Journal of Community Health

, Volume 44, Issue 2, pp 256–264 | Cite as

A Workplace-Based Intervention to Improve Awareness, Knowledge, and Utilization of Breast, Cervical, and Colorectal Cancer Screenings Among Latino Service and Manual Labor Employees in Utah

  • Echo L. WarnerEmail author
  • Laura Martel
  • Judy Y. Ou
  • Gina E. Nam
  • Sara Carbajal-Salisbury
  • Virginia Fuentes
  • Anne C. Kirchhoff
  • Deanna Kepka
Original Paper


In the United States, Latinos are more likely to be uninsured and diagnosed with later stage cancer than non-Hispanic whites. Promotoras (lay health educators) help improve cancer knowledge and facilitate access to cancer screenings. We tested a promotora led workplace-based intervention to improve knowledge of and adherence to breast, cervical, and colorectal cancer screening among Latino employees in service or manual labor jobs. Latinos 18 and older from Salt Lake County, Utah were enrolled from January 2015 to February 2016. N = 265 completed pre- and post-intervention surveys that measured knowledge of and adherence to breast, cervical, and colorectal cancer screenings. Demographic, economic, and cancer factors of participants who completed the intervention were compared to those who were incomplete. Changes in knowledge and adherence were calculated using McNemar’s tests. Logistic regression compared outcomes by select demographic, economic and cancer factors. More participants were older, spoke Non-English languages, were single/widow(er)s, worked part-time, and had an immediate family member with cancer compared to those who did not complete the study (all p < 0.05). Knowledge of the age to begin cancer screenings increased significantly from baseline to follow-up for cervical (65.1–77.7%), breast (67.2–81.7%), and colorectal cancer (49.8–80.7%), all p ≤ 0.001. Knowledge of the frequency of cervical (34.0–46.5%) and colorectal (72.1–84.5%) screening increased from baseline to follow-up, both p < 0.001. Adherence to fecal immunochemical tests (FIT) for colorectal cancer increased from baseline to follow-up (13.8–56.9%, p < 0.001). Promotora led workplace-based interventions can strengthen community capacity for educating and supporting Latino employees in preventing breast, cervical, and colorectal cancer.


Health education Intervention Community-based participatory research Cancer prevention Latino 



We would like to acknowledge the work of our community based partners, Alliance Community Services and Comunidades Unidas. We recognize the vital importance of the promotoras who took part in this research and thank them for their contributions, as well as the Utah Partners for Health, and St. Marks Hospital. This work was supported by the Beaumont Foundation, the University of Utah College of Nursing Research Committee, Cancer Control and Population Sciences at Huntsman Cancer Institute, and the Huntsman Cancer Foundation. The funding organizations had no role in the design and conduct of the study, collection or interpretation of the data, nor in preparation, review, or approval of the manuscript.

Compliance with Ethical Standards

Conflict of interest

Dr. Kirchhoff has an immediate family member who has stock or other ownership in Medtronic. The authors declare that they have no other conflicts of interest.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Echo L. Warner
    • 1
    • 2
    Email author
  • Laura Martel
    • 1
    • 3
  • Judy Y. Ou
    • 1
  • Gina E. Nam
    • 4
  • Sara Carbajal-Salisbury
    • 5
  • Virginia Fuentes
    • 6
  • Anne C. Kirchhoff
    • 1
    • 7
  • Deanna Kepka
    • 1
    • 2
  1. 1.Cancer Control and Population SciencesHuntsman Cancer InstituteSalt Lake CityUSA
  2. 2.College of NursingUniversity of UtahSalt Lake CityUSA
  3. 3.Utah AIDS Education and Training CenterUniversity of UtahSalt Lake CityUSA
  4. 4.Department of EpidemiologyUniversity of California Los AngelesLos AngelesUSA
  5. 5.Alliance Community ServicesMurrayUSA
  6. 6.Comunidades UnidasWest Valley CityUSA
  7. 7.Department of PediatricsUniversity of UtahSalt Lake CityUSA

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