Cervical Cancer Beliefs in Ethnic Subgroups of Latina Immigrants

拉丁裔移民种族亚群对宫颈癌的看法

基本信息

批准号：
7616643
负责人：
John S. Luque
金额：
$ 8.64万
依托单位：
H. LEE MOFFITT CANCER CTR & RES INST
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-09-19 至 2011-09-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7616643
关键词：
Address Adult Agreement Attitude Behavior Belief Cancer Education Grant Program Central America Charities Class Classification Clinic Cognitive Communities Community Health Consensus Country DNA Death Rate Depth Development Diagnosis Discipline of Nursing Early Diagnosis Education and Outreach Educational Background Educational Curriculum Educational Intervention Effectiveness Ensure Ethnography Florida Focus Groups Funding Future Health Health Communication Health Promotion Healthcare Hispanics Human Papilloma Virus Vaccine Human Papillomavirus Immigrant Incidence Individual Intervention Interview Knowledge Latina Link Malignant Neoplasms Malignant neoplasm of cervix uteri Medical Mexican Mexico Modeling National Cancer Institute National origin Nomads Nonprofit Organizations Not Hispanic or Latino Nurses Pap smear Perception Phase Pilot Projects Population Prevalence Proxy Public Health Qualitative Research Rate Recruitment Activity Relative (related person)Research Research Technics Risk Risk Factors Rural Screening procedure Services Signal Transduction Site Southwestern United States Staging Students Subgroup Techniques Testing Training United States Upper arm Woman Work base biobehavior burden of illness cancer education cancer health disparity cancer prevention cancer risk community organizations design ethnographic method health disparity information gathering innovation intervention program literacy mortality novel outreach outreach program programs response theories

项目摘要

DESCRIPTION (provided by applicant): Research has highlighted the higher incidence, prevalence, and disproportionately high mortality rates of cervical cancer among Hispanic women (Latinas) compared to non-Hispanic whites in the U.S., signaling health disparities and the need for innovative approaches. Effective community-based interventions are needed to address these health disparities, but the development of such interventions are limited by gaps in our understanding of: 1) Hispanic beliefs toward cervical cancer and HPV depending on country of origin, and 2) culturally specific curriculum designed for community health worker (promotora) programs working with these subpopulation groups. The current application extends previous research suggesting that education and outreach programs have to address cultural beliefs in order to be effective. This collaborative, ethnographic pilot study aims to address cervical cancer disparities by partnering with a rural, Hispanic-serving community organization in order to conduct a cross-cultural examination of Hispanic beliefs toward cervical cancer and HPV. The findings will inform the development of curriculum modules on cervical cancer and HPV designed to be used by a promotora de salud (lay health adviser) intervention program. The specific aims are: 1) to explore levels of knowledge, cultural attitudes, perceptions of risk of cervical cancer and HPV, and screening behaviors with Hispanic subpopulations using ethnographic methods; and 2) to develop a pilot curriculum module on cervical cancer and HPV targeted to promotoras, infused with the ethnographic findings from Phase I. As the Hispanic immigrant population increases in the U.S., there is a growing recognition that interventions need to be tailored to Hispanics of different national origins and education levels. By gathering information on knowledge, risk perceptions, and cultural attitudes among various subgroups, culturally tailored public health outreach efforts can be targeted and potentially be more effective for impacting cervical cancer disparities in groups suffering the greatest burden of the disease. Systematic ethnographic research techniques are proposed to explore the knowledge, risk perceptions, and cultural attitudes of Hispanics toward cervical cancer and HPV in order to develop culturally and literacy-level appropriate educational interventions. Cultural consensus analysis will elicit cultural models of cognitive beliefs toward cervical cancer to collectively inform a comprehensive educational approach. This study is novel in that it 1) utilizes systematic ethnographic research techniques to develop curriculum modules on cervical cancer targeted to a diverse Hispanic audience, 2) recruits Hispanic CNA students to pilot the curriculum modules and introduces them to cancer outreach activities. PHS 398/2590 (Rev. 09/04, Reissued 4/2006) Page 1 Continuation Format Page

描述（由申请人提供）：与美国的非西班牙裔白人相比，西班牙裔妇女（拉丁裔）的宫颈癌死亡率较高，宫颈癌死亡率较高，这表明健康差异和创新方法的需求。需要有效的基于社区的干预措施来解决这些健康差异，但是这种干预措施的发展受到我们对：1）对宫颈癌和HPV的西班牙裔信念的限制，具体取决于原籍国，以及2）针对社区卫生工人（Properiona）计划的文化课程（ProperionA）计划。当前的应用程序扩展了先前的研究，表明教育和外展计划必须解决文化信念才能有效。这项合作的民族志试点研究旨在通过与农村，西班牙裔服务社区组织合作来解决宫颈癌的差异，以便对西班牙裔宫颈癌和HPV进行跨文化检查。这些发现将为宫颈癌和HPV的课程模块的开发提供信息，该模块旨在由促进者（LIE Health Adviser）干预计划使用。具体目的是：1）探索知识水平，文化态度，对宫颈癌和HPV风险的看法以及使用人种学方法的西班牙裔亚人群筛查行为； 2）为了开发针对启动的宫颈癌和HPV的试验课程模块，并注入了第一阶段的人种学发现，随着美国的西班牙裔移民人口的增加，人们越来越认识到需要针对不同民族和教育水平的西班牙裔量身定制干预措施。通过收集有关各个亚组的知识，风险看法和文化态度的信息，可以针对文化量身定制的公共卫生外展工作，并且可能对影响疾病最大负担的群体的宫颈癌差异更有效。提出了系统的人种学研究技术，以探索西班牙裔对宫颈癌和HPV的知识，风险看法和文化态度，以便在文化和识字级别上发展适当的教育干预措施。文化共识分析将引起对宫颈癌的认知信念的文化模型，以共同为一种全面的教育方法提供信息。这项研究是新颖的，因为它是1）利用系统的人种学研究技术来开发针对不同西班牙裔受众的宫颈癌的课程模块，2）招募西班牙裔CNA学生来试行课程模块，并将其引入癌症外展活动。 PHS 398/2590（修订版09/04，重新发行4/2006）第1页延续格式页面