Skip to main content
PMC home page
Public Health Reports logoLink to Public Health Reports
. 1989 Nov-Dec;104(6):542–551.

Development of a community cancer education program: the Forsyth County, NC cervical cancer prevention project.

R Michielutte 1, M B Dignan 1, H B Wells 1, L D Young 1, D S Jackson 1, P C Sharp 1
PMCID: PMC1580155  PMID: 2511586

Abstract

The authors outline the development and implementation of a public health education program for cervical cancer screening among black women in Forsyth County, NC. The educational program includes distributing electronic and printed information media messages, a program of direct education for women, and providing information on current issues in cervical screening to primary-care physicians. Program development was based on social marketing principles, the PRECEDE model, and the communication-behavior change (CBC) model. Since a true experimental design was not feasible, program evaluation is based on several complementary quasi-experimental designs. Analysis of baseline data indicate that the county where the intervention is taking place, and the control county, are similar with respect to both demographic characteristics and the current level of screening activity. Preliminary results indicate that the program has been successful in raising women's level of awareness of cervical cancer and cervical screening.

Full text

PDF
545

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Apostolides A. Y., Cutter G., Kraus J. F., Oberman A., Blaszkowski T., Borhani N. O., Entwisle G. Impact of hypertension information on high blood pressure control between 1973 and 1978. Hypertension. 1980 Sep-Oct;2(5):708–713. doi: 10.1161/01.hyp.2.5.708. [DOI] [PubMed] [Google Scholar]
  2. Bain R. W., Crocker D. W. Rapid onset of cervical cancer in an upper socioeconomic group. Am J Obstet Gynecol. 1983 Jun 15;146(4):366–371. doi: 10.1016/0002-9378(83)90814-1. [DOI] [PubMed] [Google Scholar]
  3. Barron B. A., Richart R. M. A statistical model of the natural history of cervical carcinoma based on a prospective study of 557 cases. J Natl Cancer Inst. 1968 Dec;41(6):1343–1353. [PubMed] [Google Scholar]
  4. Berg J. W., Ross R., Latourette H. B. Economic status and survival of cancer patients. Cancer. 1977 Feb;39(2):467–477. doi: 10.1002/1097-0142(197702)39:2<467::aid-cncr2820390215>3.0.co;2-b. [DOI] [PubMed] [Google Scholar]
  5. Bourne R. G., Grove W. D. Invasive carcinoma of the cervix in Queensland. Change in incidence and mortality, 1959-1980. Med J Aust. 1983 Feb 19;1(4):156–158. [PubMed] [Google Scholar]
  6. Boyes D. A. The value of a Pap smear program and suggestions for its implementation. Cancer. 1981 Jul 15;48(2 Suppl):613–621. doi: 10.1002/1097-0142(19810715)48:1+<613::aid-cncr2820481328>3.0.co;2-z. [DOI] [PubMed] [Google Scholar]
  7. Briggs R. M. Dysplasia and early neoplasia of the uterine cervix. A review. Obstet Gynecol Surv. 1979 Jan;34(1):70–99. [PubMed] [Google Scholar]
  8. Dunn J. E., Jr, Schweitzer V. The relationship of cervical cytology to the incidence of invasive cervical cancer and mortality in Alameda County, California, 1960 to 1974. Am J Obstet Gynecol. 1981 Apr 15;139(8):868–876. doi: 10.1016/0002-9378(81)90951-0. [DOI] [PubMed] [Google Scholar]
  9. Eraker S. A., Kirscht J. P., Becker M. H. Understanding and improving patient compliance. Ann Intern Med. 1984 Feb;100(2):258–268. doi: 10.7326/0003-4819-100-2-258. [DOI] [PubMed] [Google Scholar]
  10. Green L. W. Evaluation and measurement: some dilemmas for health education. Am J Public Health. 1977 Feb;67(2):155–161. doi: 10.2105/ajph.67.2.155. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Johannesson G., Geirsson G., Day N., Tulinius H. Screening for cancer of the uterine cervix in Iceland 1965--1978. Acta Obstet Gynecol Scand. 1982;61(3):199–203. doi: 10.3109/00016348209156556. [DOI] [PubMed] [Google Scholar]
  12. Kleinman J. C., Kopstein A. Who is being screened for cervical cancer? Am J Public Health. 1981 Jan;71(1):73–76. doi: 10.2105/ajph.71.1.73. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Koss L. G. Significance of dysplasia. Clin Obstet Gynecol. 1970 Dec;13(4):873–888. doi: 10.1097/00003081-197012000-00005. [DOI] [PubMed] [Google Scholar]
  14. Koss L. G. The Papanicolaou test for cervical cancer detection. A triumph and a tragedy. JAMA. 1989 Feb 3;261(5):737–743. [PubMed] [Google Scholar]
  15. Lefebvre R. C., Flora J. A. Social marketing and public health intervention. Health Educ Q. 1988 Fall;15(3):299–315. doi: 10.1177/109019818801500305. [DOI] [PubMed] [Google Scholar]
  16. Linden G. The influence of social class in the survival of cancer patients. Am J Public Health Nations Health. 1969 Feb;59(2):267–274. doi: 10.2105/ajph.59.2.267. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Lipworth L., Abelin T., Connelly R. R. Socio-economic factors in the prognosis of cancer patients. J Chronic Dis. 1970 Aug;23(2):105–115. doi: 10.1016/0021-9681(70)90069-x. [DOI] [PubMed] [Google Scholar]
  18. Maccoby N., Farquhar J. W., Wood P. D., Alexander J. Reducing the risk of cardiovascular disease: effects of a community-based campaign on knowledge and behavior. J Community Health. 1977 Winter;3(2):100–114. doi: 10.1007/BF01674232. [DOI] [PubMed] [Google Scholar]
  19. McGuire W. J. Public communication as a strategy for inducing health-promoting behavioral change. Prev Med. 1984 May;13(3):299–319. doi: 10.1016/0091-7435(84)90086-0. [DOI] [PubMed] [Google Scholar]
  20. Michielutte R., Diseker R. A., Young L. D., May W. J. Noncompliance in screening follow-up among family planning clinic patients with cervical dysplasia. Prev Med. 1985 Mar;14(2):248–258. doi: 10.1016/0091-7435(85)90040-4. [DOI] [PubMed] [Google Scholar]
  21. Murphy J. F. Is screening for cervical cancer worthwhile? Ir J Med Sci. 1980 Aug;149(8):318–325. doi: 10.1007/BF02939164. [DOI] [PubMed] [Google Scholar]
  22. Parkin D. M., Nguyen-Dinh X., Day N. E. The impact of screening on the incidence of cervical cancer in England and Wales. Br J Obstet Gynaecol. 1985 Feb;92(2):150–157. doi: 10.1111/j.1471-0528.1985.tb01067.x. [DOI] [PubMed] [Google Scholar]
  23. Puska P., Nissinen A., Tuomilehto J., Salonen J. T., Koskela K., McAlister A., Kottke T. E., Maccoby N., Farquhar J. W. The community-based strategy to prevent coronary heart disease: conclusions from the ten years of the North Karelia project. Annu Rev Public Health. 1985;6:147–193. doi: 10.1146/annurev.pu.06.050185.001051. [DOI] [PubMed] [Google Scholar]
  24. Soost H. J., Bockmühl B., Zock H. Results of cytologic mass screening in the Federal Republic of Germany. Acta Cytol. 1982 Jul-Aug;26(4):445–452. [PubMed] [Google Scholar]
  25. Starreveld A. A., Hill G. B., Brown L. B., Koch M. Effect of screening on the incidence of cervical cancer in Alberta. Can Med Assoc J. 1981 Nov 15;125(10):1105–1109. [PMC free article] [PubMed] [Google Scholar]
  26. Stenkvist B., Bergström R., Eklund G., Fox C. H. Papanicolaou smear screening and cervical cancer. What can you expect? JAMA. 1984 Sep 21;252(11):1423–1426. [PubMed] [Google Scholar]
  27. Williams R. R., Horm J. W. Association of cancer sites with tobacco and alcohol consumption and socioeconomic status of patients: interview study from the Third National Cancer Survey. J Natl Cancer Inst. 1977 Mar;58(3):525–547. doi: 10.1093/jnci/58.3.525. [DOI] [PubMed] [Google Scholar]
  28. Yajima A., Mori T., Sato S., Wakisaka T., Sakahira H., Yamauchi R., Suzuki M. Mass screening for cancer of the uterine cervix in Miyagi Prefecture. Gynecol Oncol. 1982 Oct;14(2):149–153. doi: 10.1016/0090-8258(82)90084-1. [DOI] [PubMed] [Google Scholar]
  29. Yajima A., Mori T., Sato S., Wakisaka T., Suzuki M. Effect of cytologic screening on the detection of cervical carcinoma. Obstet Gynecol. 1982 May;59(5):565–568. [PubMed] [Google Scholar]

Articles from Public Health Reports are provided here courtesy of SAGE Publications

RESOURCES