{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T20:58:30Z","timestamp":1789073910337,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,8,12]],"date-time":"2013-08-12T00:00:00Z","timestamp":1376265600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"National Cancer Institute to Fred Hutchinson Cancer Research Center","award":["U54 CA132381"],"award-info":[{"award-number":["U54 CA132381"]}]},{"DOI":"10.13039\/100009611","name":"New Mexico State University","doi-asserted-by":"crossref","award":["U54 CA 132383"],"award-info":[{"award-number":["U54 CA 132383"]}],"id":[{"id":"10.13039\/100009611","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Hispanic women living on the United States\u2010M\u00e9xico border experience health disparities, are less likely to access cervical cancer screening services, and have a higher rate of cervical cancer incidence compared to women living in nonborder areas. Here we investigate the effects of an intervention delivered by community health workers (CHWs, known as lay health educators or <jats:italic>Promotores de Salud<\/jats:italic> in Spanish) on rates of cervical cancer screening in Hispanic women who were out of compliance with recommended screening guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Hispanic women out of compliance with screening guidelines, attending clinics in southern New Mexico, were identified using medical record review. All eligible women were offered the intervention. The study was conducted between 2009 and 2011, and data were analyzed in 2012. Setting\/participants\u2014162 Hispanic women, resident in New Mexico border counties, aged 29\u201380 years, who had not had a Pap test within the past 3 years. Intervention\u2014A CHW<jats:italic>\u2010<\/jats:italic>led, culturally appropriate, computerized education intervention. Main outcome measures\u2014The percentage of women who underwent cervical cancer screening within 12 months of receiving the intervention. Change in knowledge of, and attitudes toward cervical cancer and screening as assessed by a baseline and follow\u2010up questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>76.5% of women had a Pap test after the intervention. Women displayed increased knowledge about cervical cancer screening and about HPV.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A culturally appropriate promotora\u2010led intervention is successful in increasing cervical cancer screening in at\u2010risk Hispanic women on the United States\u2010M\u00e9xico border.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jrh.12044","type":"journal-article","created":{"date-parts":[[2013,8,12]],"date-time":"2013-08-12T18:50:46Z","timestamp":1376333446000},"page":"196-205","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Increasing Cervical Cancer Screening in the United States\u2010Mexico Border Region"],"prefix":"10.1111","volume":"30","author":[{"given":"Beti","family":"Thompson","sequence":"first","affiliation":[{"name":"Public Health Sciences Fred Hutchinson Cancer Research Center  Seattle Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugo","family":"Vilchis","sequence":"additional","affiliation":[{"name":"College of Health and Social Services New Mexico State University  Las Cruces New Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Crystal","family":"Moran","sequence":"additional","affiliation":[{"name":"College of Health and Social Services New Mexico State University  Las Cruces New Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wade","family":"Copeland","sequence":"additional","affiliation":[{"name":"Public Health Sciences Fred Hutchinson Cancer Research Center  Seattle Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Holte","sequence":"additional","affiliation":[{"name":"Public Health Sciences Fred Hutchinson Cancer Research Center  Seattle Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Duggan","sequence":"additional","affiliation":[{"name":"Public Health Sciences Fred Hutchinson Cancer Research Center  Seattle Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,8,12]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"United States\u2010M\u00e9xico Border Health Commission.Health Disparities and the U.S.\u2010M\u00e9xico Border: Challenges and Opportunities;2010. Available at:http:\/\/www.borderhealth.org\/files\/res_1719.pdf. Accessed June 25 2013."},{"key":"e_1_2_5_3_1","unstructured":"United States\u2010M\u00e9xico Border Health Commission.The U.S.\/Mexico Border: Health Care Access and Resource Profile II;2006. Available at:http:\/\/www.borderhealth.org\/files\/res_1719.pdf. 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