Evidence map›Paper›PMID 40826255›Full record

ArticleCancer causes & control : CCC2025

The role of community health workers (CHWs) in improving cervical cancer screening rates and access to treatment in underserved US populations: a scoping review.

Alexandra Campson, Kayla Ernst, Kendell Lewis, Alana Starr, Gabriella Dasilva, Morgan Decker, Taina Romeus, Michelle Knecht, Maria Mejia, Lea Sacca

Abstract readScoping Review
PubMed Publisher
In one paragraph

Article in Cancer causes & control : CCC, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Alexandra CampsonCharles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, 33431, USA.
Kayla ErnstCharles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, 33431, USA.
Kendell LewisCharles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, 33431, USA.
Alana StarrCharles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, 33431, USA.
Gabriella DasilvaCharles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, 33431, USA.
Morgan DeckerCharles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, 33431, USA.
Taina RomeusCollege of Public Health, University of South Florida, Tampa, FL, 33612, USA.
Michelle KnechtCharles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, 33431, USA.
Maria MejiaCharles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, 33431, USA.
Lea SaccaCharles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, 33431, USA. lsacca@health.fau.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study is to explore the impact CHWs have in increasing access to cervical cancer screening and treatments for underserved US women while examining the importance of utilizing culturally tailored theoretical frameworks and evidence-based strategies in the design and delivery of the CHW-led interventions.

methodsThe five-step process outlined by Arksey and O'Malley as well as the recommendations from the Joanna Briggs Institute (JBI) was used for the data extraction, analysis, and presentation of the results.

resultsA total of 12 eligible studies published between 2002 and 2023 were retained for analysis. Across all studies, the role of the CHWs led to successful cervical cancer screening interventions as well as improved knowledge levels on pap smears and cancer prevention in underserved US female communities. Barriers experienced by CHWs and underserved women were sorted into the five levels of the socio-ecological (SEM) model. Several theoretical frameworks were used, including the social cognitive theory, the health belief model, the theory of reasoned action (n = 2), the transtheoretical model (n = 1), the Popular Education Theory (n = 1), and the Social Marketing Theory. Major themes were identified qualitatively across studies using thematic analysis regarding monitoring patients, clinical processes, generalizability of study results, and cultural sensitivity.

conclusionFindings highlight that providing culturally tailored CHW-led interventions improves informed decision-making by underserved US women surrounding cervical cancer screenings and treatment. Our review provides recommendations to strengthen the impact of CHWs on cervical cancer screenings and treatment in underserved US populations.

Indexed as

Community Health WorkersEarly Detection of CancerHealth Services AccessibilityUterine Cervical NeoplasmsFemaleHealth Knowledge, Attitudes, PracticeHumansMedically Underserved AreaUnited StatesCervical cancerCommunity health workersPap smearsScreeningTheoretical frameworksTreatmentUnderserved populations

Identifiers

PMID40826255

What Socratic holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.