COMMUNITY OUTREACH FOR HIGH RISK MEXICAN AMERICAN WOMEN

描述：拟议的调查将研究过程和影响 一项改变墨西哥裔美国人癌症相关行为的计划 妇女患宫颈癌的风险很高。具体地说， 该项目的目标将是鼓励墨西哥裔美国女性 多名性伴参加宫颈涂片筛查，至中度 与性伴侣进行性接触或使用避孕套，并 不鼓励他们使用酒精、香烟和静脉注射药物。 调查人员将把来自 以人口为基础的社区研究，最近取得了成功 在艾滋病毒研究中接触高危人群的经验 控制它们并将其应用于社区设置中的特定组。 这项拟议的研究将针对休斯顿的两个市中心地区。 主要由墨西哥裔美国人居住。学习区域提供 将明确界定和随机分配接触高危妇女的机会 治疗或比较条件。初步群落观察 将导致制定或完善研究措施和 干预程序。在每个地点、基线和后续数据 将会被收集，主要是通过短暂的“拦截”匿名 由训练有素的“街头”调查小组进行的访谈。这些数据将 评估与癌症相关的风险以及相关的意图和态度。总计 将在五年内完成1500次面谈，其中500次 每波数据收集完成。数据分析将建立 治疗过程和结果之间的关系。实施 还将收集跟踪和定性数据，以帮助解释 量化研究成果。 建议的治疗方案将根据最近的经验进行调整。 与艾滋病毒控制的外展，其中难以接触到的群体 通过同行网络联系并采用降低风险 行为通过同行建模得到加速。计划中的活动 治疗地点将包括招募和激活一个网络。 能够从高危人群中获得参与的土著志愿者 女人。随之而来的“小型”媒体宣传活动将利用 低识字率和新闻及其他格式的非书面材料 展示研究人群中的积极榜样。

DESCRIPTION: The proposed investigation will study processes and effects of a program to modify cancer-related behaviors among Mexican American women at high risk for contracting cervical cancer. Specifically, the goal of this project will be to encourage Mexican American women who have multiple sex partners to participate in pap smear screening, to moderate sexual contact or use condoms with their sexual partners, and to discourage them from using alcohol, cigarettes and intravenous drugs. The investigators will blend well-developed methodologies from population-based community studies with more recent, successful experiences with outreach to high-risk subpopulations in research on HIV control and apply them to a specific group within a community setting. The proposed research will target two inner-city areas of Houston predominantly populated by Mexican Americans. Study areas providing access to high-risk women will be clearly defined and randomly assigned to treatment or comparison conditions. Preliminary community observation will lead to the development or refinement of research measures and intervention procedures. In each location, baseline and follow-up data will be collected, primarily through brief "intercept" anonymous interviews conducted by a trained "street" survey team. These data will assess cancer-related risks and related intentions and attitudes. A total of 1,500 interviews will be completed over a five-year period, with 500 completed per wave of data collection. Data analysis will establish the relationship between treatment processes and outcomes. Implementation tracking and qualitative data will also be gathered to help interpret quantitative research results. The proposed treatment program is to be adapted from recent experiences with outreach for HIV control, in which hard-to-reach groups are contacted through peer networks and the adoption of risk-reducing behaviors is accelerated by peer modeling. The planned activities in the treatment locations will include recruitment and activation of a network of indigenous volunteers capable of gaining participation from high-risk women. The creation of an accompanying "small" media campaign will use low-literacy and non-written materials in journalistic and other formats to display positive role models from within the study populations.