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Am J Public Health. 2001 Apr;91(4):584-90.

Promoting breast and cervical cancer screening at the workplace: results from the Woman to Woman Study.

Author information

1
Dana-Farber Cancer Institute, Center for Community-Based Research, 44 Binney St, Boston, MA 02115, USA. jennifer_allen@dfci.harvard.edu

Abstract

OBJECTIVES:

This article reports findings from a peer-delivered intervention designed to increase use of breast and cervical cancer screening.

METHODS:

Twenty-six worksites were randomly assigned to the intervention or comparison group. The 16-month intervention consisted of group discussions, outreach, and educational campaigns. Data were collected from a random sample of women employees stratified by age (baseline n = 2943; final n = 2747). Cross-sectional analyses were conducted to evaluate the impact of the intervention on screening behaviors.

RESULTS:

Relative to comparison worksites, the intervention group experienced greater increases in the percentage of women who reported a recent mammogram (7.2% vs 5.6%), clinical breast examination (5.8% vs 2.1%), and Papanicolaou (Pap) test (4.7% vs 1.9%). After worksite cluster and age strata were controlled for, the observed increase in Pap tests was significantly greater in the intervention group (odds ratio [OR] = 1.28; 95% confidence interval [CI] = 1.01, 1.62); however, differences in mammography screening rates (OR = 1.14; 95% CI = 0.90, 1.44) and clinical breast examination (OR = 1.19; 95% CI = 0.96, 1.49) were not statistically significant.

CONCLUSIONS:

Intervention activities produced a modest increase in cervical cancer screening, but they did not accelerate breast cancer screening rates above the observed secular trend.

PMID:
11291370
PMCID:
PMC1446631
[Indexed for MEDLINE]
Free PMC Article
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