Evaluation of a cervical cancer control intervention using lay health workers for Vietnamese American women

Am J Public Health. 2010 Oct;100(10):1924-9. doi: 10.2105/AJPH.2009.190348. Epub 2010 Aug 19.


Objectives: We conducted a trial to evaluate the effectiveness of a cervical cancer control intervention for Vietnamese American women that used lay health workers.

Methods: The study group included 234 women who had not received a Papanicolaou (Pap) test in the last 3 years. Experimental group participants received a lay health worker home visit. Our trial endpoint was Pap test receipt within 6 months of randomization. Pap testing completion was ascertained through women's self-reports and medical record reviews. We examined intervention effects among women who had ever received a Pap test (prior to randomization) and women who had never received a Pap test.

Results: Three quarters of the women in the experimental group completed a home visit. Ever-screened experimental group women were significantly more likely to report Pap testing (P < .02) and to have records verifying Pap testing (P < .04) than were ever-screened control group women. There were no significant differences between the trial arms for women who had never been screened.

Conclusions: Our findings indicate that lay health worker-based interventions for Vietnamese American women are feasible to implement and can increase levels of Pap testing use among ever-screened women but not among never-screened women.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Asian Americans*
  • Community Health Workers*
  • Female
  • Humans
  • Intention to Treat Analysis
  • Middle Aged
  • Papanicolaou Test*
  • Patient Acceptance of Health Care / ethnology*
  • United States / epidemiology
  • Uterine Cervical Neoplasms / diagnosis
  • Uterine Cervical Neoplasms / ethnology*
  • Uterine Cervical Neoplasms / prevention & control*
  • Vaginal Smears*
  • Vietnam / ethnology
  • Young Adult