caa a22 4500 445315334 CHVBK 20180317142644.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s10552-010-9705-4 doi (NATIONALLICENCE)springer-10.1007/s10552-010-9705-4 A Promotora -administered group education intervention to promote breast and cervical cancer screening in a rural community along the U.S.-Mexico border: a randomized controlled trial [Elektronische Daten] [Tomas Nuño, Maria Martinez, Robin Harris, Francisco García] Background: Breast cancer is the most common neoplasm among Hispanic women. Cervical cancer has a higher incidence and mortality among Hispanic women compared with non-Hispanic White women. Objective: To assess the effectiveness of a promotora-administered educational intervention to promote breast and cervical cancer screening among post-reproductive age, medically underserved Hispanic women residing along the U.S.-Mexico border. Methods: Women age 50 or older were eligible to participate in this intervention study. A total of 381 subjects agreed to participate. Women were randomly assigned into one of two groups, educational intervention or usual care. The primary outcomes were self-reported mammogram and Pap smear screening. Logistic regression analysis was used to compute odds ratios for comparisons between intervention and control groups. Results: Women in the intervention group were 2.0 times more likely to report having had a mammogram within the last year when compared with the usual care group (95% CI=1.3-3.1). Likewise, women in the intervention group were 1.5 times more likely to report having a Pap smear within the last year when compared with the usual care group, although this was not statistically significant (95% CI=0.9-2.6). In a secondary analysis, the intervention suggests a stronger effect on those that had not had a mammogram or Pap smear within the past year at baseline. Conclusions: A promotora-based educational intervention can be used to increase breast and cervical cancer screening utilization among Hispanic women. Springer Science+Business Media B.V., 2010 Hispanic nationallicence Cancer screening nationallicence Women's health nationallicence Disparities nationallicence Nuño Tomas The Mel and Enid Zuckerman College of Public Health, Division of Epidemiology & Biostatistics, University of Arizona, 1295N. Martin A250, P.O. Box 245209, 85724-5209, Tucson, AZ, USA aut Martinez Maria The Mel and Enid Zuckerman College of Public Health, Division of Epidemiology & Biostatistics, University of Arizona, 1295N. Martin A250, P.O. Box 245209, 85724-5209, Tucson, AZ, USA aut Harris Robin The Mel and Enid Zuckerman College of Public Health, Division of Epidemiology & Biostatistics, University of Arizona, 1295N. Martin A250, P.O. Box 245209, 85724-5209, Tucson, AZ, USA aut García Francisco The Mel and Enid Zuckerman College of Public Health, Division of Epidemiology & Biostatistics, University of Arizona, 1295N. Martin A250, P.O. Box 245209, 85724-5209, Tucson, AZ, USA aut Cancer Causes & Control Springer Netherlands 22/3(2011-03-01), 367-374 0957-5243 22:3<367 2011 22 10552 https://doi.org/10.1007/s10552-010-9705-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10552-010-9705-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nuño Tomas The Mel and Enid Zuckerman College of Public Health, Division of Epidemiology & Biostatistics, University of Arizona, 1295N. Martin A250, P.O. Box 245209, 85724-5209, Tucson, AZ, USA aut NATIONALLICENCE 700 1- Martinez Maria The Mel and Enid Zuckerman College of Public Health, Division of Epidemiology & Biostatistics, University of Arizona, 1295N. Martin A250, P.O. Box 245209, 85724-5209, Tucson, AZ, USA aut NATIONALLICENCE 700 1- Harris Robin The Mel and Enid Zuckerman College of Public Health, Division of Epidemiology & Biostatistics, University of Arizona, 1295N. Martin A250, P.O. Box 245209, 85724-5209, Tucson, AZ, USA aut NATIONALLICENCE 700 1- García Francisco The Mel and Enid Zuckerman College of Public Health, Division of Epidemiology & Biostatistics, University of Arizona, 1295N. Martin A250, P.O. Box 245209, 85724-5209, Tucson, AZ, USA aut NATIONALLICENCE 773 0- Cancer Causes & Control Springer Netherlands 22/3(2011-03-01), 367-374 0957-5243 22:3<367 2011 22 10552 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer