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

描述（由申请人提供）：研究强调，在美国，与非西班牙裔白人相比，西班牙裔女性（拉丁裔）的宫颈癌发病率、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，但这些干预措施的发展受到我们对以下方面理解的差距的限制：1)对宫颈癌和HPV的文化信仰；2)针对特定优先人群（如拉丁裔农场工人）的有效干预计划。该应用程序的总体目标是为佐治亚州东南部的低收入墨西哥农场工人制定一种有效的、文化上适当的宫颈癌预防干预措施。中心假设是，与仅使用媒体的对照条件相比，由训练有素的双语健康教育者针对低收入拉丁裔农场工人提供的多成分干预措施将更有效地增加宫颈癌筛查。这项拟议研究的基本原理是，使用训练有素的卫生教育工作者的干预措施在文化上是一种适当的、有效的战略，可以增加农村拉丁裔人口的宫颈癌筛查。两个具体目标是：(1)制定一项多成分健康教育干预措施，该干预措施以人种学研究为依据，研究内容包括对宫颈癌和人乳头瘤病毒的知识、态度、信仰和风险认知，以及低收入墨西哥农场女工的筛查行为；(2)与对照组相比，评估多成分健康教育干预在提高未使用宫颈癌筛查的墨西哥农场女工宫颈癌筛查率方面的相对效果。拟议研究的贡献预计将是制定一项有效和创新的多成分干预措施，其中将包括由健康教育工作者领导的小组教育会议，使用动画录像和挂图，以增加农村拉丁裔移民的宫颈癌筛查。这项提议的研究具有创新性，因为一项新的多成分干预计划将由一名健康教育工作者开发和提供，目标人群是乔治亚州南部农村服务不足的新移民拉丁裔农场工人。

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.