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Assessment of the Impact of Cervical Cancer Prevention Educational Videos for Quechua- and Spanish-Speaking Peruvian Women

Ferris, Daron G. MD1; Hupman, Christina BS2; Waller, Jennifer L. PhD3; Cudnik, Jonathan BS2; Watkins, Cristyn MD4

Journal of Lower Genital Tract Disease: October 2009 - Volume 13 - Issue 4 - p 244-251
doi: 10.1097/LGT.0b013e318196785f

Objective. Women who speak Quechua have high rates of cervical cancer. Because Quechua is an unwritten language, typical educational materials do not exist. The purpose of this study was to assess the impact of a culturally sensitive cervical cancer prevention video on indigenous women seeking cervical cancer screening in Peru.

Methods. Quechua- and Spanish-speaking women were enrolled in the study in Pitumarca and Cusco, Peru. Approximately one half watched a cervical cancer educational video. All subjects completed a preexamination and postexamination questionnaire that assessed knowledge and attitudes about Pap tests and had vital signs measured. Subjects who watched the video also completed a postvideo questionnaire. One-way analysis of variance and 2-factor, repeated-measures, mixed-model analysis of covariance were used to analyze outcomes.

Results. Complete data were available for 343 subjects. Postexamination knowledge scores were significantly higher than preexamination scores for Spanish-speaking women who watched the video (p =.002). There was no change for women who spoke Quechua. In the Quechua-speaking group, postvideo preparedness means were significantly higher than at preexamination (p <.0001) and postexamination (p =.0001). When Quechua- and Spanish-speaking women were asked, 87.2% and 90% liked the video, 83.6% and 84.8% thought it was helpful, and 97.4% and 100% thought other women should watch the video, respectively.

Conclusions. Although the culturally sensitive videos had less impact on knowledge, attitudes, and physiologic responses than expected, women greatly appreciated the educational intervention. Use of these videos may help to reduce the rate of cervical cancer in the Andes Mountains.

Culturally sensitive cervical cancer prevention videos may help reduce the rate of cervical cancer in Peruvian women.

1Departments of Family Medicine and Obstetrics and Gynecology, Gynecologic Cancer Prevention Center, 2Medical College of Georgia, 3Department of Biostatistics, Medical College of Georgia, Augusta, GA; and 4Department of Family Medicine, Overlook Family Medicine, Summit, NJ

Reprint requests to: Daron G. Ferris, MD, Medical College of Georgia, 1423 Harper Street, HH-105, Augusta, GA 30912-3500. E-mail:

©2009The American Society for Colposcopy and Cervical Pathology