CANCER CONTROL NEEDS AMONG NATIVE AMERICAN SAMOANS

加利福尼亚州卡森的萨摩亚国家事务办公室和 加州大学欧文分校将进行一项第一阶段研究，将 开发和验证需求评估工具，以衡量 美属萨摩亚人癌症控制方法的有效性。这个 该项目有三个具体目标： 1.评估现有的各种癌症发病率数据 年计算机化癌症监测项目中的美属萨摩亚人 洛杉矶县、加利福尼亚州和夏威夷，并将数据手动保存在 美属萨摩亚。 2.为美国开发具有文化敏感性的调查工具 基于国家健康访谈调查(NHIS)的萨摩亚人口 和它的癌症控制补充剂。 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护理 加利福尼亚州的县；瓦胡岛、夏威夷和美属萨摩亚。 在第一年，我们将组建两个咨询小组，并获得 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社区相关问题向项目工作人员提供咨询 关于问题和调查的文化适当性。A技术人员 由美籍萨摩亚人和其他专业人士组成的咨询小组 参与基于社区的研究将协助研究团队 该项目的科学内容。我们将评估癌症发病率 通过对癌症数据的回顾，对美属萨摩亚人进行了调查 洛杉矶县、加利福尼亚州和加利福尼亚州的监视计划 夏威夷和癌症死亡记录，活组织检查记录和医疗 在美属萨摩亚的记录。在第二年，我们将写一份 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的工具及其癌症 控制补充并将其翻译成萨摩亚语，培训 采访者，对随机选择的美属萨摩亚人进行调查 并开始分析结果。研究中的美属萨摩亚人 能够与受试者很好地相处的社区，讲萨摩亚语 语言，并有适当的经验将被培训为 采访者。在第三年，我们将完成数据分析， 开始撰写关于调查结果的报告，并比较 结果与对其他人群的研究结果相一致。完成这项工作 第一阶段的研究将为文化的发展奠定基础 旨在改善癌症控制工作的敏感干预措施 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.