{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T20:58:33Z","timestamp":1789073913720,"version":"build-2803163510"},"reference-count":42,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,11,21]],"date-time":"2016-11-21T00:00:00Z","timestamp":1479686400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["U54 CA153513"],"award-info":[{"award-number":["U54 CA153513"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007322","name":"Fox Chase Cancer Center","doi-asserted-by":"publisher","award":["P30 CA006927"],"award-info":[{"award-number":["P30 CA006927"]}],"id":[{"id":"10.13039\/100007322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2017,3,15]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Korean American women have among the lowest rates of cervical cancer screening in the United States. The authors evaluated a multicomponent intervention combining community education with navigation services to reduce access barriers and increase screening rates in this underserved population. It was hypothesized that cervical cancer screening rates would be higher among women who received the intervention program compared with those in the control program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Korean American women (N\u2009=\u2009705) were recruited from 22 churches. In this matched\u2010pair, group\u2010randomized design, 347 women received the intervention, which consisted of a culturally relevant cancer education program combined with provision of navigation services. The control group (N\u2009=\u2009358) received general health education, including information about cervical cancer risk and screening and where to obtain low\u2010cost or no\u2010cost screening. Screening behavior was assessed 12 months after the program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      Screening behavior data were obtained from 588 women 12 months after the program. In both site\u2010level and participant\u2010level analyses, the intervention program contributed to significantly higher screening rates compared with the control program (odds ratio [OR], 25.9; 95% confidence interval [CI], 10.1\u201066.1;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). In sensitivity analysis, the treatment effect remained highly significant (OR, 16.7; 95% CI, 8.1\u201034.4;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>\n                      A multicomponent intervention combining community cancer education with navigation services yielded significant increases in cervical cancer screening rates among underscreened Korean American women. Community\u2010accessible programs that incorporate cancer education with the delivery of key navigation services can be highly effective in increasing cervical cancer screening rates in this underserved population.\n                      <jats:bold>\n                        <jats:italic>Cancer<\/jats:italic>\n                        2017;123:1018\u201326.\n                      <\/jats:bold>\n                      \u00a9\n                      <jats:italic>2016 American Cancer Society<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cncr.30391","type":"journal-article","created":{"date-parts":[[2016,11,21]],"date-time":"2016-11-21T08:02:46Z","timestamp":1479715366000},"page":"1018-1026","source":"Crossref","is-referenced-by-count":51,"title":["Addressing multilevel barriers to cervical cancer screening in Korean American women: A randomized trial of a community\u2010based intervention"],"prefix":"10.1002","volume":"123","author":[{"given":"Carolyn Y.","family":"Fang","sequence":"first","affiliation":[{"name":"Cancer Prevention and Control Program, Fox Chase Cancer Center Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace X.","family":"Ma","sequence":"additional","affiliation":[{"name":"Center for Asian Health, Lewis Katz School of Medicine Temple University Philadelphia Pennsylvania"},{"name":"Department of Clinical Sciences Lewis Katz School of Medicine, Temple University Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth A.","family":"Handorf","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Bioinformatics Fox Chase Cancer Center Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziding","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Biostatistics The University of Texas MD Anderson Cancer Center Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yin","family":"Tan","sequence":"additional","affiliation":[{"name":"Center for Asian Health, Lewis Katz School of Medicine Temple University Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne","family":"Rhee","sequence":"additional","affiliation":[{"name":"Center for Asian Health, Lewis Katz School of Medicine Temple University Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne M.","family":"Miller","sequence":"additional","affiliation":[{"name":"Cancer Prevention and Control Program, Fox Chase Cancer Center Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Kim","sequence":"additional","affiliation":[{"name":"Center for Asian Health, Lewis Katz School of Medicine Temple University Philadelphia 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