Breast cancer screening among Vietnamese Americans: a randomized controlled trial of lay health worker outreach

Vietnamese-American women underutilize breast cancer screening. An RCT was conducted comparing the effect of lay health workers (LHWs) and media education (ME) to ME alone on breast cancer screening among these women. Conducted in California from 2004 to 2007, the study included 1100 Vietnamese-Amer...

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Bibliographic Details
Published in:American journal of preventive medicine 2009-10, Vol.37 (4), p.306-313
Main Authors: Nguyen, Tung T, Le, Gem, Nguyen, Thoa, Le, Khanh, Lai, Ky, Gildengorin, Ginny, Tsoh, Janice, Bui-Tong, Ngoc, McPhee, Stephen J
Format: Article
Language:English
Subjects:
Adult
Aged
Asian Americans - psychology
Asian Americans - statistics & numerical data
Breast cancer
Breast Neoplasms - diagnosis
Breast Neoplasms - ethnology
Breast Neoplasms - prevention & control
Communications Media
Community Health Planning - methods
Community Health Planning - organization & administration
Community Health Workers - organization & administration
Community Health Workers - psychology
Female
Health
Health Education - methods
Health Education - organization & administration
Health Knowledge, Attitudes, Practice
Health Promotion - organization & administration
Humans
Mammography
Mammography - statistics & numerical data
Mammography - utilization
Mass Screening - statistics & numerical data
Mass Screening - utilization
Middle Aged
Multivariate Analysis
Outreach programmes
Patient Acceptance of Health Care - ethnology
Screening
United States
Vietnam - ethnology
Women
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Summary:Vietnamese-American women underutilize breast cancer screening. An RCT was conducted comparing the effect of lay health workers (LHWs) and media education (ME) to ME alone on breast cancer screening among these women. Conducted in California from 2004 to 2007, the study included 1100 Vietnamese-American women aged > or = 40 years who were recruited through LHW social networks. Data were analyzed from 2007 to 2009. Both groups received targeted ME. The intervention group received two LHW educational sessions and two telephone calls. Change in self-reported receipt of mammography ever, mammography within 2 years, clinical breast examination (CBE) ever, or CBE within 2 years. The LHW+ME group increased receipt of mammography ever and mammography in the past 2 years (84.1% to 91.6% and 64.7% to 82.1%, p
ISSN:0749-3797
1873-2607
DOI:10.1016/j.amepre.2009.06.009