The deep south network for cancer control - Building a community infrastructure to reduce cancer health disparities
The deep south network for cancer control - Building a community infrastructure to reduce cancer health disparities
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DOI：
10.1002/cncr.22151
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发表时间：
2006-10-15
期刊：
影响因子：
6.2
通讯作者：
Partridge, Edward E.
中科院分区：
文献类型：
--
作者：
Lisovicz, Nedra;Johnson, Rhoda E.;Partridge, Edward E.
鉴于最近癌症治疗的进展，白人和非裔美国人之间的癌症差距仍然是一个不可接受的健康问题。与占多数的白人相比，非洲裔美国人在癌症发病率、存活率和死亡率方面面临着相当大的差距。根据先前的研究结果，深南网络(DSN)选择使用社区卫生顾问(CHA)模型、Paulo Freire开发的赋权理论和社区发展理论来建立社区和联盟基础设施，以解决癌症差异问题。CHA模式和赋权理论被用来发展社区卫生顾问作为研究伙伴(CHARP)的激励志愿者、基层社区基础设施，而联盟建设模式被用来在社区内和全州范围内建立伙伴关系。883名志愿者接受了CHARP的培训，传播癌症意识信息，非裔美国人和白人都显示出密西西比州和阿拉巴马州乳腺癌和宫颈癌筛查使用率的增加。在密西西比州，考虑到整个州的增加，可能归因于CHAP干预的比例是巴氏涂片增加的23%和乳房X光检查增加的117%。DSN在提高癌症意识、改善对目标人群的教育和外联以及增加癌症筛查服务的使用方面一直很有效。国家癌症研究所又为该网络提供了5年的资金。将利用基于社区的参与性研究在密西西比州和阿拉巴马州的目标城乡县实现消除癌症健康差距的目标。
Given the recent advances in cancer treatment, cancer disparity between whites and African-Americans continues as an unacceptable health problem. African-Americans face a considerable disparity with regard to cancer incidence, survival, and mortality when compared with the majority white population. On the basis of prior research findings, the Deep South Network (DSN) chose to address cancer disparities by using the Community Health Advisor (CHA) model, the Empowerment Theory developed by Paulo Freire, and the Community Development Theory to build a community and coalition infrastructure. The CHA model and empowerment theory were used to develop a motivated volunteer, grassroots community infrastructure of Community Health Advisors as Research Partners (CHARPs), while the coalition-building model was used to build partnerships within communities and at a statewide level. With 883 volunteers trained as CHARPs spreading cancer awareness messages, both African-Americans and whites showed an increase in breast and cervical cancer screening utilization in Mississippi and Alabama. In Mississippi, taking into account the increase for the state as a whole, the proportion that might be attributable to the CHARP intervention was 23% of the increase in pap smears and 117% of the increase in mammograms. The DSN has been effective in raising cancer awareness, improving both education and outreach to its target populations, and increasing the use of cancer screening services. The National Cancer Institute has funded the Network for an additional 5 years. The goal of eliminating cancer health disparities will be pursued in the targeted rural and urban counties in Mississippi and Alabama using Community-Based Participatory Research.