A systematic literature review of the effectiveness of community-based strategies to increase cervical cancer screening.
Can J Public Health
; 93(5): 386-93, 2002.
Article
em En
| MEDLINE
| ID: mdl-12353463
ABSTRACT
OBJECTIVE:
To evaluate and summarize evidence of the effectiveness of interventions available to public health staff that could be used to increase cervical cancer screening to women.METHOD:
A thorough literature review was conducted, articles screened for relevance and assessed for quality.RESULTS:
Of 42 relevant studies, 1 was rated 'strong', 18 'moderate' and 23 'weak'. Among the strong/moderate studies, 10 were aimed at disadvantaged women. The most frequently used intervention was mass media campaigns, alone or combined with individual strategies; followed by individual education using lay health educators; and last, letters of invitation. Thirteen of the moderate/strong studies evaluated strategies that reported statistically significant increases in Pap smear rates and other outcomes.CONCLUSIONS:
Strategies that combined mass media campaigns with direct tailored education to women and/or health care providers seemed most successful. The importance of accurate centralized cytology databases for recall is underscored.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias do Colo do Útero
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Programas de Rastreamento
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Participação da Comunidade
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Promoção da Saúde
Tipo de estudo:
Diagnostic_studies
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Evaluation_studies
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Prognostic_studies
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Screening_studies
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Systematic_reviews
Limite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Middle aged
Idioma:
En
Revista:
Can J Public Health
Ano de publicação:
2002
Tipo de documento:
Article