Sexual health empowerment project: Description and preliminary analysis of a jail-based cervical health literacy promotion intervention
Objective: To describe a novel jail-based cervical health literacy promotion intervention, the Sexual Health Empowerment Project, and provide preliminary results from outcomes analysis.
Methods: Participants were recruited using a wait-list control design from 2 Kansas City jails. All participants completed a survey to measure baseline cervical health literacy. At the end of the 5-day intervention, which included content on knowledge, beliefs, and self-efficacy related to screening and follow-up specific to the needs of incarcerated women, another survey was administered to compare pre- and post-intervention measures within and between the intervention and control groups. After the intervention group completed their 5-day assessment, the wait-list control group received the intervention.
Results: Preliminary analysis (N=23) showed an increase in knowledge (p=0.02), decreased barriers to screening (p<0.01), reduced fear (p=0.03), increased self-efficacy (p<0.01) and increased confidence navigating health systems (p<0.01). The intervention group had greater changes in knowledge (d=0.94 vs 0.41), fear of screening (d=1.03 vs 0.44), and self-efficacy for screening (d=1.33 vs 0.80) compared to the control group. Outcomes analysis for 125 participants will be completed in 6 months.
Conclusions: This potentially effective and easily disseminated cervical health literacy promotion intervention could narrow the cervical cancer health gap between women with and without criminal justice histories.
Learning Areas:Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related education
Social and behavioral sciences
Describe the components of a brief jail-based intervention model Identify measures of cervical health literacy Explain the unique sexual and cervical health needs of incarcerated women
Keyword(s): Prisoners Health, Cancer and Women’s Health
Qualified on the content I am responsible for because: I am the lead health educator on this study. I have a Master of Public Health degree, and my area of specialty is sexual health in underserved populations.
Any relevant financial relationships? No
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.