[Federal Register Volume 65, Number 244 (Tuesday, December 19, 2000)]
[Notices]
[Pages 79370-79371]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-32204]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control And Prevention
[60Day-01-08]
Proposed Data Collections Submitted for Public Comment and
Recommendations
In compliance with the requirement of Section 3506 (c)(2)(A) of the
Paperwork reduction Act of 1995, the Center for Disease Control and
Prevention is providing opportunity for public comment on proposed data
collection projects. To request more information on the proposed
projects or to obtain a copy of the data collection plans and
instruments, call the CDC Reports Clearance Officer on (404) 639-7090.
Comments are invited on: (a) Whether the proposed collection of
information is necessary for the proper performance of the functions of
the agency, including whether the information shall have practical
utility; (b) the accuracy of the agency's estimate of the burden of the
proposed collection of information; (c) ways to enhance the quality,
utility, and clarity of the information to be collected; and (d) ways
to minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques for other
forms of information technology. Send comments to Anne O'Connor, CDC
Assistant Reports Clearance Officer, 1600 Clifton Road, MS-D24,
Atlanta, GA 30333. Written comments should be received within 60 days
of this notice.
Proposed Project
Linking Epidemiologic Research to Disease Prevention: A Pilot
Program to Test Approaches for Communicating Increased Risk of Cervical
Cancer to Female Workers in the Dry-Cleaning Industry --NEW--National
Institute for Occupational Safety and Health (NIOSH), Centers for
Disease Control and Prevention (CDC).
The National Institute for Occupational Safety and Health (NIOSH)
has conducted worker notification formally since 1988. This program
informs workers in NIOSH-conducted epidemiological studies about the
study results and hence, of their risks. The intervention research to
be conducted under this application will extend the risk communication
beyond the mortality study cohort (an aging and mostly retired cohort)
to similarly exposed women, younger and still employed.
Several studies, including one conducted at NIOSH, have documented
elevated mortality from cancer among dry cleaning workers. Some of the
cancers involved--most notably cervical cancer--can be successfully
treated if detected early. Thus, along with better hazard control,
better secondary disease prevention is urgently needed to help women
workers already exposed. Exiting NIOSH procedures for notifying workers
about the agency's research findings seem unlikely to reach the larger
at-risk population of women dry cleaners who were not actually study
subjects.
The ultimate purpose of this research is to increase understanding
of how to encourage medical screening among workers at risk. The
project has two main objectives: (1) To assess descriptively the
feasibility and potential public health benefits of a broader than
usual approach to NIOSH worker notification about occupational health
risks, based on results of NIOSH epidemiologic research; and (2) to
determine whether a follow-up reminder about the importance of medical
screening makes a significant difference in the notified workers' long-
term health behavior.
The primary study population will consist of a minimum 300 current
female dry cleaning workers in New York City (ages 18-65), selected
from the membership list (a respondent universe of 375) from the dry
cleaners' local labor union. A separate population of 100 former dry
cleaning workers randomly selected from a cohort list of approximately
226 surviving women dry cleaners in a NIOSH cohort mortality study will
provide descriptive data only and will not be included in the data
analysis of the primary group of currently employed dry cleaners. All
study participants will be mailed a packet of risk information from
NIOSH, along with a letter of endorsement of the study from the local
union in New York, encouraging participation in the study. The risk
information packet will include the NIOSH mortality study results as
well as other information about cancer and cancer screening, with a
special emphasis on cervical cancer screening.
Brief (15-minute) telephone interviews will follow the mailed
notifications to workers and will be used to evaluate (1) the effects
of an intervention (mailed written notification materials) on post-
intervention cervical cancer screening behaviors; and (2) the effects
of a reminder message mailed six months after the initial notification.
The effect of the first intervention will be measured by comparing
the pre- and post-intervention screening behaviors
[[Page 79371]]
for the year prior to the intervention. The effect of the second
intervention will be evaluated experimentally (using a control group),
measuring the screening behaviors from the time of the reminder letter
to the Time-2 interview 6 months later, compared to the screening
behaviors at the Time-1 interview.
These intervention evaluations will address barriers to cervical
screening and also will allow insight into the following questions:
1. Does the outreach message have a long-term impact concerning
the use of cancer screening services (message retention and actual
screening behavior)?
2. Does receiving a screening reminder affect message retention
and actual screening behavior?
The total cost to all respondents (current dry cleaners and
surviving dry cleaners from the NIOSH mortality study) in the two-year
study is estimated at $2733.46 based on an average wage of $10.79 per
hour.
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Avg. burden
No. of No. of Per Total
Respondents respondents responses response burden (in
(in hrs.) hrs.)
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Year 1...................................................... 400 1 20/60 133.3
Year 2...................................................... 360 1 20/60 120.0
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Total................................................... ........... ........... ........... 253.3
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Dated: December 8, 2000.
Nancy Cheal,
Acting Associate Director for Policy, Planning and Evaluation Centers
for Disease Control and Prevention, (CDC).
[FR Doc. 00-32204 Filed 12-18-00; 8:45 am]
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