American journal of health promotion : AJHP · 2019
Effectiveness of a Kansas City, Jail-Based Intervention to Improve Cervical Health Literacy and Screening, One-Year Post-Intervention.
СтатьяПоддержка NIH: внешняя программаПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Emerson Amanda M, Smith Sharla, Lee Jaehoon, Kelly Patricia J, Ramaswamy Megha
Аннотация
PURPOSE: To assess effectiveness, 1-year post-intervention, of a program delivered in jails with women to improve cervical health literacy (CHL) and up-to-date Papanicolaou (Pap) screening.
DESIGN: Pre-post design to evaluate Pap screening and CHL effects 1 year after our original randomized wait-list control study.
SETTING: Surveys conducted in Kansas City, 2015 to 2017 (baseline in 2014).
PARTICIPANTS: Adult women (n = 133).
INTERVENTION: One-week (10-contact-hour), small-group, CHL program.
MEASURES: Surveys to assess CHL components and up-to-date Pap screening.
ANALYSIS: χ2 and t tests, followed by best-subsets logistic regression using sociodemographic and CHL components to fit an optimal model for up-to-date screening 1-year post-intervention.
RESULTS: 73% (133/182) women retained at 1-year. From pre-intervention, 6 of 8 CHL components improved (.01 > P > .001). Up-to-date Pap screenings increased over pre-intervention (72%-82%, P < .05). Best-subset model to predict up-to-date screening included age; public benefits; medical insurance; 5 CHL components (knowledge, benefits, barriers, seriousness, susceptibility).
CONCLUSION: A brief intervention to promote cervical health literacy, delivered with women during a jail detention, can lead to sustained improvements in CHL and prevention practices.
DESIGN: Pre-post design to evaluate Pap screening and CHL effects 1 year after our original randomized wait-list control study.
SETTING: Surveys conducted in Kansas City, 2015 to 2017 (baseline in 2014).
PARTICIPANTS: Adult women (n = 133).
INTERVENTION: One-week (10-contact-hour), small-group, CHL program.
MEASURES: Surveys to assess CHL components and up-to-date Pap screening.
ANALYSIS: χ2 and t tests, followed by best-subsets logistic regression using sociodemographic and CHL components to fit an optimal model for up-to-date screening 1-year post-intervention.
RESULTS: 73% (133/182) women retained at 1-year. From pre-intervention, 6 of 8 CHL components improved (.01 > P > .001). Up-to-date Pap screenings increased over pre-intervention (72%-82%, P < .05). Best-subset model to predict up-to-date screening included age; public benefits; medical insurance; 5 CHL components (knowledge, benefits, barriers, seriousness, susceptibility).
CONCLUSION: A brief intervention to promote cervical health literacy, delivered with women during a jail detention, can lead to sustained improvements in CHL and prevention practices.