Economic evaluation of a community health worker-led health literacy intervention to promote cancer screening among Korean American women.
OBJECTIVE
The study's objectives were to calculate the costs and evaluate the cost-effectiveness of implementing a health literacy-focused intervention to promote breast and cervical cancer screenings among Korean American women overdue for these tests.


METHODS
Researchers estimated the costs of a cluster-randomized controlled trial that evaluated this intervention. Effectiveness was measured as the number of breast or cervical cancer screenings received by women in either the intervention and control arms of the study. Cost-effectiveness was calculated as the incremental cost of each additional screening received by the intervention group.


RESULTS
Comparing the intervention and control group, the incremental cost-effectiveness ratio was estimated to be US$236 per screening, without program development costs.


CONCLUSIONS
These findings suggest this program, when compared with others, offered a more cost-effective approach for promoting cancer screening. Local health officials could use this information to guide decisions about reducing cancer disparities among recent immigrant women.
Anne L
AL
Schuster
Kevin D
KD
Frick
Bo-Yun
BY
Huh
Kim B
KB
Kim
Miyong
M
Kim
Hae-Ra
HR
Han
D000328:Adult; D000368:Aged; D001213:Asian / Q000523:psychology* / Q000706:statistics & numerical data; D001943:Breast Neoplasms / Q000175:diagnosis; D003150:Community Health Workers / Q000191:economics / Q000458:organization & administration; D003362:Cost-Benefit Analysis; D055088:Early Detection of Cancer / Q000191:economics / Q000379:methods / Q000523:psychology / Q000706:statistics & numerical data; D005260:Female; D017048:Health Care Costs / Q000706:statistics & numerical data; D057220:Health Literacy / Q000191:economics / Q000379:methods; D006293:Health Promotion / Q000191:economics / Q000379:methods*; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data; D008875:Middle Aged; D065006:Papanicolaou Test / Q000706:statistics & numerical data; D056910:Republic of Korea / Q000208:ethnology; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis; D055815:Young Adult