A systematic review of special events to promote breast, cervical and colorectal cancer screening in the United States

BMC Public Health

Gloria D Coronado^1,11  Theresa L Byrd⁸  Betsy C Risendal⁹  Maria E Fernandez¹  Roshan Bastani²  Marcia G Ory⁶  Jennifer D Allen^1,10  Katherine B Roland⁷  Erika Pinsker⁴  Shuting Liang³  David H Howard⁵  Regine Haardörfer³  Michelle C Kegler³  Kirsten C Rodgers³  Cam Escoffery³ 

[1] Department of Behavioral Sciences, University of Texas-Houston, 7000 Fannin St., Suite 2558, Houston, TX, USA;Department of Health Policy and Management, University of California at Los Angeles, 650 Charles E. Young Sr. Dr. S. A2-125 CHS, Box 956900, Los Angeles, CA, USA;Department of Behavioral Sciences and Health Education, Rollins School of Public Health, 1518 Clifton Road, Atlanta, GA, USA;Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN, USA;Department of Health Policy and Management, Rollins School of Public Health, 1518 Clifton Road, Atlanta, GA, USA;Department of Social and Behavioral Health, School of Rural Public Health, Texas A&M University, 1266 TAMU, College Station, TX, USA;Centers for Disease Control and Prevention, Division of Cancer Prevention and Control, Epidemiology and Applied Research Branch, 4770 Buford Hwy NE, MS K-55 Atlanta, GA, USA;Texas Tech Paul L Foster School of Medicine, 1100 North Stanton, Suite 110, El Paso, TX, USA;Department of Community and Behavioral Health, University of Colorado, 13001 East 17th Bldg 500, Office Number W6116, Aurora, CO, USA;Tufts University, 112 Packard Avenue, Medford, MA, USA;Kaiser Permanente Center for Cancer Research, 3800 N. Interstate Ave., Portland, OR, USA

关键词: Colorectal neoplasms;    Cervical neoplasms;    Breast neoplasms;    Community health education;    Health promotion;    Early detection of cancer;    Cancer screening;   

Others  :  1131825
DOI  :  10.1186/1471-2458-14-274

 received in 2013-10-08, accepted in 2014-03-06,  发布年份 2014

【 摘 要 】

Background

Special events are common community-based strategies for health promotion. This paper presents findings from a systematic literature review on the impact of special events to promote breast, cervical or colorectal cancer education and screening.

Methods

Articles in English that focused on special events involving breast, cervical, and/or colorectal cancer conducted in the U.S. and published between January 1990 and December 2011 were identified from seven databases: Ovid, Web of Science, CINAHL, PsycINFO, Sociological Abstract, Cochrane Libraries, and EconLit. Study inclusion and data extraction were independently validated by two researchers.

Results

Of the 20 articles selected for screening out of 1,409, ten articles on special events reported outcome data. Five types of special events were found: health fairs, parties, cultural events, special days, and plays. Many focused on breast cancer only, or in combination with other cancers. Reach ranged from 50–1732 participants. All special events used at least one evidence-based strategy suggested by the Community Guide to Preventive Services, such as small media, one-on-one education, and reducing structural barriers. For cancer screening as an outcome of the events, mammography screening rates ranged from 4.8% to 88%, Pap testing was 3.9%, and clinical breast exams ranged from 9.1% to 100%. For colorectal screening, FOBT ranged from 29.4% to 76%, and sigmoidoscopy was 100% at one event. Outcome measures included intentions to get screened, scheduled appointments, uptake of clinical exams, and participation in cancer screening.

Conclusions

Special events found in the review varied and used evidence-based strategies. Screening data suggest that some special events can lead to increases in cancer screening, especially if they provide onsite screening services. However, there is insufficient evidence to demonstrate that special events are effective in increasing cancer screening. The heterogeneity of populations served, event activities, outcome variables assessed, and the reliance on self-report to measure screening limit conclusions. This study highlights the need for further research to determine the effectiveness of special events to increase cancer screening.

【 授权许可】

   
2014 Escoffery et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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