Cost effectiveness of cervical cancer screening among Chinese women in North America.

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dc.contributor.authorThompson, Betien_US
dc.contributor.authorThompson, Anne Len_US
dc.contributor.authorChan, Nadine Len_US
dc.contributor.authorHislop, Gregory Ten_US
dc.contributor.authorTaylor, Vicky Men_US
dc.date.accessioned2009-05-27T17:47:59Z
dc.date.available2009-05-27T17:47:59Z
dc.date.issued2007-04-19en_US
dc.descriptionAsian Pacific Journal of Cancer Prevention.en_US
dc.description.abstractBACKGROUND: Chinese North American women have high invasive cervical cancer rates and low screening rates. The cost-effectiveness of strategies to improve Pap testing rates for Chinese women living in Seattle, Washington and Vancouver, British Columbia was examined. OBJECTIVES: To calculate the costs and cost-effectiveness of implementing two strategies to motivate women to obtain a Pap smear. RESEARCH DESIGN: A three-armed randomized, controlled trial was conducted. Women in each of two interventions (high-intensity outreach and low-intensity mailing intervention) were compared to a group of women who received usual care. MEASURES: Costs were captured via a group discussion of costs, accounting records, sampling of staff time logs, and estimation of costs and task times. Effectiveness was measured as the proportion of women in each intervention arm who reported receiving a Pap smear since the trial began. Cost-effectiveness was calculated as the incremental cost of screening each additional woman between an intervention arm and the control arm. RESULTS: A greater percentage of women who received the outreach intervention had a Pap test than women who received mailed materials or women who were in the usual care arm. The intent-to-treat cost for each additional woman to be screened for a Pap test was $415 in the Outreach arm and $676 for the Direct Mailing arm. The outreach worker intervention, though more expensive overall, was more cost-effective than the mailing intervention. CONCLUSIONS: Outreach intervention is cost-effective for sponsors and should be considered as a strategy to motivate Chinese women living in North America to seek cervical cancer screening.en_US
dc.description.affiliationCancer Research Center, Seattle, WA 98109, USA. bthompso@fhcrc.orgen_US
dc.identifier.citationThompson B, Thompson AL, Chan NL, Hislop GT, Taylor VM. Cost effectiveness of cervical cancer screening among Chinese women in North America. Asian Pacific Journal of Cancer Prevention. 2007 Apr-Jun; 8(2): 287-93en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/37913
dc.language.isoengen_US
dc.source.urihttps://www.apocp.orgen_US
dc.subject.meshChina --ethnologyen_US
dc.subject.meshCost-Benefit Analysisen_US
dc.subject.meshDelphi Techniqueen_US
dc.subject.meshEducation, Continuing --economicsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMass Screening --economicsen_US
dc.subject.meshNorth America --epidemiologyen_US
dc.subject.meshUterine Cervical Neoplasms --economicsen_US
dc.titleCost effectiveness of cervical cancer screening among Chinese women in North America.en_US
dc.typeJournal Articleen_US
dc.typeResearch Support, N.I.H., Extramuralen_US
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