Details:

Alternative Title:
Am J Prev Med
Personal Author:
Lairson, David R.; Chang, Yu-Chia; Byrd, Theresa L.; Smith, Judith Lee; Fernandez, Maria E.; ... More +
Lairson, David R.; Chang, Yu-Chia; Byrd, Theresa L.; Smith, Judith Lee; Fernandez, Maria E.; Wilson, Katherine M.; Less -
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.
Subject:
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Adult
Aged
Article
Cost-Benefit Analysis
Female
Humans
Mass Screening
Mexican Americans
Middle Aged
Papanicolaou Test
Poverty
Uterine Cervical Neoplasms
Vaginal Smears
Young Adult

Source:
Am J Prev Med. 46(6):617-623.;
Pubmed ID:
24842738
Pubmed Central ID:
PMC4603553
Document Type:
Journal Article;
Funding:
CC999999/Intramural CDC HHS/United States; U48 DP000057/DP/NCCDPHP CDC HHS/United States; U48-DP000057/DP/NCCDPHP CDC HHS/United States;
CC999999/Intramural CDC HHS/United States; U48 DP000057/DP/NCCDPHP CDC HHS/United States; U48-DP000057/DP/NCCDPHP CDC HHS/United States; Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:5e4e5a1066281ff4574d04bea6793fa52cf52870ba7b6fe729fb89e0bb008769
File Type:

Supporting Files

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