Assessment to Inform Programming to Increase Screening in Hawaiian Homesteads

为加强夏威夷宅基地筛查而制定的评估提供信息

• 批准号: 7227658
• 负责人: CLAYTON D K CHONG
• 金额: $ 5万
• 依托单位: PAPA OLA LOKAHI
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-06-17 至 2010-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7227658
• 关键词: Assessment; Inform; Programming; Increase; Screening

DESCRIPTION (provided by applicant): Native Hawaiians are more likely than members of Hawai'i's other ethnic groups to be diagnosed with late- stage cancer and to have low cancer screening rates. About 23,000 Native Hawaiians statewide reside in Native Hawaiian Homestead Communities, which offer affordable housing and agricultural land to individuals with 50% or greater Hawaiian blood quantum. Although high blood quantum may serve as a proxy for other variables (e.g., low socio-economic status, low prevalence of health insurance), it has been associated with increased risk of morbidity. Little is known about Homestead residents, but we expect lower prevalence of insurance and lower participation in cancer screening among Homestead dwellers compared to Hawaiians in the general population. We request funds to identify barriers and facilitators to cancer screening in the Waimanalo Native Hawaiian Homestead community on O'ahu, and to gauge receptivity to interventions found successful in other Native Hawaiian communities. Through partnership with the University of Hawaii medical school and the Waimanalo Homestead, interviews will be conducted by student-community member teams. Houses will be selected based on protocol informed by science and Hawaiian tradition. Using the quota method for selecting whom to interview within a household and estimating a 85% participation rate, we aim for 70 interviews in each of 4 categories -- females age 25-50, females older than 50, males age 25-50, and males older than 50. Guided by the Anderson and Aday model of health care utilization, survey items will tap characteristics of the population (e.g., knowledge, attitudes, insurance status) and characteristics of existing services (e.g., access, subsidized screening, cultural targeting) to assess barriers and facilitators to recommended cancer screening. Survey items also will tap receptivity of interventions shown to increase cancer screening in other Hawaiian communities, including a family cancer screening day, small group cancer education, and individual cancer education. Assessment data will be reviewed in 4 Homestead-based focus groups, with the purpose of designing an intervention needed and wanted by the Waimanalo Homestead. This intervention will be tested in future research that involves the Waimanalo Homestead and other Homestead communities in the state.

描述（由申请人提供）：夏威夷原住民比夏威夷其他种族的成员更有可能被诊断出患有晚期癌症并且癌症筛查率低。夏威夷原住民居住在夏威夷原住民社区中约有23,000名本地夏威夷人，这些社区为夏威夷血液量子的50％或更高的人提供负担得起的住房和农业土地。尽管高血量量子可能是其他变量的代理（例如，社会经济状况低，健康保险的患病率低），但它与发病率的风险增加有关。对于霍姆斯特德居民，与普通人群相比，霍姆斯特德居民对宅基地的居民知之甚少，但与夏威夷人相比，霍姆斯特德居民的癌症筛查率较低。我们要求资金以确定障碍和促进者在奥胡岛的夏威夷人霍姆斯特德社区中进行癌症筛查，并衡量在其他夏威夷当地社区中发现干预措施的接受措施。通过与夏威夷大学医学院和Waimanalo Homestead的合作关系，将由学生社区成员团队进行访谈。将根据科学和夏威夷传统告知的协议选择房屋。使用配额方法选择谁在家庭中进行访谈并估计参与率的85％，我们的目标是在4个类别中的每一种中进行70种访谈 - 25-50岁的女性，年龄大于50岁的女性，男性25-50岁，男性年龄超过50岁。 （例如，访问，补贴的筛查，文化目标）评估障碍和促进因素，以推荐癌症筛查。调查项目还将利用显示的干预措施的接受度，这些干预措施可增加其他夏威夷社区的癌症筛查，包括家庭癌症筛查日，小组癌症教育和个别癌症教育。评估数据将在4个基于宅基地的焦点小组中进行审查，目的是设计Waimanalo Homestead所需和想要的干预措施。该干预措施将在未来的研究中进行测试，该研究涉及该州的Waimanalo Homestead和其他宅基地社区。