Evaluation of a worksite cervical screening initiative to increase Pap smear uptake in Malaysia: a cluster randomized controlled trial

Fauziah Abdullah; Michael O'Rorke; Liam Murray; Tin Tin Su

doi:10.1155/2013/572126

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Evaluation of a worksite cervical screening initiative to increase Pap smear uptake in Malaysia: a cluster randomized controlled trial

Journal article

Open access

Peer reviewed

Evaluation of a worksite cervical screening initiative to increase Pap smear uptake in Malaysia: a cluster randomized controlled trial

Fauziah Abdullah, Michael O'Rorke, Liam Murray and Tin Tin Su

BioMed research international, Vol.2013, pp.572126-7

2013

DOI: 10.1155/2013/572126

PMCID: PMC3773923

PMID: 24073411

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https://doi.org/10.1155/2013/572126View

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Abstract

Despite the significant burden of cervical cancer, Malaysia like many middle-income countries relies on opportunistic cervical screening as opposed to a more organized population-based program. The aim of this study was to ascertain the effectiveness of a worksite screening initiative upon Papanicolaou smear test (Pap test) uptake among educated working women in Malaysia. 403 female teachers who never or infrequently attended for a Pap test from 40 public secondary schools in Kuala Lumpur were recruited into a cluster randomized trial conducted between January and November 2010. The intervention group participated in a worksite cervical screening initiative whilst the control group received usual care from the existing cervical screening program. Multivariate logistic regression was performed to determine the impact of the intervention program on Pap smear uptake after 24 weeks of followup. The proportion of women attending for a Pap test was significantly higher in the intervention than in the control group (18.1% versus 10.1%, P value < 0.05) with the worksite screening initiative doubling the Pap smear uptake, adjusted odds ratio 2.44 (95% CI: 1.29-4.62). Worksite health promotion interventions can effectively increase cervical smear uptake rates among eligible workers in middle-income countries. Policy makers and health care providers in these countries should include such interventions in strategies for reducing cervical cancer burden. This trial is registered with IRCT201103186088N1.

Papanicolaou Test - methods

Mass Screening

Uterine Cervical Neoplasms - diagnosis

Follow-Up Studies

Humans

Adult

Female

Malaysia

Vaginal Smears - methods

Workplace

Case-Control Studies

Details

Title: Subtitle: Evaluation of a worksite cervical screening initiative to increase Pap smear uptake in Malaysia: a cluster randomized controlled trial
Creators: Fauziah Abdullah - Ministry of Health Malaysia, 62590 Putrajaya, Malaysia ; Centre for Population Health (CePH), Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia
Michael O'Rorke
Liam Murray
Tin Tin Su
Resource Type: Journal article
Publication Details: BioMed research international, Vol.2013, pp.572126-7
DOI: 10.1155/2013/572126
PMID: 24073411
PMCID: PMC3773923
NLM abbreviation: Biomed Res Int
ISSN: 2314-6133
eISSN: 2314-6141
Publisher: United States
Grant note: MR/K023241/1 / Medical Research Council
Language: English
Date published: 2013
Academic Unit: Epidemiology; Pathology
Record Identifier: 9983996059802771

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