Cervical Cancer Screening with AMIGAS

Details

• Alternative Title:
  Am J Prev Med
• Personal Author:
  Lairson, David R. ; Chang, Yu-Chia ; Byrd, Theresa L. ; Smith, Judith Lee ; Fernandez, Maria E. ; Wilson, Katherine M.
• Description:
  Background ; Hispanic women have a higher incidence of cervical cancer than all other races and ethnicities. In Hispanic subgroups, Mexican American women were among the least likely to have received cervical cancer screening. In a recent RCT, Ayudando a las Mujeres con Información, Guia, y Amor para su Salud (AMIGAS) was shown to increase cervical cancer screening rates among women of Mexican descent at 6 months in all intervention arms compared to the control arm. Limited information exists about the economics of interventions to increase cervical cancer screening rates among women of Mexican descent. ; Purpose ; This study aims to estimate the cost-effectiveness of the alternative AMIGAS intervention methods for increasing cervical cancer screening among low-income women of Mexican descent in three U.S. communities. ; Methods ; Cost data were collected from 2008 to 2011 alongside the AMIGAS study of 613 women. Receipt of Pap test within 6 months of intervention was the primary outcome measure in the cost-effectiveness analysis, conducted during 2012–2013. ; Results ; The cost per additional woman screened comparing the video-only intervention to usual care was $980. The cost increased to $1,309 with participant time cost included. With an additional cost per participant of $3.90 compared to flipchart only, the full AMIGAS program (video plus flipchart) yielded 6.8% additional women screened. ; Conclusions ; Results on the average and incremental cost-effectiveness of the AMIGAS program elements may assist health policymakers and program managers to select and appropriately budget for interventions shown to increase cervical cancer screening among low-income women of Mexican descent.
• Keywords:
  • Adult
  • Aged
  • Cost-Benefit Analysis
  • Female
  • Humans
  • Mass Screening
  • Mexican Americans
  • Middle Aged
  • Papanicolaou Test
  • Poverty
  More +
• Source:
  Am J Prev Med. 46(6):617-623
• Pubmed ID:
  24842738
• Pubmed Central ID:
  PMC4603553
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; U48 DP000057/DP/NCCDPHP CDC HHSUnited States/ ; U48-DP000057/DP/NCCDPHP CDC HHSUnited States/
• Volume:
  46
• Issue:
  6
• Download URL:
  https://stacks.cdc.gov/view/cdc/34941/cdc_34941_DS1.pdf
• File Type:
  [PDF - 205.97 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:5e4e5a1066281ff4574d04bea6793fa52cf52870ba7b6fe729fb89e0bb008769