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A Multifaceted Intervention to Increase Cervical Cancer Screening among Underserved Korean Women

Carolyn Y. Fang, Grace X. Ma, Yin Tan and Nungja Chi
Carolyn Y. Fang
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Grace X. Ma
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Yin Tan
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Nungja Chi
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DOI: 10.1158/1055-9965.EPI-07-0091 Published June 2007
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Tables

  • Table 1.

    Demographic and baseline psychosocial characteristics of Korean women aged 19 y and older who enrolled in the study between August and October 2004

    VariablesIntervention (n = 52)Control (n = 50)
    Sociodemographic
        Mean age (SD)50.92 (11.70)60.20 (11.41)
        Marital status
            Married/living as married88.5% (46)56.0% (28)
            Divorced/widowed/single11.5% (6)44.0% (22)
        Education (y)
            <1115.3% (8)36.0% (18)
            12 (high school)46.2% (24)18.0% (9)
            12+ (college/postgraduate)36.5% (19)44.0% (22)
        Years in the United States (SD, range)15.63 (8.63, 1-32)17.29 (9.12, 1-33)
        English-speaking proficiency
            Speaks English very fluently1.9% (1)4.0% (2)
            Speaks English fairly fluently48.1% (25)30.0% (15)
            Speaks English poorly/not at all50.0% (26)64.0% (32)
        English-reading proficiency
            Reads English very fluently3.8% (2)6.0% (3)
            Reads English fairly fluently53.8% (28)38.0% (19)
            Reads English poorly/not at all42.3% (22)54.0% (27)
        Have regular doctor
            Yes59.6% (31)80.0% (40)
            No40.4% (21)20.0% (10)
        Have medical insurance
            Yes44.2% (23)76.0% (38)
            No55.8% (29)24.0% (12)
        Had Pap test in the past 12 months
            Yes11.5% (6)22.0% (11)
            No88.5% (46)78.0% (39)
        Had Pap test in the past 3 years
            Yes38.5% (20)40.0% (20)
            No61.5% (32)60.0% (30)
    Perceived risk (% high/very high)
        My chance of developing cervical cancer7.7% (4)10.0% (5)
        Perceived severity (% agree/strongly agree)
        Cervical cancer is a treatable disease76.9% (40)74.0% (37)
        Whole life would change if I had cervical cancer46.2% (24)56.0% (28)
    Benefits (% agree/strongly agree)
        Treatment may not be as bad if detected early84.6% (44)86.0% (43)
        Having a Pap test is the best way to detect cervical cancer86.5% (45)92.0% (46)
        Pap test will decrease chances of dying from cervical cancer90.4% (47)94.0% (47)
        Pap can detect cervical cancers that cannot be seen in an exam90.4% (47)90.0% (45)
        Relief from worry about cervical cancer59.6% (31)54.0% (27)
    Barriers (% agree/strongly agree)
        Having a Pap test will be painful and unpleasant21.2% (11)26.0% (13)
        I do not know where to go to get a Pap test36.5% (19)34.0% (17)
        Uncomfortable with having a stranger perform Pap test30.8% (16)32.0% (16)
        Having a Pap test will take too much time23.1% (12)22.0% (11)
        Having a Pap test will cost too much money34.6% (18)22.0% (11)
    Self-efficacy (% agree/strongly agree)
        I feel capable of arranging to have a Pap test59.6% (31)52.0% (26)
        I am confident about my abilities to get a Pap test44.2% (23)50.0% (25)
        I know that I will do whatever it takes to get my Pap test46.2% (24)62.0% (31)
  • Table 2.

    Screening behavior at 6 mo posteducation among Korean women aged 19 y and older who enrolled in the study between August and October 2004

    VariablesInterventionControlχ2
    Among all women
        % who had had a Pap test in the previous year11.5% (6/52)22.0% (11/50)5.38
        % who had Pap test in the 6 months following intervention82.7% (43/52)22.0% (11/50)41.22*
        % increase in screening rate following the intervention71.2%0%
    Among the subgroup of women who had not had a Pap test in the previous year
        % who had Pap test in the interval following intervention84.8% (39/46)12.8% (5/39)42.80*
    • ↵* P < 0.001.

  • Table 3.

    Multivariate logistic regression model for screening behavior at 6 mo posteducation among Korean women aged 19 y and older who enrolled in the study between August and October 2004

    VariableOR (95% CI)P
    Step 1
        Marital status0.78 (0.17-3.49)0.74
        Have regular provider1.43 (0.19-10.64)0.73
        Have health insurance9.53 (1.30-69.66)0.03
    Step 2
        Intervention group38.47 (7.04-210.26)<0.001
    Step 3
        Relief from worry about cervical cancer0.92 (0.45-1.89)0.82
        Not know where to go to get a Pap test0.87 (0.38-1.98)0.74
        Uncomfortable with having a stranger perform Pap0.24 (0.07-0.79)0.02
        Am capable of arranging to have a Pap test1.47 (0.64-3.38)0.36
        Am confident about my ability to get a Pap test2.49 (1.01-6.09)0.05
        Will do whatever it takes to get a Pap test1.67 (0.64-4.32)0.29
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Cancer Epidemiology Biomarkers & Prevention: 16 (6)
June 2007
Volume 16, Issue 6
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A Multifaceted Intervention to Increase Cervical Cancer Screening among Underserved Korean Women
Carolyn Y. Fang, Grace X. Ma, Yin Tan and Nungja Chi
Cancer Epidemiol Biomarkers Prev June 1 2007 (16) (6) 1298-1302; DOI: 10.1158/1055-9965.EPI-07-0091

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A Multifaceted Intervention to Increase Cervical Cancer Screening among Underserved Korean Women
Carolyn Y. Fang, Grace X. Ma, Yin Tan and Nungja Chi
Cancer Epidemiol Biomarkers Prev June 1 2007 (16) (6) 1298-1302; DOI: 10.1158/1055-9965.EPI-07-0091
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