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Cited by 94Women's cancer prevention and managementCervical Cancer and HPV ResearchGlobal Cancer Incidence and Screening

Cervical Cancer Screening, Diagnosis and Treatment Interventions for Racial and Ethnic Minorities: A Systematic Review

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Glick, Susan B., Clarke, Amanda R., Blanchard, Anita, Whitaker, Amy K.·2012·Journal of General Internal Medicine
DOI 10.1007/s11606-012-2052-2PMC PMC3403140
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Abstract

OBJECTIVES: To systematically review the literature to determine which interventions improve the screening, diagnosis or treatment of cervical cancer for racial and/or ethnic minorities. DATA SOURCES: Medline on OVID, Cochrane Register of Controlled Trials, CINAHL, PsycINFO and Cochrane Systematic Reviews. STUDY ELIGIBILITY CRITERIA, PARTICIPANTS AND INTERVENTIONS: We searched the above databases for original articles published in English with at least one intervention designed to improve cervical cancer prevention, screening, diagnosis or treatment that linked participants to the healthcare system; that focused on US racial and/or ethnic minority populations; and that measured health outcomes. Articles were reviewed to determine the population, intervention(s), and outcomes. Articles published through August 2010 were included. STUDY APPRAISAL AND SYNTHESIS METHODS: One author rated the methodological quality of each of the included articles. The strength of evidence was assessed using the criteria developed by the GRADE Working Group.45,46 RESULTS: Thirty-one studies were included. The strength of evidence is moderate that telephone support with navigation increases the rate of screening for cervical cancer in Spanish- and English-speaking populations; low that education delivered by lay health educators with navigation increases the rate of screening for cervical cancer for Latinas, Chinese Americans and Vietnamese Americans; low that a single visit for screening for cervical cancer and follow up of an abnormal result improves the diagnosis and treatment of premalignant disease of the cervix for Latinas; and low that telephone counseling increases the diagnosis and treatment of premalignant lesions of the cervix for African Americans. LIMITATIONS: Studies that did not focus on racial and/or ethnic minority populations may have been excluded. In addition, this review excluded interventions that did not link racial and ethnic minorities to the health care system. While inclusion of these studies may have altered our findings, they were outside the scope of our review. CONCLUSIONS AND IMPLICATIONS OF KEY FINDINGS: Patient navigation with telephone support or education may be effective at improving screening, diagnosis, and treatment among racial and ethnic minorities. Research is needed to determine the applicability of the findings beyond the populations studied.

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  • A previous review found moderate strength of evidence that telephone support increased screening uptake in ethnic minorities.

    “Furthermore, a previous review found moderate strength of evidence that telephone support increased screening uptake in ethnic minorities. 130”

    From Identifying the key barriers, facilitators and factors associated with cervical cancer screening attendance in young women: A systematic review (2025) · cites this paper as [130]

    The Summary of Results and Impact of Interventions to Increase Screening sections report moderate-strength evidence that telephone support *with navigation* increases cervical cancer screening in minority populations. The claim omits navigation, so the review does not establish the effect of telephone support on its own. (LLM, conf=0.88)

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Cited by

Sorted by citations

Authors
Glick, S. B., Clarke, A. R., Blanchard, A., & Whitaker, A. K.
Affiliations
University of Chicago (US)
Corresponding author
Glick, Susan B.
ORCID
Blanchard, Anita
Venue
Journal of General Internal Medicine
Publisher
Springer Science and Business Media LLC
Published
2012-07-14
Volume
27
Issue
8
Pages
1016-1032
ISSN
  • 0884-8734 (ISSN-L)
  • 1525-1497
DOI
10.1007/s11606-012-2052-2
PMC
PMC3403140
OpenAlex
W1982475529
Cited by
94
References
2
Citations by year
2026: 1 · 2025: 3 · 2024: 8 · 2023: 5 · 2022: 5 · 2021: 4 · 2020: 3 · 2019: 7 · 2018: 7 · 2017: 9 · 2016: 11 · 2015: 12 · 2014: 8 · 2013: 6 · 2012: 3
FWCI
1.45
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of General Internal Medicine (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
Robert Wood Johnson Foundation
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
  • Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
  • Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
Keywords
cervical cancer screening, cervical cancer diagnosis, cervical cancer treatment, racial and ethnic minorities, patient navigation, telephone support, lay health educators, health education, cervical precancerous lesions, Hispanic women, African Americans, Chinese Americans, Vietnamese Americans, Spanish-speaking populations
MeSH terms
Uterine Cervical Neoplasms, Ethnicity, Female, Humans, Minority Groups, Treatment Outcome, Practice Guidelines as Topic, Racial Groups, Early Detection of Cancer

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