in the combined intervention group (P=.001). Among women never previously screened, significantly more women in the combined intervention group (46.0%) than in the media-only group (27.1%) obtained tests (P<.001). Significantly more women in the combined intervention group obtained their first Pap test or obtained one after an interval of more than 1 year (became up-to-date; 45.7% to 67.3%, respectively; P<.001) than did those in the media-only group (50.9% to 55.7%, respectively; P=.035).
  
  
  CONCLUSIONS
  Combined intervention motivated more Vietnamese American women to obtain their first Pap tests and to become up-to-date than did media education alone.
authors.affiliation: Department of Anthropology, History and Social Medicine and the Center for Health and Community at the University of California, San Francisco 94102, USA. Jeremiah.Mock@ucsf.edu
authors.forename: Jeremiah
authors.initials: J
authors.lastname: Mock
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: McPhee
authors.forename: Thoa
authors.initials: T
authors.lastname: Nguyen
authors.forename: Ching
authors.initials: C
authors.lastname: Wong
authors.forename: Hiep
authors.initials: H
authors.lastname: Doan
authors.forename: Ky Q
authors.initials: KQ
authors.lastname: Lai
authors.forename: Kim H
authors.initials: KH
authors.lastname: Nguyen
authors.forename: Tung T
authors.initials: TT
authors.lastname: Nguyen
authors.forename: Ngoc
authors.initials: N
authors.lastname: Bui-Tong
mesh_terms: D000328:Adult; D000368:Aged; D001213:Asian / Q000193:education*; D002140:California; D003150:Community Health Workers; D003159:Community-Institutional Relations; D005260:Female; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008402:Mass Media; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D065006:Papanicolaou Test; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D015397:Program Evaluation; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000208:ethnology* / Q000517:prevention & control; D014626:Vaginal Smears / Q000706:statistics & numerical data*; D014744:Vietnam / Q000208:ethnology; D016387:Women's Health / Q000208:ethnology*