CANCER CONTROL AMONG HISPANIC WOMEN

我们提出了一种创新的研究策略来提高我们的理解 影响西班牙裔妇女的知识、观念和 对乳腺癌和宫颈癌的态度和设计干预措施 这将增加癌症预防和治疗服务的使用。 故事背景是加利福尼亚州的北奥兰治县，一个社区 大约23%的人口是西班牙裔墨西哥裔美国人， 墨西哥和中美洲。一个多学科团队，包括 临床医生、卫生服务研究人员、人类学家、社会学家、 肿瘤学家、流行病学家、妇科医生和统计学家将 进行研究。 该项目有几个创新的组成部分。首先，我们将 对西班牙裔妇女和健康进行深入的人种学访谈 照顾者。在西班牙裔女性中，我们将学习文化 关于癌症、其原因、其治疗以及对癌症的看法 癌症预防和治疗服务的障碍。在健康人群中 护理提供者，我们将评估对西班牙裔妇女的看法 关于癌症的知识及其在癌症预防和治疗中的应用 治疗服务。我们还将评估供应商的知识和 他们的癌症筛查活动。 其次，我们将对拉美裔、医疗保健等进行广泛的调查 提供者和卫生保健设施，以评估 对普通人群的人种学访谈结果，以确定 提供者对癌症控制服务的了解和使用，以及 确定现有的癌症控制设施和服务 社区。 第三，我们将建立一个癌症和拉美裔委员会，该委员会将 制定、实施和评估文化上适当的干预措施 根据人种学访谈和调查的结果。这个 委员会将解决与消费者、医疗保健相关的障碍 医疗服务提供者和医疗保健系统的结构。这些 干预措施将提高拉美裔妇女对乳房和乳房的了解 并将增加他们对癌症预防和治疗的使用 治疗服务。

We propose an innovative research strategy to improve our understanding of factors that influence Hispanic women's knowledge, perceptions, and attitudes about breast and cervical cancer and to design interventions that will increase the use of cancer prevention and treatment services. The setting is North Orange County, California, a community in which approximately 23% of the population is Hispanic - Mexican-American, Mexican and Central American. A multidisciplinary team including clinicians, health services researchers, anthropologists, sociologists, oncologists, epidemiologists, gynecologists and statisticians will conduct the research. The project has several innovative components. First of all, we will conduct in-depth ethnographic interviews with Hispanic women and health care providers. Among the Hispanic women, we will study cultural beliefs about cancer, its causes, its treatment, and the perception of obstacles to cancer prevention and treatment services. Among the health care providers, we will assess perceptions about Hispanic women's knowledge about cancer and about their use of cancer prevention and treatment services. We will also assess the providers' knowledge and their cancer screening activities. Secondly, we will conduct broad-based surveys of Hispanics, health care providers, and health care facilities to assess the applicability of the ethnographic interview findings to general populations, to determine knowledge and use of cancer control services by providers, and to identify existing cancer control facilities and services in the community. Thirdly, we will establish a Council on Cancer and Hispanics that will develop, implement, and evaluate culturally appropriate interventions based upon results of the ethnographic interviews and the surveys. The Council will address barriers related to the consumers, the health care providers, and the structure of the health care system. These interventions will improve Hispanic women's knowledge about breast and cervical cancer and will increase their use of cancer prevention and treatment services.