Promoting breast and cervical cancer screening at the workplace: results from the Woman to Woman Study

Am J Public Health. 2001 Apr;91(4):584-90. doi: 10.2105/ajph.91.4.584.


Objectives: This article reports findings from a peer-delivered intervention designed to increase use of breast and cervical cancer screening.

Methods: Twenty-six worksites were randomly assigned to the intervention or comparison group. The 16-month intervention consisted of group discussions, outreach, and educational campaigns. Data were collected from a random sample of women employees stratified by age (baseline n = 2943; final n = 2747). Cross-sectional analyses were conducted to evaluate the impact of the intervention on screening behaviors.

Results: Relative to comparison worksites, the intervention group experienced greater increases in the percentage of women who reported a recent mammogram (7.2% vs 5.6%), clinical breast examination (5.8% vs 2.1%), and Papanicolaou (Pap) test (4.7% vs 1.9%). After worksite cluster and age strata were controlled for, the observed increase in Pap tests was significantly greater in the intervention group (odds ratio [OR] = 1.28; 95% confidence interval [CI] = 1.01, 1.62); however, differences in mammography screening rates (OR = 1.14; 95% CI = 0.90, 1.44) and clinical breast examination (OR = 1.19; 95% CI = 0.96, 1.49) were not statistically significant.

Conclusions: Intervention activities produced a modest increase in cervical cancer screening, but they did not accelerate breast cancer screening rates above the observed secular trend.

Publication types

  • Clinical Trial
  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Breast Neoplasms / prevention & control*
  • Female
  • Health Promotion
  • Humans
  • Mass Screening / organization & administration
  • Mass Screening / statistics & numerical data*
  • Middle Aged
  • Occupational Health Services / organization & administration
  • Occupational Health Services / statistics & numerical data*
  • Outcome Assessment, Health Care
  • Peer Group
  • United States
  • Uterine Cervical Neoplasms / prevention & control*
  • Workplace