環境衛生研究所;Institute of Environmental HealthSUNG, FUNG-CHANGFUNG-CHANGSUNG2008-09-102018-06-302008-09-102018-06-302002http://ntur.lib.ntu.edu.tw//handle/246246/81759Culturally-appropriate health promotion programs are thought to be more effective among minority groups than those designed for the population at large. We investigated factors associated with failure to obtain cervical and breast cancer screening among inner-city African American women who received a culturally-appropriate educational intervention. Women who completed the intervention, but did not obtain a Pap smear, a clinical breast examination, and/ or a mammogram at follow-up were compared with those who did obtain these tests. Women with private health insurance were more likely to be screened following the intervention than those covered by Medicaid or Medicare or those who were not insured (P<0.001). Post-intervention screening was not associated with age, education, income, employment, or marital status. The effectiveness of a culturally- appropriate intervention is likely to be reduced if women’ sability to respond is limited by inadequate insurance coverage. (C) 2002 International Society for Preventive Oncology. Published by Elsevier Science Ltd. All rights reserved.en-US[SDGs]SDG3journal article