Cancer screening for underserved women

The breast and cervical cancer intervention study

Robert A. Hiatt, Rena J. Pasick, Susan L Stewart, Joan Bloom, Patricia Davis, Philip Gardiner, Judith Luce

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Objective: To report on the effect of the Breast and Cervical Cancer Intervention Study (BACCIS), a multicomponent intervention conducted in the San Francisco Bay Area between 1992 and 1997. Methods: BACCIS targeted ∼25,000 multiethnic, underserved women in eight neighborhoods and the public health clinics that served them. An outreach intervention using lay health worker peers and clinic provider inreach intervention to improve breast and cervical cancer screening were evaluated in a quasi-experimental, controlled trial with pretest and posttest household surveys of 1,599 and 1,616 women, respectively. Surveys were conducted in English, Spanish, Mandarin, and Cantonese. Results: Analyses of community survey results showed no significant improvement in reported screening behaviors. Reports of mammography in the intervention areas in the previous 2 years, or for Pap smear in the previous 3 years, did not differ significantly (73-71% and 84-87%, respectively, for pretest and posttest surveys). Conclusion: High baseline screening rates, lack of sensitive measures of change at the population level, contamination of the control group, and an imbalance of predictive factors at baseline contributed to the difficulty of assessing the value of the intervention. Lessons learned from this inconclusive study may be of value to future community intervention studies of cancer screening and other health behaviors in multiethnic underserved urban populations.

Original languageEnglish (US)
Pages (from-to)1945-1949
Number of pages5
JournalCancer Epidemiology Biomarkers and Prevention
Volume17
Issue number8
DOIs
StatePublished - Aug 2008

Fingerprint

Early Detection of Cancer
Uterine Cervical Neoplasms
Breast Neoplasms
Papanicolaou Test
Urban Population
San Francisco
Health Behavior
Vulnerable Populations
Mammography
Public Health
Control Groups
Surveys and Questionnaires
Health
Population

ASJC Scopus subject areas

  • Epidemiology
  • Oncology

Cite this

Cancer screening for underserved women : The breast and cervical cancer intervention study. / Hiatt, Robert A.; Pasick, Rena J.; Stewart, Susan L; Bloom, Joan; Davis, Patricia; Gardiner, Philip; Luce, Judith.

In: Cancer Epidemiology Biomarkers and Prevention, Vol. 17, No. 8, 08.2008, p. 1945-1949.

Research output: Contribution to journalArticle

Hiatt, Robert A. ; Pasick, Rena J. ; Stewart, Susan L ; Bloom, Joan ; Davis, Patricia ; Gardiner, Philip ; Luce, Judith. / Cancer screening for underserved women : The breast and cervical cancer intervention study. In: Cancer Epidemiology Biomarkers and Prevention. 2008 ; Vol. 17, No. 8. pp. 1945-1949.
@article{2a3ba9ad92e447f1bfcb7858476e7a44,
title = "Cancer screening for underserved women: The breast and cervical cancer intervention study",
abstract = "Objective: To report on the effect of the Breast and Cervical Cancer Intervention Study (BACCIS), a multicomponent intervention conducted in the San Francisco Bay Area between 1992 and 1997. Methods: BACCIS targeted ∼25,000 multiethnic, underserved women in eight neighborhoods and the public health clinics that served them. An outreach intervention using lay health worker peers and clinic provider inreach intervention to improve breast and cervical cancer screening were evaluated in a quasi-experimental, controlled trial with pretest and posttest household surveys of 1,599 and 1,616 women, respectively. Surveys were conducted in English, Spanish, Mandarin, and Cantonese. Results: Analyses of community survey results showed no significant improvement in reported screening behaviors. Reports of mammography in the intervention areas in the previous 2 years, or for Pap smear in the previous 3 years, did not differ significantly (73-71{\%} and 84-87{\%}, respectively, for pretest and posttest surveys). Conclusion: High baseline screening rates, lack of sensitive measures of change at the population level, contamination of the control group, and an imbalance of predictive factors at baseline contributed to the difficulty of assessing the value of the intervention. Lessons learned from this inconclusive study may be of value to future community intervention studies of cancer screening and other health behaviors in multiethnic underserved urban populations.",
author = "Hiatt, {Robert A.} and Pasick, {Rena J.} and Stewart, {Susan L} and Joan Bloom and Patricia Davis and Philip Gardiner and Judith Luce",
year = "2008",
month = "8",
doi = "10.1158/1055-9965.EPI-08-0172",
language = "English (US)",
volume = "17",
pages = "1945--1949",
journal = "Cancer Epidemiology Biomarkers and Prevention",
issn = "1055-9965",
publisher = "American Association for Cancer Research Inc.",
number = "8",

}

TY - JOUR

T1 - Cancer screening for underserved women

T2 - The breast and cervical cancer intervention study

AU - Hiatt, Robert A.

AU - Pasick, Rena J.

AU - Stewart, Susan L

AU - Bloom, Joan

AU - Davis, Patricia

AU - Gardiner, Philip

AU - Luce, Judith

PY - 2008/8

Y1 - 2008/8

N2 - Objective: To report on the effect of the Breast and Cervical Cancer Intervention Study (BACCIS), a multicomponent intervention conducted in the San Francisco Bay Area between 1992 and 1997. Methods: BACCIS targeted ∼25,000 multiethnic, underserved women in eight neighborhoods and the public health clinics that served them. An outreach intervention using lay health worker peers and clinic provider inreach intervention to improve breast and cervical cancer screening were evaluated in a quasi-experimental, controlled trial with pretest and posttest household surveys of 1,599 and 1,616 women, respectively. Surveys were conducted in English, Spanish, Mandarin, and Cantonese. Results: Analyses of community survey results showed no significant improvement in reported screening behaviors. Reports of mammography in the intervention areas in the previous 2 years, or for Pap smear in the previous 3 years, did not differ significantly (73-71% and 84-87%, respectively, for pretest and posttest surveys). Conclusion: High baseline screening rates, lack of sensitive measures of change at the population level, contamination of the control group, and an imbalance of predictive factors at baseline contributed to the difficulty of assessing the value of the intervention. Lessons learned from this inconclusive study may be of value to future community intervention studies of cancer screening and other health behaviors in multiethnic underserved urban populations.

AB - Objective: To report on the effect of the Breast and Cervical Cancer Intervention Study (BACCIS), a multicomponent intervention conducted in the San Francisco Bay Area between 1992 and 1997. Methods: BACCIS targeted ∼25,000 multiethnic, underserved women in eight neighborhoods and the public health clinics that served them. An outreach intervention using lay health worker peers and clinic provider inreach intervention to improve breast and cervical cancer screening were evaluated in a quasi-experimental, controlled trial with pretest and posttest household surveys of 1,599 and 1,616 women, respectively. Surveys were conducted in English, Spanish, Mandarin, and Cantonese. Results: Analyses of community survey results showed no significant improvement in reported screening behaviors. Reports of mammography in the intervention areas in the previous 2 years, or for Pap smear in the previous 3 years, did not differ significantly (73-71% and 84-87%, respectively, for pretest and posttest surveys). Conclusion: High baseline screening rates, lack of sensitive measures of change at the population level, contamination of the control group, and an imbalance of predictive factors at baseline contributed to the difficulty of assessing the value of the intervention. Lessons learned from this inconclusive study may be of value to future community intervention studies of cancer screening and other health behaviors in multiethnic underserved urban populations.

UR - http://www.scopus.com/inward/record.url?scp=54049111111&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=54049111111&partnerID=8YFLogxK

U2 - 10.1158/1055-9965.EPI-08-0172

DO - 10.1158/1055-9965.EPI-08-0172

M3 - Article

VL - 17

SP - 1945

EP - 1949

JO - Cancer Epidemiology Biomarkers and Prevention

JF - Cancer Epidemiology Biomarkers and Prevention

SN - 1055-9965

IS - 8

ER -