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Breast cancer screening among Vietnamese Americans: a randomized controlled trial of lay health worker outreach

TitleBreast cancer screening among Vietnamese Americans: a randomized controlled trial of lay health worker outreach
Publication TypeJournal Article
Year of Publication2009
AuthorsNguyen, TT, Le, G, Nguyen, T, Le, K, Lai, K, Gildengorin, G, Tsoh, J, Bui-Tong, N, McPhee, SJ
JournalAm J Prev MedAm J Prev Med
Volume37
Pagination306-13
Date PublishedOct
ISBN Number1873-2607 (Electronic)<br/>0749-3797 (Linking)
Accession Number19765502
KeywordsAdult, Aged, Asian Americans/psychology/ statistics & numerical data, Breast Neoplasms/diagnosis/ ethnology/ prevention & control, Communications Media, Community Health Planning/methods/organization & administration, Community Health Workers/ organization & administration/psychology, Female, Health Education/ methods/organization & administration, Health Knowledge, Attitudes, Practice, Health Promotion/organization & administration, Humans, Mammography/statistics & numerical data/ utilization, Mass Screening/statistics & numerical data/utilization, Middle Aged, Multivariate Analysis, Patient Acceptance of Health Care/ethnology, United States, Vietnam/ethnology
AbstractBACKGROUND: Vietnamese-American women underutilize breast cancer screening. DESIGN: An RCT was conducted comparing the effect of lay health workers (LHWs) and media education (ME) to ME alone on breast cancer screening among these women. SETTING/PARTICIPANTS: Conducted in California from 2004 to 2007, the study included 1100 Vietnamese-American women aged > or = 40 years who were recruited through LHW social networks. Data were analyzed from 2007 to 2009. INTERVENTION: Both groups received targeted ME. The intervention group received two LHW educational sessions and two telephone calls. MAIN OUTCOME MEASURES: Change in self-reported receipt of mammography ever, mammography within 2 years, clinical breast examination (CBE) ever, or CBE within 2 years. RESULTS: The LHW+ME group increased receipt of mammography ever and mammography in the past 2 years (84.1% to 91.6% and 64.7% to 82.1%, p