PROMOTING BREAST CANCER SCREENING AMONG INDIGENT WOMEN

描述：(申请者描述)推广乳腺癌筛查 在西班牙裔女性中：Companera en Accion是一门以社区为基础的课程 推动圣地亚哥妇女乳腺癌教育和筛查计划， 加州。目前，在其资助的最后一年，该项目已经 成功地实现了其大部分目标。主要障碍之一是 阻止参与者实际接受临床预防服务 (乳房X光检查和临床乳房检查)转诊后， 初级保健机构(工作人员、日程安排和提供者)的系统错误 遗漏)。这项相互竞争的续期赠款将建立在 目前的项目并修改其结构以克服这一障碍。二 主要变化包括(1)适应基层社区模式 转变为以社区诊所为基础的模式，以及(2)从仅针对目标改变 说西班牙语的贫困妇女不能同时瞄准英语和 说西班牙语的贫穷妇女。 拟议的为期3年的项目是一个多层次的干预方案，基于 社区卫生中心(CHC)和针对贫困、适龄人群 诊所供水区内的妇女。在深入和外展两方面 将采用各种策略。主要干预目标包括(1) 8-10个社区卫生中心的招聘和培训 利用社区卫生顾问(CHA)模式传播 向妇女提供乳腺癌教育和筛查信息； 癌症在CHC环境中的传播和制度化 CHAS的教育课程；(3)提供技术援助 儿童健康中心在招募和培训1-3名儿童的过程中提供了一个3节课， 对文化敏感的乳腺癌教育和筛查课程 临床患者和社区成员；以及(4)促进 通过CHAS提供的乳房X光检查服务和社区健康中心提供的资源 CHC集水区50岁以上的妇女。

DESCRIPTION: (Applicant's Description) Promoting Breast Cancer Screening Among Hispanic Women: Companeras En Accion is a community-based, curriculum driven breast cancer education and screening program for women in San Diego, CA. Currently, in its final year of funding, the project has been successful in accomplishing most of its goals. One of the major barriers preventing participants from actually receiving clinical preventive services (mammography and clinical breast exams) after a referral is made, is a system error at the primary care facilities (staff, scheduling, and provider omissions). This competing continuation grant will build on the success of the current project and modify its structure to overcome this barrier. Two major changes include (1) adapting from a grassroots community-based model to a community clinic-based model, and (2) changing from targeting only indigent Spanish-speaking women to targeting both English and Spanish-speaking indigent women. The proposed 3-year project is a multi-level intervention package based in the community health center (CHC) and targeting indigent, age-appropriate women within the clinic's catchment area. Both inreach and outreach strategies will be employed. The major intervention objectives include (1) the recruitment and training of 8-1 0 community health centers (CHCs) on the use of the community health advisor (CHA) model for the dissemination of breast cancer education and screening information to women; (2) the dissemination and institutionalization within the CHC setting of a cancer education curriculum for CHAS; (3) the provision of technical assistance to the CHCs in the recruitment and training of 1-3 CHAs to deliver a 3-session, culturally sensitive breast cancer education and screening curriculum for clinic patients and community members; and (4) the facilitation of mammography services via CHAS and the resources available at the CHCs for women aged 50 plus in the CHC catchment areas.