Cervical Cancer Control in Vietnamese Women

Summary

Principal Investigator: VICTORIA C TAYLOR
Abstract: Vietnamese American women have higher rates of invasive cervical cancer than any other racial/ethnic group (43 per 100,000 compared to 8 per 100,000 among non-Latina white women). Further, approximately 25% of Vietnamese women have never received a Pap smear (compared to 5% of non-Latina white women). The National Institutes of Health Consensus Development Panel on cervical cancer has recommended that funding priorities should include research focusing on racial/ethnic minority populations and women who have never had a Pap smear. We have previously developed a culturally and linguistically appropriate cervical cancer control outreach intervention for Vietnamese women, and documented its acceptability and feasibility in terms of program delivery. Our primary objective is to evaluate the effectiveness of our outreach intervention in increasing the uptake of Pap testing among never screened Vietnamese women. Secondary objectives are as follows: to examine the effectiveness of the intervention in improving knowledge about cervical cancer and Pap testing; to document the costs of the program; and to assess the cost-effectiveness of the intervention. A randomized controlled trial will be conducted. Trial participants will include 250 Vietnamese American women, aged 20-79 years, who have never been screened for cervical cancer. These women will be identified from a community-based survey of 1,000 Vietnamese households. Participants will be individually randomized to intervention or control status. Bilingual, bicultural Vietnamese women will deliver the cervical cancer control outreach intervention to women in the intervention arm. The intervention will include home visits, follow-up telephone calls, use of a video and pamphlet, and tailored counseling and logistic assistance. Outcome evaluation will be based on a follow-up survey as well as medical record verification of self-reported Pap testing. If effective and cost-effective, our cervical cancer control intervention could be incorporated into outreach programs conducted by health care facilities and community-based organizations serving Vietnamese Americans, as well an the national Breast and Cervical Cancer Early Detection Program.
Funding Period: 2005-08-03 - 2009-05-31
more information: NIH RePORT

Top Publications

  1. pmc Cervical cancer control research in Vietnamese American communities
    Victoria M Taylor
    Cancer Prevention Program, Division of Public Health Sciences, Fred Hutchinson Cancer Research Center M3 B232, 1100 Fairview Avenue North, Seattle, WA 98109, USA
    Cancer Epidemiol Biomarkers Prev 17:2924-30. 2008
  2. pmc Cost effectiveness of a program to promote screening for cervical cancer in the Vietnamese-American population
    John F Scoggins
    Fred Hutchinson Cancer Research Center, University of Washington, USA
    Asian Pac J Cancer Prev 11:717-22. 2010
  3. pmc Lessons learned from the application of a Vietnamese surname list for survey research
    Victoria M Taylor
    Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA
    J Immigr Minor Health 13:345-51. 2011
  4. pmc Evaluation of a cervical cancer control intervention using lay health workers for Vietnamese American women
    Victoria M Taylor
    Cancer Prevention Program, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA
    Am J Public Health 100:1924-9. 2010
  5. pmc Heart disease prevention practices among immigrant Vietnamese women
    Gloria D Coronado
    Cancer Prevention Program, Fred Hutchinson Cancer Research Center, Seattle, Washington 98109, USA
    J Womens Health (Larchmt) 17:1293-300. 2008
  6. pmc Pap smear receipt among Vietnamese immigrants: the importance of health care factors
    Victoria M Taylor
    Fred Hutchinson Cancer Research Center, Division of Public Health Sciences, Washington, DC, USA
    Ethn Health 14:575-89. 2009

Scientific Experts

Detail Information

Publications6

  1. pmc Cervical cancer control research in Vietnamese American communities
    Victoria M Taylor
    Cancer Prevention Program, Division of Public Health Sciences, Fred Hutchinson Cancer Research Center M3 B232, 1100 Fairview Avenue North, Seattle, WA 98109, USA
    Cancer Epidemiol Biomarkers Prev 17:2924-30. 2008
    ....
  2. pmc Cost effectiveness of a program to promote screening for cervical cancer in the Vietnamese-American population
    John F Scoggins
    Fred Hutchinson Cancer Research Center, University of Washington, USA
    Asian Pac J Cancer Prev 11:717-22. 2010
    ..To conduct a randomized controlled trial to evaluate the cost effectiveness of a lay health worker-administered cervical cancer screening intervention for Vietnamese-American women...
  3. pmc Lessons learned from the application of a Vietnamese surname list for survey research
    Victoria M Taylor
    Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA
    J Immigr Minor Health 13:345-51. 2011
    ..Researchers might consider using different combinations of Vietnamese surnames, depending on whether accuracy or high population coverage is the more important consideration...
  4. pmc Evaluation of a cervical cancer control intervention using lay health workers for Vietnamese American women
    Victoria M Taylor
    Cancer Prevention Program, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA
    Am J Public Health 100:1924-9. 2010
    ..We conducted a trial to evaluate the effectiveness of a cervical cancer control intervention for Vietnamese American women that used lay health workers...
  5. pmc Heart disease prevention practices among immigrant Vietnamese women
    Gloria D Coronado
    Cancer Prevention Program, Fred Hutchinson Cancer Research Center, Seattle, Washington 98109, USA
    J Womens Health (Larchmt) 17:1293-300. 2008
    ..Cardiovascular disease is a leading cause of death in the United States as well as in many countries around the world, including Vietnam...
  6. pmc Pap smear receipt among Vietnamese immigrants: the importance of health care factors
    Victoria M Taylor
    Fred Hutchinson Cancer Research Center, Division of Public Health Sciences, Washington, DC, USA
    Ethn Health 14:575-89. 2009
    ..Our objective was to provide information about Pap testing barriers and facilitators that could be used to develop cervical cancer control intervention programs for Vietnamese American women...