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Published, Version of Record (VoR)CC BY V4.0, Open
Journal article
Community Health Workers to Increase Cancer Screening: 3 Community Guide Systematic Reviews
American journal of preventive medicine
19 Dec 2022
PMID: 36543699
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Many in the U.S. are not up to date with cancer screening. This systematic review examined the effectiveness of interventions engaging community health workers to increase breast, cervical, and colorectal cancer screening.
Authors identified relevant publications from previous Community Guide systematic reviews of interventions to increase cancer screening (1966 through 2013) and from an update search (January 2014-November 2021). Studies written in English and published in peer-reviewed journals were included if they assessed interventions implemented in high-income countries; reported screening for breast, cervical, or colorectal cancer; and engaged community health workers to implement part or all of the interventions. Community health workers needed to come from or have close knowledge of the intervention community.
The review included 76 studies. Interventions engaging community health workers increased screening use for breast (median increase=11.5 percentage points, interquartile interval=5.5‒23.5), cervical (median increase=12.8 percentage points, interquartile interval=6.4‒21.0), and colorectal cancers (median increase=10.5 percentage points, interquartile interval=4.5‒17.5). Interventions were effective whether community health workers worked alone or as part of a team. Interventions increased cancer screening independent of race or ethnicity, income, or insurance status.
Interventions engaging community health workers are recommended by the Community Preventive Services Task Force to increase cancer screening. These interventions are typically implemented in communities where people are underserved to improve health and can enhance health equity. Further training and financial support for community health workers should be considered to increase cancer screening uptake.
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Details
- Title
- Community Health Workers to Increase Cancer Screening: 3 Community Guide Systematic Reviews
- Creators
- Devon L Okasako-Schmucker - Community Guide Office, Office of the Associate Director for Policy and Strategy (OADPS), Centers for Disease Control and Prevention, Atlanta, GeorgiaYinan Peng - Community Guide Office, Office of the Associate Director for Policy and Strategy (OADPS), Centers for Disease Control and Prevention, Atlanta, Georgia. Electronic address: ypeng@cdc.govJamaicia Cobb - Community Guide Office, Office of the Associate Director for Policy and Strategy (OADPS), Centers for Disease Control and Prevention, Atlanta, GeorgiaLeigh R Buchanan - Cherokee NationKa Zang Xiong - Community Guide Office, Office of the Associate Director for Policy and Strategy (OADPS), Centers for Disease Control and Prevention, Atlanta, GeorgiaShawna L Mercer - Community Guide Office, Office of the Associate Director for Policy and Strategy (OADPS), Centers for Disease Control and Prevention, Atlanta, GeorgiaSusan A Sabatino - National Center for Chronic Disease Prevention and Health PromotionStephanie Melillo - National Center for Chronic Disease Prevention and Health PromotionPatrick L Remington - University of Wisconsin–MadisonShiriki K Kumanyika - Drexel UniversityBeth Glenn - Department of Health Policy & Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CaliforniaErica S Breslau - Healthcare Delivery Research Program, Division of Cancer Control & Population Sciences, National Cancer Institute, Rockville, MarylandCam Escoffery - Emory UniversityMaria E Fernandez - The University of Texas Health Science Center at HoustonGloria D Coronado - Kaiser Permanente Center for Health ResearchKaren Glanz - University of PennsylvaniaPatricia D Mullen - The University of Texas Health Science Center at HoustonSally W Vernon - The University of Texas Health Science Center at HoustonCommunity Preventive Services Task Force
- Publication Details
- American journal of preventive medicine
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Dana and David Dornsife School of Public Health
- Web of Science ID
- WOS:000956560500001
- Scopus ID
- 2-s2.0-85144473549
- Other Identifier
- 991019436192104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health