Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1999-7-28
pubmed:abstractText
The FoCaS (Forsyth County Cancer Screening) Project was one of six projects funded by the National Cancer Institute "Public Health Approaches to Breast and Cervical Cancer" initiative. The goal of this project was to improve the use of breast and cervical cancer screening among low-income, predominately African-American, women age 40 and older. Strategies implemented in the intervention city included public health clinic in-reach strategies (chart reminders, exam room prompts, in-service meetings, and patient-directed literature) and community outreach strategies (educational sessions, literature distribution, community events, media, and church programs). Baseline and follow-up data from independent cross-sectional samples in both the intervention and comparison cities were used to evaluate the effects of the intervention program. A total of 248 women were surveyed at baseline, and 302 women were surveyed 3 years later at follow-up. The proportion of women reporting regular use of mammography increased (31 to 56%; P < 0.001) in the intervention city. In the comparison city, a nonsignificant (ns) increase in mammography utilization was observed (33 to 40%; P = ns). Pap smear screening rates also improved in the intervention city (73 to 87%; P = 0.003) but declined in the comparison city (67 to 60%; P = ns). These relationships hold in multivariate models. The results suggest that a multifaceted intervention can improve screening rates in low-income populations. These results have important implications for community-based research and efforts in underserved populations.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
1055-9965
pubmed:author
pubmed:issnType
Print
pubmed:volume
8
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
453-9
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:10350442-Adult, pubmed-meshheading:10350442-African Americans, pubmed-meshheading:10350442-Aged, pubmed-meshheading:10350442-Breast Neoplasms, pubmed-meshheading:10350442-Community Health Services, pubmed-meshheading:10350442-Cross-Sectional Studies, pubmed-meshheading:10350442-Female, pubmed-meshheading:10350442-Follow-Up Studies, pubmed-meshheading:10350442-Health Behavior, pubmed-meshheading:10350442-Health Knowledge, Attitudes, Practice, pubmed-meshheading:10350442-Health Promotion, pubmed-meshheading:10350442-Humans, pubmed-meshheading:10350442-Logistic Models, pubmed-meshheading:10350442-Mammography, pubmed-meshheading:10350442-Mass Screening, pubmed-meshheading:10350442-Middle Aged, pubmed-meshheading:10350442-North Carolina, pubmed-meshheading:10350442-Poverty, pubmed-meshheading:10350442-Uterine Cervical Neoplasms, pubmed-meshheading:10350442-Vaginal Smears
pubmed:year
1999
pubmed:articleTitle
Community-based interventions to improve breast and cervical cancer screening: results of the Forsyth County Cancer Screening (FoCaS) Project.
pubmed:affiliation
Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA. epaskett@rc.phs.wfubmc.edu
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S.