Evidence map›Paper›PMID 17875274›Full record

Trial reportPreventing chronic disease2007

Church-based breast cancer screening education: impact of two approaches on Latinas enrolled in public and private health insurance plans.

Angela Sauaia, Sung-joon Min, David Lack, Cecilia Apodaca, Diego Osuna, Angela Stowe, Gretchen F MGinnis, Lisa M Latts, Tim Byers

Open access · greenAbstract readClinical TrialComparative StudyMulticenter Study
In one paragraph

Trial report in Preventing chronic disease, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 5 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. A Systematic Review of Church-Based Health Interventions Among Latinos.Journal of immigrant and minority health · 2020
    Pooled it
  3. A Systematic Review of Promising Strategies of Faith-Based Cancer Education and Lifestyle Interventions Among Racial/Ethnic Minority Groups.Journal of cancer education : the official journal of the American Association for Cancer Education · 2018
    Pooled it
  4. Do community health worker interventions improve rates of screening mammography in the United States? A systematic review.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2011
    Pooled it
  5. Pooled it
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  11. Cluster-Randomized Trial to Increase Hepatitis B Testing among Koreans in Los Angeles.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2015
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  14. Article
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  18. Reducing Cancer Health Disparities among U.S. Latinos: A Freireian Approach.International journal of human rights in healthcare · 2018
    Article
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  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Angela SauaiaDepartment of Medicine, Division of Health Care Policy and Research, University of Colorado Health Sciences Center, 13611 East Colfax Ave, Ste 100, Aurora, CO 80011, USA. Angela.Sauaia@UCHSC.edu
Sung-joon Min
David Lack
Cecilia Apodaca
Diego Osuna
Angela Stowe
Gretchen F MGinnis
Lisa M Latts
Tim Byers
University of Colorado Health · US

Funding

A Four-Year Church-Based Intervention for LatinosR03CA110820 · NCI · UNIVERSITY OF COLORADO DENVER · PI SAUAIA, ANGELA · 2004 to 2005
$154k
NCI NIH HHS 1R03CA110820-01NCI NIH HHS R03 CA110820
6 · The paper itself

Abstract

introductionThe Tepeyac Project is a church-based health promotion project that was conducted from 1999 through 2005 to increase breast cancer screening rates among Latinas in Colorado. Previous reports evaluated the project among Medicare and Medicaid enrollees in the state. In this report, we evaluate the program among enrollees in the state's five major insurance plans.

methodsWe compared the Tepeyac Project's two interventions: the Printed Intervention and the Promotora Intervention. In the first, we mailed culturally tailored education packages to 209 Colorado Catholic churches for their use. In the second, promotoras (peer counselors) in four Catholic churches delivered breast-health education messages personally. We compared biennial mammogram claims from the five insurance plans in the analysis at baseline (1998-1999) and during follow-up (2000-2001) for Latinas who had received the interventions. We used generalized estimating equations (GEE) analysis to adjust rates for confounders.

resultsThe mammogram rate for Latinas in the Printed Intervention remained the same from baseline to follow-up (58% [2979/5130] vs 58% [3338/5708]). In the Promotora Intervention, the rate was 59% (316/536) at baseline and 61% (359/590) at follow-up. Rates increased modestly over time and varied widely by insurance type. After adjusting for age, income, urban versus rural location, disability, and insurance type, we found that women exposed to the Promotora Intervention had a significantly higher increase in biennial mammograms than did women exposed to the Printed Intervention (GEE parameter estimate = .24 [+/-.11], P = .03).

conclusionFor insured Latinas, personally delivering church-based education through peer counselors appears to be a better breast-health promotion method than mailing printed educational materials to churches.

Indexed as

Hispanic or LatinoMammographyMass ScreeningAgedAnalysis of VarianceBreast NeoplasmsColoradoCommunity ParticipationCounselingFemaleHumansInsurance CoverageInsurance, HealthLogistic ModelsMarketing of Health ServicesMiddle Aged

Identifiers

PMID17875274
PMCPMC2099296
OpenAlexW1574233530

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.