Kathleen Decker|Donna Turner|Alain Demers|Patricia J. Martens|Pascal Lambert|Daniel Chateau
Evaluating the Effectiveness of Cervical Cancer Screening Invitation Letters
CancerCare Manitoba|University of Manitoba|University of Manitoba|CancerCare Manitoba|University of Manitoba|CancerCare Manitoba|University of Manitoba|CancerCare Manitoba|University of Manitoba
objective objective study evaluate effectiveness invitation letter cervical screening participation among unscreened women 30 69 years age methods cluster randomized trial design used unscreened women n31452 randomized forward sortation area fsa postal code intervention group sent invitation letter n17068 group sent invitation letter n14384 results six months letters mailed 1010 women intervention group 592 441 women control group 306 pap test adjusting variables previously shown influence screening participation women sent invitation letter significantly likely pap test next 6 months compared women sent invitation letter odds ratio or260 95 confidence interval ci 209335 p0001 overall effectiveness invitation letter improved increasing age p002 conclusions sending invitation letters increased cervical screening participation overall effect small additional strategies remove barriers screening unscreened women also necessary