3037.0: Monday, November 13, 2000 - 12:42 PM

Abstract #1463

A Communication Program to Increase Cervical Cancer Screening Among Hispanics

Amelie G. Ramirez, Dr.PH1, Alfred McAlister, PhD2, Kipling Gallion, MA1, and Patricia Chalela, MPH1. (1) Chronic Disease Prevention and Control Research Center, Dept. of Medicine, Baylor College of Medicine, 8207 Callaghan Rd. #110, San Antonio, TX 78230, 210 348-0255, aramirez@bcm.tmc.edu, (2) Center for Health Promotion, Research and Development, School of Public Health, University of Texas, Houston

Hispanic women have twice the cervical cancer incidence rate of non-Hispanic White women. Despite higher disease risk, Hispanic women consistently show lower cervical cancer screening rates than non-Hispanic Whites. To counter this trend, En Accion is a theory-based communication and education project designed to increase cancer awareness and screening among diverse Latina populations. The NCI-funded program conducted baseline and follow-up surveys (N=442-628/city/time point) in 1993-94 and 1996-97 to assess cervical cancer screening levels among women in 6 major U.S. cities. The En Accion program, combining mass media and community distribution of print materials, was carried out in 5 of the 6 research sites. Each was selected based on its concentration of the 4 major Hispanic groups: Central Americans in San Francisco, California; Cubans in Miami, Florida; Mexican Americans in Brownsville, and San Antonio, Texas, and San Diego, California; and Puerto Ricans in Brooklyn, New York. Implementation evaluation revealed that project components were not fully realized in some cities and there was not a significant overall effect on screening levels. In a multi-site study, lack of an overall effect may arise from site-to-site differences in implementation and in the degree to which messages reach their intended audiences. The increase in screening behavior in the 6 project cities was strongly associated with the level of population exposure to En Accion television productions. In the 4 cities where projects were fully implemented, En Accion may have stimulated over 20,000 Latinas to obtain cervical cancer screening. A cost savings estimate is also presented.

Learning Objectives: To identify and describe process effects of a community based communication campaign to increase cervical cancer screening rates among underserved Hispanic women

Keywords: Cervical Cancer, Community Health Programs

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: National Hispanic Leadership Initiative on Cancer, National Cancer Institute, Baylor College of Medicine
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA