A socioecological approach to improving mammography rates in a tribal community
A socioecological approach to improving mammography rates in a tribal community
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DOI：
10.1177/1090198106290396
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发表时间：
2008-06-01
影响因子：
4.2
通讯作者：
Kennedy, Marianna
中科院分区：
文献类型：
--
作者：
English, Kevin C.;Fairbanks, Jo;Kennedy, Marianna
本文重点介绍了一个旨在提高新墨西哥州美洲印第安部落女性乳房 X 光检查率的试点项目的过程和中间结果。利用社会生态框架和基于社区的参与性研究原则，社区联盟能够 (a) 加强当地基础设施，以增加获得乳房 X 光检查服务的机会； (b) 培养部落卫生服务提供者的公共卫生知识和技能； (c) 确定特定社区与乳腺癌相关的知识、态度和信念； (d) 在社区卫生方案之间以及部落与外部组织之间建立相互依存的伙伴关系； (e) 采取地方政策举措，加强部落癌症控制。这些发现证明了针对影响社区乳腺癌筛查率的个人、社区和环境因素的组合以及将文化优势和资源纳入部落健康促进干预措施的各个方面的价值。
This article highlights the processes and intermediate outcomes of a pilot project to increase mammography rates of women in an American Indian tribe in New Mexico. Using a socioecological framework and principles of community-based participatory research, a community coalition was able to ( a) bolster local infrastructure to increase access to mammography services; (b) build public health knowledge and skills among tribal health providers; (c) identify community-specific knowledge, attitudes, and beliefs related to breast cancer; (d) establish interdependent partnerships among community health programs and between the tribe and outside organizations; and (e) adopt local policy initiatives to bolster tribal cancer control. These findings demonstrate the value of targeting a combination of individual, community, and environmental factors, which affect community breast cancer screening rates and incorporating cultural strengths and resources into all facets of a tribal health promotion intervention.