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Design and outcomes of a community trial to increase Pap testing in Pacific Islander women

Cancer Epidemiology, Biomarkers & Prevention Jun 19, 2019

Tanjasiri SP, et al. - Given the underutilization of Pap tests among Pacific Islanders (PIs) who experience elevated cervical cancer incidence and mortality, researchers sought to describes the design, methods, participants, and outcomes of a multi-year (2010-2016), community-based randomized intervention trial in southern California testing the efficacy of a unique social support intervention targeting Chamorro, Samoan and Tongan women and their male husbands/partners based upon strong collectivistic norms. For ethnic- and gender-specific groups, a single-session educational intervention was designed and tailored to increase men's social support for their female wives/partners to receive a Pap test, and for women to receive a Pap test. Pre-existing brochures on Pap testing (for women) or general men's health (for men) were provided in the comparison group. Observations revealed a successful increase in the Pap test behaviors for PI women via ethnic- and gender-tailored community interventions, although more research is needed on the specific pathways leading to behavior change.
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