Amanda M Emerson1, Sharla Smith2, Jaehoon Lee3, Patricia J Kelly1, Megha Ramaswamy4. 1. School of Nursing and Health Studies, University of Missouri-Kansas City, Kansas City, MO, USA. 2. Preventive Medicine and Public Health, University of Kansas, Wichita, KS, USA. 3. Institute for Measurement, Methodology, Analysis, and Policy (IMMAP), Texas Tech University, College of Education, Lubbock, TX, USA. 4. Preventive Medicine and Public Health, University of Kansas School of Medicine, Kansas City, KS, USA.
Abstract
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.
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.
Entities:
Keywords:
behavior change; preventive screening; women’s health
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