CANCER CONTROL NEEDS AMONG NATIVE AMERICAN SAMONANS

位于加州卡森的萨摩亚事务国家办公室和 加州大学欧文分校将进行一期研究， 制定和验证需求评估工具， 癌症控制方法在美属萨摩亚人中的有效性。的 该项目有三个具体目标： 1.评估关于老年人各种癌症发病率的现有数据， 年计算机化癌症监测方案中的美属萨摩亚人 洛杉矶县、加州和夏威夷，以及 美属萨摩亚。 2.为美国开发一种文化敏感的调查工具 根据全国健康访谈调查的萨摩亚人口 以及癌症控制补充剂 3.使用调查工具评估知识、态度和 关于癌症的一般做法和癌症预防的障碍 居住在洛杉矶的美属萨摩亚人的随机抽样 县，加州;奥廷加，夏威夷和美属萨摩亚。 在第一年，我们将召集两个咨询小组， 关于美属萨摩亚人的癌症发病率数据。社区咨询委员会 由来自加州的代表和社区领袖组成， 夏威夷和美属萨摩亚将就与社区有关的问题向项目工作人员提供咨询 问题和调查的文化适当性。一个技术 由美属萨摩亚人和其他专业人员组成的咨询小组 参与以社区为基础的研究将协助研究小组 项目的科学内涵。我们将评估癌症发病率 在美属萨摩亚人中，通过审查癌症的数据， 洛杉矶县、加州和 夏威夷和癌症死亡率记录，活检日志，和医疗 记录在美属萨摩亚。在第二年，我们将编写一个 描述各种癌症发病率的手稿，开展一项调查 基于国家健康访谈调查及其癌症的工具 控制补充，并将其翻译成萨摩亚语，训练 访问员，对随机挑选的美属萨摩亚人进行调查 并开始分析结果。研究报告中的美属萨摩亚人 能够与主题良好相处的社区，讲萨摩亚语， 语言，并有适当的经验将接受培训， 采访者。在第三年，我们将完成数据分析， 开始撰写有关调查结果的报告， 与其他人群的研究结果。完成本 第一阶段研究将为文化发展奠定基础， 采取敏感的干预措施，以改善 美属萨摩亚人

The National Office of Samoan Affairs of Carson, California, and the University of California, Irvine, will conduct a Phase I study that will develop and validate needs assessment instruments to measure the effectiveness of cancer control methods among American Samoans. The project has three specific aims: 1. Evaluating existing data on the incidence of various cancers among American Samoans from the computerized cancer surveillance programs in Los Angeles County, California and Hawaii and from manually kept data in American Samoa. 2. Developing a culturally sensitive survey instrument for the America Samoan population based upon the National Health Interview Survey (NHIS) and its Cancer Control Supplement. 3. Using the survey instrument to assess knowledge, attitudes, and practices regarding cancer in general and barriers to cancer preventive care in a random sample of American Samoans residing in Los Angeles County, California; Oahu, Hawaii and American Samoa. During the first year, we will assemble two advisory groups and obtain cancer incidence data on American Samoans. A community Advisory Board consisting of representatives and community leaders from California, Hawaii and American Samoa will counsel project staff on community-related issues and on the cultural appropriateness of the survey. A Technical Advisory Panel comprised of American Samoan and other professionals involved in community-based research will assist the Research Team with the project's scientific content. We will assess cancer incidence rates among American Samoans through a review of data from the cancer surveillance programs of Los Angeles County, California and the state of Hawaii and from cancer mortality records, biopsy logs, and medical records in American Samoa. During the second year, we will write a manuscript describing the incidence of various cancers, develop a survey instrument based upon the National Health Interview Survey and its Cancer Control Supplement and translate it into the Samoan language, train the interviewers, conduct the survey of randomly selected American Samoans and begin to analyze the results. American Samoans from the study communities who can relate well with the subjects, speak the Samoan language, and have appropriate experience will be trained as interviewers. During the third year, we will complete data analysis, begin report writing regarding the survey results, and compare the results with those of research on other populations. Completion of this Phase I study will set the stage for the development of culturally sensitive interventions aimed at improving cancer control efforts among American Samoans.