We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Effect of culturally tailored education on attendance at mammography and the Papanicolaou test.
- Authors
Brevik, Thea Beate; Laake, Petter; Bjørkly, Stål
- Abstract
<bold>Objectives: </bold>To determine the effectiveness of culturally tailored education on attendance at breast and cervical cancer screening among ethnic minority women.<bold>Data Sources: </bold>Systematic database searches in Ovid MEDLINE, ProQuest, PubMed, PsycINFO, and Cochrane CENTRAL.<bold>Study Design: </bold>Randomized controlled trials (RCTs) of culturally tailored educational interventions to ethnic minority women in Western countries were investigated for a meta-analysis. RCTs that assessed attendance at mammography or the Papanicolaou test (Pap test) were eligible for inclusion.<bold>Data Collection Methods: </bold>Study characteristics and results were extracted separately. Independent raters assessed risk of bias by using Cochrane Collaboration's tool.<bold>Principal Findings: </bold>Seven RCTs (n = 4246) were included in the meta-analysis of mammography attendance, and four RCTs (n = 1750) were included in the meta-analysis of Pap test attendance. The effect of culturally tailored educational interventions on attendance at mammography was an increase of 18 percent (RR = 1.18, 95% CI, 1.09-1.28, P < .001), with low heterogeneity (I2 = 30.0, P = .237), and a 54 percent increase at the Pap test (RR = 1.54, 95% CI, 1.14-2.09, P = .005), with substantial heterogeneity (I2 = 75.9%, P = .001).<bold>Conclusions: </bold>Interpreted within the limitations set by the low number of studies and substantial heterogeneity for the Pap test, findings from the current meta-analyses indicate that culturally tailored educational interventions may increase attendance of ethnic minority women at breast and cervical cancer screenings. There is a need for more studies, in particular RCTs conducted outside the United States, to determine if such findings are similar in other countries.
- Subjects
CANCER education; COCHRANE Collaboration; PAP test; MAMMOGRAMS; BREAST cancer; ATTENDANCE; MINORITY women; HEALTH education standards; EDUCATION of minorities; HEALTH education; RESEARCH; CLINICAL trials; META-analysis; RESEARCH methodology; SYSTEMATIC reviews; WORLD health; EARLY detection of cancer; EVALUATION research; MEDICAL cooperation; COMPARATIVE studies; CULTURAL competence; RESEARCH funding; ETHNIC groups
- Publication
Health Services Research, 2020, Vol 55, Issue 3, p457
- ISSN
0017-9124
- Publication type
journal article
- DOI
10.1111/1475-6773.13271