An educational program to increase cervical and breast cancer screening in Hispanic women: a Southwest Oncology Group study

Cancer Nurs. 2005 Jan-Feb;28(1):47-53. doi: 10.1097/00002820-200501000-00007.

Abstract

We conducted a community-based pilot study to train Hispanic cancer survivors as promotoras (lay health educators) to encourage their social contacts to obtain breast and cervical cancer screening. Promotoras were recruited from a private oncologist's practice at a Minority-Based Community Clinical Oncology Program (MBCCOP). Five Hispanic women were trained to serve as promotoras by attending a 12-week course. They shared cancer screening information with family and social contacts and encouraged them to obtain Papanicolaou smears and/or mammograms. Study endpoints included the number of women recruited and trained to serve as promotoras, the number of contacts made per promotora, and the number of contacts who were screened; data were based on contact logs maintained for 1 year. Screening examinations were documented by a postcard returned by the contact or by review of community health clinic records. Five promotoras contacted 141 (range = 24-49 per promotora) women to share cancer screening information. Fifty Hispanic women obtained screening after contact with a promotora. Twenty-nine underwent mammography (ages 25-58) and 43 received a Papanicolaou smear (ages 23-62). Hispanic female cancer survivors can be trained as promotoras. Screening information conveyed by a promotora can successfully prompt Hispanic women to obtain mammography and Papanicolaou smears.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Breast Neoplasms / ethnology
  • Breast Neoplasms / prevention & control*
  • Community Health Services
  • Community Health Workers / education*
  • Female
  • Health Education*
  • Hispanic or Latino / education*
  • Humans
  • Mammography / statistics & numerical data
  • Mass Screening / statistics & numerical data*
  • Middle Aged
  • Minority Groups / education
  • Papanicolaou Test
  • Patient Acceptance of Health Care / ethnology*
  • Pilot Projects
  • Program Development*
  • Texas / epidemiology
  • Uterine Cervical Neoplasms / ethnology
  • Uterine Cervical Neoplasms / prevention & control*
  • Vaginal Smears / statistics & numerical data