Please select the eligibility criteria that correspond to the clinical trial below.
Title: Research Project of the South Florida Center for Reducing Cancer Disparities (SUCCESS): Testing CHWs and HPV Self-Sampling to Increase Cervical Cancer Screening Among Minority Immigrants in Miami-Dade County:
Brief Summary: Caribbean immigrants (both Hispanics and Blacks from Haiti) are less likely to be screened for cervical cancer than the general population. One promising approach is outreach strategies that employ Community Health Workers (CHWs). Yet even in well structured CHW programs, many women remain unscreened. In our NCI Community Networks sponsored project, we are testing an approach that combines CHWs with self sampling for the human papilloma virus (HPV) as a screening strategy among such hard to reach populations.


Options:
A: Inclusion Criteria:

* Haitian, Hispanic or African American women
* ages 30-65 years
* not having had a pap smear in the last three years
* live in Miami-Dade County

Exclusion Criteria:

* having had a hysterectomy
* history of cervical cancer
* plan to move out of the neighborhood during the next six months
* are enrolled in any other cancer prevention/outreach related study
B: Inclusion Criteria:

* Women 16 years of age or above seeking prenatal care at San Francisco General Hospital

Exclusion Criteria:

* Women who do not speak Spanish or English
* Women younger than 16 years of age
* Women who obtained an HIV test during the index pregnancy prior to initiation of prenatal care at SFGH
* Women known to be infected with HIV at initiation of prenatal care at SFGH
C: Inclusion Criteria:

* African American/Black or Latino/Hispanic race/ethnicity
* HIV diagnosed for at least 6 months (HIV status confirmed with medical documentation)
* Has not taken antiretroviral therapy (ART) in the past 6 weeks (the period of time assessed by hair assay, and a reasonable period of time not on ART for the present study)
* Sub-optimal engagement in HIV care (assessed from the medical record, defined as less than 1 visit in every 4-mo. period in the past year \[two of them at least 90 days apart\], pro-rated for those diagnosed less than a year ago) or \> 2 missed visits (without prior cancellation) in the past year
* Reside in the New York City (NYC) metropolitan area
* Not planning to leave the NYC metropolitan area in next year
* Not actively psychotic based on screening instrument
* Not a participant in the preliminary pilot HTH R34 study
* Able to conduct research activities in English or Spanish
* Willing to provide hair sample (if possible), blood samples (to assess CD4, VL), and Medical Report Form (\[MRF\]; to assess health care attendance) at screening
* Willing to participate in a Core intervention session and be randomly assigned to 1-5 intervention components.

Exclusion Criteria:

NONE SEE ABOVE
D: Inclusion Criteria:

* Spanish-speaking adults ≥ 55 years of age
* ≥ 2 chronic illnesses determined by ICD-9 codes
* ≥ 2 visits with an outpatient primary care clinician at San Francisco General hospital in the past year
* ≥ 2 additional outpatient/inpatient visits to San Francisco General Hospital in the past year

Exclusion Criteria:

* Deaf, blind, demented or psychotic as determined by ICD-9 codes
* Too mentally or physically ill to participate as determined by their clinicians
* Moderate or severe cognitive impairment as determined by the Short Portable Mental Status Questionnaire (SPMSQ), and mild cognitive impairment by the SPMSQ plus an abnormal Mini-Cog (scores minimally affected by education/ethnicity)
* Self-reported poor vision and inability to see the words on a newspaper
* Lack of a telephone (for follow-up)
* Traveling or moving out of the area for ≥3 months during the study follow-up period.

Answer: A