Megha Ramaswamy|Jae?Hoon Lee|Joi Wickliffe|Molly Allison|Amanda Emerson|Patricia J. Kelly
Impact of a brief intervention on cervical health literacy: A waitlist control study with jailed women
University of Kansas|Texas Tech University|University of Kansas|University of Kansas|University of Missouri–Kansas City|University of Missouri–Kansas City
jailed women fourfive times likely cervical cancer compared women without criminal justice histories previous research shown important contributor cervical cancer risk perhaps lack followup incarcerated womens low health literacy broader reproductive health issues little work done address disparity thus objective study test effectiveness intervention improve incarcerated womens cervical health literacy ultimately address cervical cancer disparities using waitlist control design compared changes cervical health literacy knowledge beliefs selfefficacy confidence screening followup among 188 incarcerated women completed 10hour intervention 2014 2016 three kansas city jails used bivariate tests multivariate analyses controlled baseline cervical health literacy level key covariates women intervention group showed significant gains seven eight cervical health literacy domains p 001 whereas control group improved one domain p 001 controlling covariates intervention group less barriers perceptions seriousness susceptibility disease increased selfefficacy cervical health screening followup compared control group p 005 brief intervention effective way improve jailed womens cervical health literacy provided alongside systemic efforts expand access correctional preventive health services including human papillomavirus vaccine communitybased cancer screenings health insurance women leave jails transition back communities