{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T01:38:04Z","timestamp":1789609084301,"version":"build-2803163510"},"reference-count":60,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004917","name":"Cancer Prevention and Research Institute of Texas","doi-asserted-by":"publisher","award":["PP110081, PP230038, RP210042"],"award-info":[{"award-number":["PP110081, PP230038, RP210042"]}],"id":[{"id":"10.13039\/100004917","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Oncol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>We evaluated the effectiveness of an adapted community-based breast and cervical screening behavioral intervention. Community health workers (CHW) delivered group education and optional telephone-based health coaching and navigation on mammography and Papanicolaou (Pap) test screening among low-income Latinas in the Greater Houston area.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>CHWs recruited women (40 years and older) who were non-adherent to mammography screening guidelines (n=797), as well as women 21 years and over who were non-adherent to cervical cancer screening guidelines (n=501). Data collectors completed baseline surveys, randomized women to the CHW-delivered intervention and comparison (delayed intervention) arms, and completed 6-month follow-up surveys.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At follow-up, 39.9% in the mammography intervention arm and 20.3% of women in the comparison arm completed mammograms (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; .001). For cervical cancer screening, 55.8% of women in the intervention arm and 27.4% of women in the comparison arm completed cervical screening (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; .001). Adjusting for socio-economic, demographic, and cancer screening history factors significant in bivariate analysis (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt;.25), women in the mammography intervention had a significantly increased odds of receiving a mammogram based on adjusted intention-to-treat (aOR: 2.00, 95% CI: 1.40\u20132.84) and per-protocol analyses (aOR: 2.53, 95% CI: 1.74\u20133.68). Similarly, women in the Pap test screening intervention arm had a significantly increased odds of Pap test screening in intention-to-treat (aOR: 1.95, 95% CI: 1.29\u20132.95) and per-protocol analyses (aOR: 3.51, 95% CI: 2.18\u20135.65).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study provides strong evidence that community-based group education and navigation increase breast and cervical screening among low-income Latinas in urban settings. Future research to scale up this evidence-based CHW-delivered program is needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fonc.2026.1687113","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T05:37:35Z","timestamp":1773207455000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["A randomized controlled trial to evaluate an adapted community health worker-delivered breast and cervical cancer screening education and navigation intervention for underserved Latina adults"],"prefix":"10.3389","volume":"16","author":[{"given":"L. 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I.","family":"Heredia","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Behavioral Sciences, Center for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston, School of Public Health","place":["Houston, TX, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Huyan","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Data Science, The University of Texas Health Science Center at Houston","place":["Houston, TX, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Coan","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Behavioral Sciences, Center for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston, School of Public Health","place":["Houston, TX, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Behavioral Sciences, Center for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston, School of Public Health","place":["Houston, TX, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. S.","family":"Mantey","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Behavioral Sciences, Michael and Susan Dell Center for Healthy Living, School of Public Health, The University of Texas Health Science Center at Houston","place":["Austin, TX, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. M.","family":"Adlparvar","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Behavioral Sciences, Center for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston, School of Public Health","place":["Houston, TX, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. 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