Salud es Vida: Reducing Access Barriers to Cervical Cancer Screening Among Unders

Salud es Vida：减少未成年人宫颈癌筛查的障碍

基本信息

批准号：
8211503
负责人：
John S. Luque
金额：
$ 18.32万
依托单位：
GEORGIA SOUTHERN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-09-21 至 2014-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8211503
关键词：
Acculturation Address American Cancer Society Area Attention Attitude Behavior Belief Cancer Prevention Intervention Censuses Cervical Cancer Screening Communities Coupled Data Development Diagnosis Discrimination Education Effectiveness Ethnic Origin Ethnography Future Geographic Locations Goals Growth Gynecologist Health Health Care Costs Health Educators Healthcare Healthcare Systems Hispanics Human Papillomavirus Immigrant Incidence Individual Insurance Coverage Intervention Knowledge Language Latina Latino Life Link Location Low income Malignant Neoplasms Malignant neoplasm of cervix uteri Mexican Minor Mission Modeling National Cancer Institute Not Hispanic or Latino Outcome Pamphlets Participant Population Prevalence Public Health Randomized Controlled Trials Relative (related person)Research Rural Rural Population Screening for cancer Screening procedure Signal Transduction Socioeconomic Status Staging Subgroup Testing Training Transportation Urban Population Woman Women&apos s Health Work base burden of illness cancer diagnosis cancer health disparity cervical cancer prevention cost effective intervention experience farm worker follow-up health disparity improved innovation intervention program mortality multi-component intervention outreach programs risk perception rural area stem therapy development

项目摘要

DESCRIPTION (provided by applicant): Research has highlighted the higher incidence, prevalence, and mortality rates of cervical cancer among Hispanic women (Latinas) compared to non-Hispanic whites in the US. 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) cultural beliefs toward cervical cancer and HPV; and 2) effective intervention programs targeting specific priority populations, such as Latina farmworkers. The overall objective of this application is to develop an effective, culturally appropriate cervical cancer prevention intervention for low-income, Mexican farmworkers in southeast Georgia. The central hypothesis is that a multi-component intervention delivered by a trained, bilingual health educator targeted to low-income, Latina farmworkers will be more effective in increasing cervical cancer screening when compared to a media-only control condition. The rationale that underlies the proposed research is that interventions using trained health educators are a culturally appropriate, effective strategy for increasing cervical cancer screening in rural Latina populations. The two specific aims are to: (1) develop a multi-component health educator intervention, which is informed by ethnographic research on knowledge, attitudes, beliefs, and risk perceptions for cervical cancer and HPV, and screening behaviors among low-income, Mexican farmworker women; and (2) assess the relative efficacy of the multi-component health educator intervention for increasing the rate of cervical cancer screening among Mexican farmworker women who are non-users of cervical cancer screening when compared to a control condition. The contribution of the proposed research is expected to be the development of an effective and innovative multi-component intervention, which will consist of health-educator-led small group education sessions using an animated video and a flipchart, to increase cervical cancer screening among rural, Latina immigrants. The proposed research is innovative because a new multi-component intervention program will be developed and delivered by a health educator and targeted to a new immigrant Latino farmworker population in rural, underserved southern Georgia. PUBLIC HEALTH RELEVANCE: A better understanding of knowledge, risk perceptions, and cultural attitudes among various Hispanic subgroups around cervical cancer will assist in developing more effective outreach efforts and impacting cervical cancer disparities in groups suffering the greatest burden of the disease, thereby improving public health. The proposed study will develop an effective, culturally appropriate intervention using a health educator and lay health advisors to increase cervical cancer screening among low-income, Mexican farmworkers in southeast Georgia.

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）的宫颈癌的发病率，患病率和死亡率更高。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的文化信念的差异的限制； 2）针对特定优先人群的有效干预计划，例如拉丁裔农场工人。该应用的总体目的是为佐治亚州东南部的低收入墨西哥农场工具开发有效的，具有文化症的宫颈癌预防干预措施。中心假设是，与仅媒体控制条件相比，针对低收入的训练有素的双语健康教育者提供的多组分干预措施将在增加宫颈癌筛查方面更有效。拟议的研究基础的理由是，使用训练有素的健康教育者的干预措施是一种在文化上，有效，有效的策略，用于增加拉丁裔农村人群的宫颈癌筛查。这两个具体的目的是：（1）开发一种多成分的健康教育者干预措施，该干预措施是对宫颈癌和HPV知识，态度，信念和风险看法的民族志研究的启示，以及低收入的墨西哥农业工人妇女的筛查行为；（2）评估多组分健康教育者干预措施的相对功效，以提高墨西哥农民妇女的宫颈癌筛查率，而墨西哥农民妇女则是宫颈癌筛查的非用户，而与对照条件相比。拟议的研究的贡献预计将是开发有效且创新的多组分干预措施，该干预措施将包括使用动画视频和翻盖的卫生教育者主导的小组教育课程，以增加农村的拉丁裔移民的宫颈癌筛查。拟议的研究具有创新性，因为健康教育者将制定和提供一项新的多组分干预计划，并针对乔治亚州南部服务不足的新移民拉丁裔农场工人人口。公共卫生相关性：对宫颈癌各个西班牙裔亚组的知识，风险看法和文化态度的更好理解将有助于发展更有效的外展工作，并影响疾病最大负担的群体的宫颈癌差异，从而改善公共卫生。拟议的研究将使用健康教育者和外行健康顾问开发有效的，具有文化适当的干预措施，以增加佐治亚州东南部墨西哥农场的宫颈癌筛查。