医学
倾向得分匹配
出勤
宫颈癌
人口
人口学
发短信
家庭医学
癌症
老年学
内科学
环境卫生
社会学
经济
经济增长
计算机网络
计算机科学
作者
Jennifer Molokwu,Alok Dwivedi,Adam Alomari,Jesús Guzmán,Navkiran K. Shokar
标识
DOI:10.1177/15404153221098950
摘要
Hispanic women have the highest rates of incident cervical cancer in the United States (U.S.) and are 1.9 times more likely to die from cervical cancer than non-Hispanic Whites. Objective: Assess the impact of text message reminders on cervical cancer screening attendance and completion. Design: Pragmatic non-randomized study design using propensity matched analysis. Setting: Community-dwelling low-income females in the U.S./Mexico border community. A total of 2,255 mainly Hispanic females aged 21–65. Methods: Text message reminders in addition to usual care (telephone call reminders). Results: After adjusting for significant factors and propensity score matching, individuals in the text reminder group had 11% lower screening incidence than individuals without text reminders (risk difference [RD] = −0.11, 95% CI: −0.16, −0.05; p < .001). Conclusion: Participants with text reminders were less likely to complete cervical screening than usual practice in a predominantly Hispanic population. Our study demonstrates that reminders’ content rather than method may be vital to improving our population's cancer screening rates.
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