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

描述（由申请人提供）：研究强调，与美国非西班牙裔白人相比，西班牙裔女性（拉丁裔）宫颈癌的发病率、患病率和死亡率较高。需要有效的基于社区的干预措施来解决这些健康差距，但这些干预措施的发展受到我们理解的差距的限制：1）对宫颈癌和HPV的文化信仰; 2）针对特定优先人群的有效干预计划，如拉丁裔农场工人。该应用程序的总体目标是为格鲁吉亚东南部的低收入墨西哥农场工人制定有效的，文化上适当的宫颈癌预防干预措施。中心假设是，由受过训练的双语健康教育工作者针对低收入的拉丁裔农场工人提供的多组分干预，与仅使用媒体的对照条件相比，将更有效地增加宫颈癌筛查。拟议研究的基本原理是，使用训练有素的健康教育工作者的干预措施是一种文化上适当的，有效的战略，增加农村拉丁裔人口的宫颈癌筛查。两个具体目标是：（1）制定一个多组成部分的健康教育干预措施，这是通过对低收入墨西哥农场工人妇女的知识，态度，信仰和宫颈癌和HPV的风险认知以及筛查行为的民族志研究提供信息;（2）评价多药治疗的相对疗效。健康教育者干预的组成部分，以提高墨西哥农场工人妇女谁是宫颈癌筛查的非用户相比，控制条件下的宫颈癌筛查率。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，其中将包括健康教育工作者领导的小组教育会议，使用动画视频和挂图，以增加农村，拉丁移民中的宫颈癌筛查。拟议的研究是创新的，因为一个新的多成分干预计划将开发和提供的健康教育家和针对新移民拉丁美洲农场工人人口在农村，服务不足的南部格鲁吉亚。 公共卫生相关性：更好地了解知识，风险认知和文化态度在各种西班牙裔亚群之间围绕宫颈癌将有助于制定更有效的推广工作和影响宫颈癌的差异在遭受疾病的最大负担的群体，从而改善公共卫生。这项拟议的研究将开发一种有效的，文化上适当的干预措施，使用健康教育者和非专业健康顾问，以增加低收入，墨西哥农场工人在东南部格鲁吉亚的宫颈癌筛查。

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.