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

Nuño, Tomas; Martı́nez, Marı́a Elena; Harris, Robin B.; García, Francisco

doi:10.1007/s10552-010-9705-4

Cited by 76 publications

(130 citation statements)

References 16 publications

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“…Another promising approach to address health literacy challenges related to breast cancer screening is to use patient navigators (community health workers or promotoras) as this workforce is already embedded in many border communities and they can readily assist low literacy populations in obtaining breast cancer information. Recent studies have shown that the use of community health workers can increase mammography screening and self-efficacy as well as the level of perceived susceptibility and benefits of breast cancer screening in U.S.-Mexico border communities [22,23]. Thus, community health workers not only can help to improve health literacy levels by delivering educational materials but they can also help low literacy populations to effectively access health care services available in local communities.…”

Section: Discussionmentioning

confidence: 99%

Health Literacy and Breast Cancer Screening among Mexican American Women in South Texas

Pagán

Brown²,

Asch

et al. 2011

J Canc Educ

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Breast cancer is the main cause of cancer deaths for Hispanic women. This study analyzes the role of functional health literacy on mammography screening behavior and adherence of Hispanic women. Survey data from 722 Mexican American women age 40 and over residing in the Lower Rio Grande Valley of Texas in 2008 were used to estimate logistic regression models to assess the role of functional health literacy on mammography screening behavior and adherence. About 51% of survey respondents had a functional health literacy level deemed as inadequate or marginally functional. After adjusting for other factors, women with adequate health literacy levels were more likely to report to have ever had a mammogram (odds ratio [OR] = 2.92; 95% confidence interval [CI] = 1.62-5.28), to have had a mammogram within the last 2 years (OR = 1.70; 95% CI = 1.14-2.53) or to have had one within the last year (OR = 2.30; 95% CI = 1.54-3.43), compared to women with inadequate or marginally adequate functional health literacy levels. Inadequate/marginal functional health literacy is strongly associated with lower mammography screening. Large improvements in breast cancer control in this population may come from either basic advances in health literacy or by tailored approaches to help women with low literacy navigate local health care systems.

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Section: Discussionmentioning

confidence: 99%

Health Literacy and Breast Cancer Screening among Mexican American Women in South Texas

Pagán

Brown²,

Asch

et al. 2011

J Canc Educ

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“…Eight interventions were based exclusively or partly in Texas [11, 51–54, 56, 67, 68, 70, 83, 91, 92], seven in California [11, 54, 63–65, 85, 87, 88, 93], six in Arizona [59–61, 73, 74, 77, 78, 84, 94], four in New York [57, 58, 80, 81, 83, 89, 90, 93], and two in Washington state [70–72]. Additional intervention sites included Colorado [86], New Mexico [11, 54], Arkansas [57, 58, 80, 81], Illinois [55], Virginia [69], Pennsylvania [66], Florida [62], Georgia [75, 76], and Alabama [79].…”

Section: Resultsmentioning

confidence: 99%

“…Additional intervention sites included Colorado [86], New Mexico [11, 54], Arkansas [57, 58, 80, 81], Illinois [55], Virginia [69], Pennsylvania [66], Florida [62], Georgia [75, 76], and Alabama [79]. The interventions included one-time intervention sessions or activities [57, 58, 62, 68, 72, 77, 78, 80–82, 88, 90, 94]; multiple-session or multiple-contact programs [11, 54, 59–61, 63–66, 73–76, 79, 84]; and programs with ongoing activities over a specified period of time, such as media campaigns, system protocol changes, or materials distribution [51–53, 55, 56, 67, 67, 69, 72, 83, 85–87, 89, 91–93]. Breast cancer screening was jointly targeted along with cervical cancer screening in more than half (n=18) of the interventions [11, 51–56, 58–65, 69, 73, 74, 77, 78, 82–84, 89, 91, 92].…”

Section: Resultsmentioning

confidence: 99%

“…Other theories included the health belief model (n=4) [51–53, 66, 70, 71, 79], the theory of reasoned action (n=2) [51–53, 70, 71], the transtheoretical stages of change model (n=1) [70, 71], diffusion of innovations (n=1) [51–53], social influence theory (n=1) [88], popular education (n=1) [75, 76], and adult education theory (n=1) [68]. In addition, eight studies described using conceptual frameworks and intervention development strategies either in conjunction with or independently of specific theoretical foundations [11, 54, 57, 58, 66, 70, 71, 73, 74, 79–82, 94], and six were based on existing interventions [55, 57, 58, 72–74, 77, 78, 80, 81, 83]. The frameworks described included community-based participatory research (CBPR) or community-based participatory action (n=7) [11, 54, 57, 58, 66, 70, 71, 73, 74, 80–82, 94], intervention mapping (n=3) [11, 54, 70, 71, 79], the PEN-3 Model (n=3) [57, 58, 79–82], and empowerment (n=1) [82].…”

Section: Resultsmentioning

confidence: 99%

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Increasing Cervical Cancer Screening Among US Hispanics/Latinas: A Qualitative Systematic Review

et al. 2014

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Purpose Hispanic/Latina women experience the highest cervical cancer incidence rates of any racial/ethnic group in the United States (US), and tend to present with more severe cases and experience higher mortality compared to most other populations. The goal of this qualitative systematic review was to explore existing interventions to increase cervical cancer screening among US Hispanics/Latinas and to identify characteristics of effective interventions and research gaps. Materials and Methods Six online databases were searched from their inception through June 30, 2013, using designated search terms and keywords. Peer-reviewed articles that documented an intervention designed to improve screening for cervical cancer among Hispanics/Latinas ages 18 years and older living in the US were reviewed. Data were abstracted using a standardized form to document intervention characteristics and results. Results Forty-five articles, describing 32 unique interventions, met inclusion criteria. Identified interventions consisted primarily of educational programs and/or provision of screening. Interventions used lay health advisors (LHAs), clinic-based outreach/delivery strategies, partnerships with churches, and mass media campaigns. Twelve interventions resulted in significant increases in cervical cancer screening rates. Conclusions Interventions developed utilizing theory, applying community-based participatory research approaches, and using lay health advisors were identified as having the greatest potential for improving cervical cancer screening among Hispanics/Latinas. There continues to be a need for the development of interventions in geographic areas with new and emerging Hispanic/Latino populations and that are comprehensive, follow participants for longer periods of time, and broaden the roles and build the capacities of LHAs.

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“…It is possible that cultural norms, such as these, which present barriers to breast cancer detection can be overcome via culturally-relevant interventions (e.g., work by Lorig & Waters, 2003, Marshall et al, 2013, and Nuno, Martinez, Harris, & García, 2011). An innovative community approach by Lorig and Walters, known as the HECO (Health Education-Community Organization) approach, has been shown to positively address cultural barriers to breast cancer screening.…”

Section: Cultural Barriers To Carementioning

confidence: 99%

Breast Health Beliefs, Behaviors, and Barriers Among Latina Permanent Resident and Migratory Farm Workers

Schlehofer

Brown-Reid

2015

Journal of Community Health Nursing

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There is a dearth of research on the breast health behaviors of migratory farm workers. This research used focus group methodology to compare the breast cancer beliefs and barriers of Latina women working as migratory farmers (n = 33) and permanent residents (n = 31). In comparison to their permanent resident counterparts, migrant farmers had low knowledge about the causes of breast cancer, and experienced significant barriers to care. Many barriers were cultural-specific, including culturally-based gender roles. These findings have significant implications for designing culturally-relevant interventions to improve access to care among this population.

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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

Abstract: A promotora-based educational intervention can be used to increase breast and cervical cancer screening utilization among Hispanic women.

Cited by 76 publications

References 16 publications

Health Literacy and Breast Cancer Screening among Mexican American Women in South Texas

Health Literacy and Breast Cancer Screening among Mexican American Women in South Texas

Increasing Cervical Cancer Screening Among US Hispanics/Latinas: A Qualitative Systematic Review

Breast Health Beliefs, Behaviors, and Barriers Among Latina Permanent Resident and Migratory Farm Workers

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