Effect of a media-led education campaign on breast and cervical cancer screening among Vietnamese-American women

Background. Previous research has shown that breast and cervical cancer screening rates are low among Vietnamese women. Methods. Over a 24-month period, we implemented a media-led community education campaign to promote recognition, intention, receipt, and currency of routine checkups, clinical breast examinations, mammograms, and Pap tests among Vietnamese-American women in Alameda and Santa Clara Counties in northern California. Women in Los Angeles and Orange Counties in southern California served as controls. To evaluate its impact, pretest telephone interviews were conducted of 451 randomly selected women in the intervention area and 482 women in the control area and posttest interviews with 454 and 422 women, respectively. Results. At posttest, after controlling for demographic differences in the surveyed populations, the odds ratios for the intervention effect were statistically significant for having heard of a general checkup, Pap test, and clinical breast examination (CBE); planning to have a checkup, Pap test, CBE, and mammogram; and having had a checkup and Pap test. The intervention had no effect on being up to date for any of the tests. Conclusions. A media-led education intervention succeeded in increasing recognition of and intention to undertake screening tests more than receipt of or currency with the tests. (C) 1999 American Health Foundation and Academic Press.