Evidence map›Paper›PMID 27854539›Full record

Trial reportAmerican journal of public health2017

Breast and Cervical Cancer Screening Literacy Among Korean American Women: A Community Health Worker-Led Intervention.

Hae-Ra Han, Youngshin Song, Miyong Kim, Haley K Hedlin, Kyounghae Kim, Hochang Ben Lee, Debra Roter

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in American journal of public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 17 pooled it
3.3field-weighted citation impact, top 6% of its field
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

67 citing papers in PubMed, 17 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Application of patient navigation programs across the entire continuum of breast cancer care: a GRADE-assessed systematic review with meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
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  3. Interventions Addressing Health Literacy in Cancer Care: A Systematic Review of Reviews.International journal of environmental research and public health · 2025
    Pooled it
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  5. Interventions for improving health literacy in migrants.The Cochrane database of systematic reviews · 2023
    Pooled it
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  12. Health Literacy Interventions in Cancer: a Systematic Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021
    Pooled it
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  15. Determinants of Cancer Screening Disparities Among Asian Americans: A Systematic Review of Public Health Surveys.Journal of cancer education : the official journal of the American Association for Cancer Education · 2018
    Pooled it
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  20. A Culturally Adapted Breast and Cervical Cancer Screening Intervention Among Muslim Women in New York City: Results from the MARHABA Trial.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Trial

7 more citing papers are in PubMed but not listed here.

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

7 authors at 1 institution in 2 countries.

Hae-Ra HanHae-Ra Han and Kyounghae Kim are with the School of Nursing, Johns Hopkins University, Baltimore, MD. Youngshin Song is with the College of Nursing, Choongnam University, Choongchung-Do, Korea. Miyong Kim is with the School of Nursing, University of Texas, Austin. Haley K. Hedlin is with the Department of Medicine, Stanford University, Stanford, CA. Hochang Ben Lee is with the School of Medicine, Yale University, New Haven, CT. Debra Roter is with the Bloomberg School of Public Health, Johns Hopkins University.
Youngshin SongHae-Ra Han and Kyounghae Kim are with the School of Nursing, Johns Hopkins University, Baltimore, MD. Youngshin Song is with the College of Nursing, Choongnam University, Choongchung-Do, Korea. Miyong Kim is with the School of Nursing, University of Texas, Austin. Haley K. Hedlin is with the Department of Medicine, Stanford University, Stanford, CA. Hochang Ben Lee is with the School of Medicine, Yale University, New Haven, CT. Debra Roter is with the Bloomberg School of Public Health, Johns Hopkins University.
Miyong KimHae-Ra Han and Kyounghae Kim are with the School of Nursing, Johns Hopkins University, Baltimore, MD. Youngshin Song is with the College of Nursing, Choongnam University, Choongchung-Do, Korea. Miyong Kim is with the School of Nursing, University of Texas, Austin. Haley K. Hedlin is with the Department of Medicine, Stanford University, Stanford, CA. Hochang Ben Lee is with the School of Medicine, Yale University, New Haven, CT. Debra Roter is with the Bloomberg School of Public Health, Johns Hopkins University.
Haley K HedlinHae-Ra Han and Kyounghae Kim are with the School of Nursing, Johns Hopkins University, Baltimore, MD. Youngshin Song is with the College of Nursing, Choongnam University, Choongchung-Do, Korea. Miyong Kim is with the School of Nursing, University of Texas, Austin. Haley K. Hedlin is with the Department of Medicine, Stanford University, Stanford, CA. Hochang Ben Lee is with the School of Medicine, Yale University, New Haven, CT. Debra Roter is with the Bloomberg School of Public Health, Johns Hopkins University.
Kyounghae KimHae-Ra Han and Kyounghae Kim are with the School of Nursing, Johns Hopkins University, Baltimore, MD. Youngshin Song is with the College of Nursing, Choongnam University, Choongchung-Do, Korea. Miyong Kim is with the School of Nursing, University of Texas, Austin. Haley K. Hedlin is with the Department of Medicine, Stanford University, Stanford, CA. Hochang Ben Lee is with the School of Medicine, Yale University, New Haven, CT. Debra Roter is with the Bloomberg School of Public Health, Johns Hopkins University.
Hochang Ben LeeHae-Ra Han and Kyounghae Kim are with the School of Nursing, Johns Hopkins University, Baltimore, MD. Youngshin Song is with the College of Nursing, Choongnam University, Choongchung-Do, Korea. Miyong Kim is with the School of Nursing, University of Texas, Austin. Haley K. Hedlin is with the Department of Medicine, Stanford University, Stanford, CA. Hochang Ben Lee is with the School of Medicine, Yale University, New Haven, CT. Debra Roter is with the Bloomberg School of Public Health, Johns Hopkins University.
Debra RoterHae-Ra Han and Kyounghae Kim are with the School of Nursing, Johns Hopkins University, Baltimore, MD. Youngshin Song is with the College of Nursing, Choongnam University, Choongchung-Do, Korea. Miyong Kim is with the School of Nursing, University of Texas, Austin. Haley K. Hedlin is with the Department of Medicine, Stanford University, Stanford, CA. Hochang Ben Lee is with the School of Medicine, Yale University, New Haven, CT. Debra Roter is with the Bloomberg School of Public Health, Johns Hopkins University.
Johns Hopkins University · US

Funding

Translational Oncology Research Program (Project-005)P30CA124435 · NCI · STANFORD UNIVERSITY · PI MICHAEL KENNEY · 2007 to 2026
$71.4M
Better Breast and Cervical Cancer Control for Korean American WomenR01CA129060 · NCI · JOHNS HOPKINS UNIVERSITY · PI HAN, HAE-RA · 2009 to 2012
$2.2M
NCI NIH HHS P30 CA124435NCI NIH HHS R01 CA129060
6 · The paper itself

Abstract

objectivesTo test a community health worker (CHW)-led health literacy intervention on mammogram and Papanicolaou test screening among Korean American women.

methodsWe conducted a cluster-randomized trial at 23 ethnic churches in the Baltimore, Maryland-Washington, DC, metropolitan area between 2010 and 2014. Trained CHWs enrolled 560 women. The intervention group received an individually tailored cancer-screening brochure followed by CHW-led health literacy training and monthly telephone counseling with navigation assistance. Study outcomes included receipt of an age-appropriate cancer screening test, health literacy, cancer knowledge, and perceptions about cancer screening at 6 months.

resultsThe odds of having received a mammogram were 18.5 (95% confidence interval [CI] = 9.2, 37.4) times higher in the intervention than in the control group, adjusting for covariates. The odds of receiving a Papanicolaou test were 13.3 (95% CI = 7.9, 22.3) times higher; the odds of receiving both tests were 17.4 (95% CI = 7.5, 40.3) times higher. Intervention effects also included increases in health literacy and positive perceptions about cancer screening.

conclusionsA health literacy-focused CHW intervention successfully promoted cancer-screening behaviors and related cognitive and attitudinal outcomes in Korean American women.

Indexed as

AsianCommunity Health WorkersHealth LiteracyMass ScreeningAdultBaltimoreBreast NeoplasmsCounselingEarly Detection of CancerFemaleHumansMammographyMiddle AgedPapanicolaou TestUterine Cervical Neoplasms

Identifiers

PMID27854539
PMCPMC5308166
OpenAlexW2555584032

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.