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Keywords

Breast — Radiography; Cancer – Prevention; Hispanic American women – Health and hygiene; Hispanic American women —Health risk assessment; Latinas; Low income; Mammography; Pap smear; Pap test; Poor — Medical care; Replication; Women's health services

Abstract

Latinas suffer longstanding disparities in breast cancer survival and cervical cancer incidence and mortality compared to non-Hispanic white women. This study assessed the feasibility of replicating the theory-based A Su Salud En Acción communication model to impact cancer screening behaviors in two at-need Nevada clinics. The intervention significantly increased the number of mammograms and Pap smears among Latinas. Mammograms and Pap smear rates increased by 58.7‰ and 51.8‰ respectively in the pilot site (95% CI 40.1-49.1 and 47.1-56.5 respectively) and by 33.7‰ and 7.5‰ respectively (95% CI 15.6-51.9 and 4.3-10.6) in the replication site, among women ages 50-64.

This study demonstrated the feasibility of adapting and replicating the A Su Salud En Acción model by lay public health workers at community clinics serving a large Latino community in Nevada in need of cancer screening promotion programs. With basic training (with a comprehensive and user-friendly training tool) and technical assistance, both sites replicated the model, which proved effective in increasing cancer screening rates among low-income Latinas.

This study contributes additional knowledge about replicating effective models and interventions in real-world environments and warrants more research on the issues and processes involved in the replication of effective programs.