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265755 AMIGAS: Testing a Linguistically and Culturally Relevant Cervical Cancer Screening InterventionMonday, October 29, 2012
Background: Latinas in the United States have higher rates of cervical cancer morbidity and mortality, and lower rates of cervical cancer screening than non-Latina whites. AMIGAS is a promotora-led intervention developed with the community to increase cervical cancer screening in Latinas. The study was to test the effectiveness of AMIGAS for increasing cervical cancer screening in three populations of women of Mexican origin (US/Mexico border, urban, and rural) using a controlled randomized design. Methods: In this multi-site (El Paso, Houston and Yakima Valley) study, 600 women were randomly assigned to one of four study arms: the full AMIGAS program delivered in the home by a trained promotora (150); AMIGAS without the video delivered in the home by a trained promotora (150); AMIGAS without the flipchart delivered in the home by a trained promotora (150); and the usual care control group (150). Women in the control group received the usual education about cervical cancer screening delivered by clinics and media. Results: Overall, 29% of women in the control group and 62% of women in the full AMIGAS group received cervical cancer screening 6 months after entry into the study (p<0.001). AMIGAS minus the video and minus the flipchart were also significantly different from the controls (51% and 56% respectively; p<0.001). Discussion: This intervention was found to be very effective. We believe that involving the community in the development of the materials and using trained promotores de salud to deliver the intervention helped to assure effectiveness and may be useful to others.
Learning Areas:
Administer health education strategies, interventions and programsAssessment of individual and community needs for health education Implementation of health education strategies, interventions and programs Planning of health education strategies, interventions, and programs Learning Objectives: Keywords: Lay Health Workers, Cancer Screening
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: Dr. Theresa Byrd originally developed the AMIGAS intervention with funding from the Centers for Disease Control and Prevention. She has published and presented extensively about cervical cancer screening and Latinas. She is currently a professor at the Texas Tech Paul L. Foster School of Medicine in El Paso, Texas. I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.
Back to: 3123.0: CHWs and Cancer Control: Making A Difference in Health and Wellness
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