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

描述(由申请者提供)：研究表明，在美国，与非拉美裔白人相比，拉美裔女性(拉丁裔)患宫颈癌的发病率、患病率和死亡率更高。需要以社区为基础的有效干预措施来解决这些健康差距，但此类干预措施的发展受到以下认识差距的限制：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。这项应用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开发一种有效的、文化上合适的宫颈癌预防干预措施。中心假设是，由一名训练有素的双语健康教育者提供针对低收入拉丁裔农场工人的多成分干预，与仅使用媒体的对照条件相比，在增加宫颈癌筛查方面将更有效。这项拟议的研究的基本原理是，使用训练有素的健康教育人员进行干预是一种文化上合适的、有效的战略，可以增加拉美农村人口中的宫颈癌筛查。这两个具体目标是：(1)通过对宫颈癌和HPV的知识、态度、信念和风险认知以及低收入墨西哥农场工人妇女的筛查行为的人种学研究，制定一项多成份健康教育者干预措施；(2)评估与对照条件相比，多成份健康教育者干预措施在提高未使用宫颈癌筛查的墨西哥农场工人妇女宫颈癌筛查率方面的相对有效性。预计拟议研究的贡献将是开发一种有效和创新的多组成部分干预措施，其中将包括由健康教育工作者领导的小组教育会议，使用动画视频和活动挂图，以增加农村拉丁裔移民中的宫颈癌筛查。这项拟议的研究是创新的，因为一名健康教育工作者将开发并提供一项新的多组成部分干预计划，目标是佐治亚州南部农村地区服务不足的新移民拉丁裔农场工人人口。 公共卫生相关性：更好地了解不同拉美裔亚群关于宫颈癌的知识、风险认知和文化态度，将有助于开展更有效的外展工作，并影响遭受疾病最沉重负担的群体的宫颈癌差距，从而改善公共卫生。这项拟议的研究将开发一种有效的、文化上合适的干预措施，使用一名健康教育者和非健康顾问来增加佐治亚州东南部低收入墨西哥农场工人的宫颈癌筛查。

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.