title: Increasing cervical cancer screening for a multiethnic population of women in South Texas.
abstract: Cervical cancer is a preventable disease. Precancers can be identified and treated through cervical screenings. The HPV vaccine prevents precancers from becoming cancers. The aim of the A Su Salud Cervical Cancer Prevention Program was to apply well-understood health promotion techniques and increase the rate of cervical cancer screening among a high-risk, multiethnic, low-income population in South Texas. Qualitative research was used to identify uptake barriers and tailor media messaging. Using existing resources, we applied evidence-based strategies in novel ways that changed personal behaviors, leading to cancer screening, risk reduction, and early detection. We created a database to track a cohort of 32,807 women and measured cervical cancer screenings over 3 years. Our analysis revealed an increase in cervical cancer screenings after use of highly targeted automated telephone reminders and media dissemination on multiple platforms. Those women at low risk for cervical cancer obtained the highest proportion of Pap tests. This innovative, theory-based program increased overall Pap tests up to 9% among women enrolled in a safety net hospital financial assistance plan. This study fills a gap in research on Pap test compliance in uninsured, mostly Hispanic women by building on cultural strengths and tailored messaging.
authors.affiliation: Health Informatics Research, University Health System, Corporate Square, MS 45-2, 4801 NW Loop 410, Suite 200, San Antonio, TX, 78229, USA, laura.fornos@uhs-sa.com.
authors.forename: Laura B
authors.initials: LB
authors.lastname: Fornos
authors.forename: Kathleen A
authors.initials: KA
authors.lastname: Urbansky
authors.forename: Roberto
authors.initials: R
authors.lastname: Villarreal
mesh_terms: D000328:Adult; D015331:Cohort Studies; D003146:Communications Media; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D005006:Ethnicity / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data*; D011379:Prognosis; D017010:Reminder Systems; D013689:Telephone; D002583:Uterine Cervical Neoplasms / Q000208:ethnology / Q000517:prevention & control* / Q000523:psychology; D014626:Vaginal Smears / Q000523:psychology / Q000706:statistics & numerical data*