The effectiveness of a community outreach intervention to improve follow-up among underserved women at highest risk for cervical cancer

Linda P. Engelstad, Susan Stewart, Regina Otero-Sabogal, May S. Leung, Patricia I. Davis, Rena J. Pasick

Research output: Contribution to journalArticle

32 Scopus citations

Abstract

Background. A disproportionate number of women diagnosed with cervical cancer are from low-income and/or ethnically diverse groups. This study was designed to evaluate the effectiveness of an outreach and counseling intervention at improving the rate of follow-up of abnormal Pap smears among women at Alameda County Medical Center, Oakland, CA. Methods. Between September 1, 1999 and August 31, 2001, 348 women with abnormal Pap test results were randomly assigned to intervention or usual care. The main outcome was rate of follow-up. Results. The intervention produced a significant increase in the rate of follow-up visits within 6 months. Women in the intervention group were much more likely to obtain timely follow-up at Highland Hospital than were those in the control group (61% vs. 32%, P = 0.001). The intervention was equally effective when delivered to women in the control group who had no follow-up by 6 months. Overall, we were able to contact 90% of women in the intervention group. Conclusions. An outreach intervention is highly effective at increasing follow-up of abnormal Pap smears in a public hospital setting. Institutions offering cervical cancer screening to low-income, high-risk women should consider the use of outreach workers to reduce loss to follow-up.

Original languageEnglish (US)
Pages (from-to)741-748
Number of pages8
JournalPreventive Medicine
Volume41
Issue number3-4
DOIs
StatePublished - Sep 2005
Externally publishedYes

Keywords

  • Cervical cancer
  • Counseling
  • Follow-up
  • Navigation
  • Outreach workers
  • Screening

ASJC Scopus subject areas

  • Medicine(all)

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