Margaret E. Black|J. Yamada|Val Mann
A Systematic Literature Review of the Effectiveness of Communitybased Strategies to Increase Cervical Cancer Screening
Hamilton Health Sciences|McMaster University|Hospital for Sick Children|Kingston Health Sciences Centre
objective evaluate summarize evidence effectiveness interventions available public health staff could used increase cervical cancer screening women method thorough literature review conducted articles screened relevance assessed quality results 42 relevant studies 1 rated strong 18 moderate 23 weak among strongmoderate studies 10 aimed disadvantaged women frequently used intervention mass media campaigns alone combined individual strategies followed individual education using lay health educators last letters invitation thirteen moderatestrong studies evaluated strategies reported statistically significant increases pap smear rates outcomes conclusions strategies combined mass media campaigns direct tailored education women andor health care providers seemed successful importance accurate centralized cytology databases recall underscored