Las Mujeres Saludables:: Reaching Latinas for breast, cervical and colorectal cancer prevention and screening
Las Mujeres Saludables:: Reaching Latinas for breast, cervical and colorectal cancer prevention and screening
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DOI：
10.1007/s10900-005-8190-2
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发表时间：
2006-02-01
影响因子：
5.9
通讯作者：
Larkey, L
中科院分区：
文献类型：
--
作者：
Larkey, L
社区健康顾问有效促进了低收入拉丁裔女性乳腺癌和宫颈癌的预防和筛查。此类计划的具体要素，例如加强社会支持，可以解释成功的原因。促进结直肠癌筛查的研究较少。 Promotoras de Salud（即拉丁裔健康顾问）在从社区组织招募的女性中实施了一项为期 12 周的计划。该计划对 366 名拉丁裔美国人进行了乳腺癌、宫颈癌和结直肠癌预防和筛查方面的教育，并强调班级成员之间的社会支持。干预前后的评估表明，水果和蔬菜消耗量（每天 3.05 至 3.60 份）和体力活动（每周 65.15 至 122.40 分钟）显着增加。在之前不遵守规定的女性中，分别有 39%、31% 和 4% 接受了巴氏涂片检查、乳房 X 光检查和粪便潜血检查 (FOBT)。使用社区健康顾问并强调参与者之间的社会支持的文化一致的教育计划可能会改善预防和选择性筛查行为，但可能需要更深入的干预措施来确保结直肠癌筛查的依从性。
Community health advisors have effectively promoted breast and cervical cancer prevention and screening among low-income Latina women. Specific elements of such programs, such as enhanced social support, may explain successes. Promotion of colorectal cancer screening has been less studied. Promotoras de Salud (i.e., Latina health advisors) implemented a 12-week program among women recruited from community-based organizations. The program educated 366 Latinas in breast, cervical and colorectal cancer prevention and screening and emphasized social support among class members. Pre-and post-intervention assessments demonstrated significant increases for fruit and vegetable consumption (3.05 to 3.60 servings/day), and physical activity (65.15 to 122.40 minutes/week). Of women previously non-compliant, 39 percent, 31 percent and 4 percent received Pap tests, mammography, and fecal occult blood test (FOBT), respectively. A culturally aligned education program using community health advisors and emphasizing social support among participants may improve prevention and selected screening behaviors, but more intensive interventions may be required for colorectal cancer screening compliance.