Participation and program outcomes in a church-based cancer prevention program for Hispanic women

Participation and program outcomes in a church-based cancer prevention program for Hispanic women
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DOI:
10.1007/s10900-006-9016-6
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发表时间:
2006-08-01
影响因子:
5.9
通讯作者:
Castro, FG
Castro, FG
中科院分区:
医学4区
文献类型:
--
作者:
Lopez, VA;Castro, FG

文献摘要

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本研究调查了Compa (n)在tilde eros en la Salud项目上的参与情况和相关结果。tilde eros en la Salud是一个以教会为基础的、以文化为重点的健康促进项目,专门为低文化适应性、低收入的西班牙裔妇女设计。本研究以教会为基础,以癌症预防干预为主要干预组,并与非癌症导向的家庭心理健康组进行效果比较。本研究的目的是确定项目出勤率和癌症预防知识和行为增加的预测因素。较低的文化适应水平和较高的总体教堂出勤率可以预测西班牙裔妇女在癌症预防部分的出勤率。此外,参加Compa (n) over tilde eros en la Salud项目的癌症干预部分可以预测测试后的癌症预防知识。相比之下,较高的文化适应水平是在测试后进行临床乳房检查的显著预测因子。同样,年龄更小、对癌症的恐惧更低的人在检查后做过子宫颈抹片检查。最后,检测前癌症预防知识是40岁及以上女性乳房x光检查的重要预测因素。这些结果为制定针对西班牙裔妇女的文化量身定制的癌症预防计划提供了启示。
This study examined program attendance and related outcomes for Compa (n) over tilde eros en la Salud, a church-based culturally focused health promotion program specifically designed for low-acculturated, low-income Hispanic women. In this church-based study, the cancer prevention intervention was the major intervention group, and its effects were compared with a noncancer-oriented family mental health group. The goal of the present study was to identity predictors of program attendance and increases in cancer prevention knowledge and behaviors. Lower levels of acculturation level and greater overall church attendance were predictive of program attendance for Hispanic women in the cancer prevention component. Also, attendance in the cancer intervention component of the Compa (n) over tilde eros en la Salud program was predictive of posttest cancer prevention knowledge. By contrast, higher acculturation level was a significant predictor of having had a clinical breast exam at posttest. Similarly, younger age and lower fear of cancer were predictive of having had a pap smear at posttest. Finally, pretest cancer prevention knowledge was a significant predictor of mammography screening for women ages 40 and over. These results offer implications for the development of culturally tailored cancer prevention programs for Hispanic women.