|
1
|
Han HR, Song Y, Kim M, Hedlin HK, Kim K, Ben Lee H, Roter D. Breast and Cervical Cancer Screening Literacy Among Korean American Women: A Community Health Worker-Led Intervention. Am J Public Health 2016; 107:159-165. [PMID: 27854539 DOI: 10.2105/ajph.2016.303522] [Citation(s) in RCA: 68] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVES To test a community health worker (CHW)-led health literacy intervention on mammogram and Papanicolaou test screening among Korean American women. METHODS We conducted a cluster-randomized trial at 23 ethnic churches in the Baltimore, Maryland-Washington, DC, metropolitan area between 2010 and 2014. Trained CHWs enrolled 560 women. The intervention group received an individually tailored cancer-screening brochure followed by CHW-led health literacy training and monthly telephone counseling with navigation assistance. Study outcomes included receipt of an age-appropriate cancer screening test, health literacy, cancer knowledge, and perceptions about cancer screening at 6 months. RESULTS The odds of having received a mammogram were 18.5 (95% confidence interval [CI] = 9.2, 37.4) times higher in the intervention than in the control group, adjusting for covariates. The odds of receiving a Papanicolaou test were 13.3 (95% CI = 7.9, 22.3) times higher; the odds of receiving both tests were 17.4 (95% CI = 7.5, 40.3) times higher. Intervention effects also included increases in health literacy and positive perceptions about cancer screening. CONCLUSIONS A health literacy-focused CHW intervention successfully promoted cancer-screening behaviors and related cognitive and attitudinal outcomes in Korean American women.
Collapse
Affiliation(s)
- Hae-Ra Han
- Hae-Ra Han and Kyounghae Kim are with the School of Nursing, Johns Hopkins University, Baltimore, MD. Youngshin Song is with the College of Nursing, Choongnam University, Choongchung-Do, Korea. Miyong Kim is with the School of Nursing, University of Texas, Austin. Haley K. Hedlin is with the Department of Medicine, Stanford University, Stanford, CA. Hochang Ben Lee is with the School of Medicine, Yale University, New Haven, CT. Debra Roter is with the Bloomberg School of Public Health, Johns Hopkins University
| | - Youngshin Song
- Hae-Ra Han and Kyounghae Kim are with the School of Nursing, Johns Hopkins University, Baltimore, MD. Youngshin Song is with the College of Nursing, Choongnam University, Choongchung-Do, Korea. Miyong Kim is with the School of Nursing, University of Texas, Austin. Haley K. Hedlin is with the Department of Medicine, Stanford University, Stanford, CA. Hochang Ben Lee is with the School of Medicine, Yale University, New Haven, CT. Debra Roter is with the Bloomberg School of Public Health, Johns Hopkins University
| | - Miyong Kim
- Hae-Ra Han and Kyounghae Kim are with the School of Nursing, Johns Hopkins University, Baltimore, MD. Youngshin Song is with the College of Nursing, Choongnam University, Choongchung-Do, Korea. Miyong Kim is with the School of Nursing, University of Texas, Austin. Haley K. Hedlin is with the Department of Medicine, Stanford University, Stanford, CA. Hochang Ben Lee is with the School of Medicine, Yale University, New Haven, CT. Debra Roter is with the Bloomberg School of Public Health, Johns Hopkins University
| | - Haley K Hedlin
- Hae-Ra Han and Kyounghae Kim are with the School of Nursing, Johns Hopkins University, Baltimore, MD. Youngshin Song is with the College of Nursing, Choongnam University, Choongchung-Do, Korea. Miyong Kim is with the School of Nursing, University of Texas, Austin. Haley K. Hedlin is with the Department of Medicine, Stanford University, Stanford, CA. Hochang Ben Lee is with the School of Medicine, Yale University, New Haven, CT. Debra Roter is with the Bloomberg School of Public Health, Johns Hopkins University
| | - Kyounghae Kim
- Hae-Ra Han and Kyounghae Kim are with the School of Nursing, Johns Hopkins University, Baltimore, MD. Youngshin Song is with the College of Nursing, Choongnam University, Choongchung-Do, Korea. Miyong Kim is with the School of Nursing, University of Texas, Austin. Haley K. Hedlin is with the Department of Medicine, Stanford University, Stanford, CA. Hochang Ben Lee is with the School of Medicine, Yale University, New Haven, CT. Debra Roter is with the Bloomberg School of Public Health, Johns Hopkins University
| | - Hochang Ben Lee
- Hae-Ra Han and Kyounghae Kim are with the School of Nursing, Johns Hopkins University, Baltimore, MD. Youngshin Song is with the College of Nursing, Choongnam University, Choongchung-Do, Korea. Miyong Kim is with the School of Nursing, University of Texas, Austin. Haley K. Hedlin is with the Department of Medicine, Stanford University, Stanford, CA. Hochang Ben Lee is with the School of Medicine, Yale University, New Haven, CT. Debra Roter is with the Bloomberg School of Public Health, Johns Hopkins University
| | - Debra Roter
- Hae-Ra Han and Kyounghae Kim are with the School of Nursing, Johns Hopkins University, Baltimore, MD. Youngshin Song is with the College of Nursing, Choongnam University, Choongchung-Do, Korea. Miyong Kim is with the School of Nursing, University of Texas, Austin. Haley K. Hedlin is with the Department of Medicine, Stanford University, Stanford, CA. Hochang Ben Lee is with the School of Medicine, Yale University, New Haven, CT. Debra Roter is with the Bloomberg School of Public Health, Johns Hopkins University
| |
Collapse
|