MAMMOGRAPHY SCREENING IN URBAN AMERICAN INDIANS

描述：（申请人的描述） 重新提交该提案是为了解决R25特殊或 继续关注：“少数民族健康和妇女健康教育癌症 向社区推广。“这项建议在解决 美国城市人群对年度乳腺癌筛查指南的依从性 印度妇女是一个高风险、得不到充分服务的群体。 该项目是 在提出与一家已建立的乳房X光检查公司建立伙伴关系方面也是独一无二的 服务于研究人群的登记处，科罗拉多乳腺X线摄影倡导 丹佛印第安人中心（Denver Indian Center） CMAP是一个国家癌症研究所资助的项目（“乳腺癌 科罗拉多的癌症监测研究”），收集以下信息 在科罗拉多的一个6个国家的地区，被称为丹佛大都会， 区 本项目的研究人群将包括美国印第安人 40岁及以上的女性，是CMAP参与者，但没有 乳房X光检查 该项目的具体目标是： (1)通过意识改善土著妇女的健康（NAWWA）乳腺癌 美洲印第安人非专业保健人员面对面执行干预措施 （2）调整NAWWA的干预措施，以通过电话提供;以及（3） 评估面对面和电话干预的有效性， 增加对乳房X光检查筛查的依从性， 组 本项目的主要研究问题是， 干预措施将提高对乳房X光检查筛查指南的依从性 在美国城市印第安妇女中的比例。 预期成果 该项目的目标是：（1）增加美洲印第安妇女的比例 每年接受乳房X光检查，（2）美国人的比例增加 印度妇女遵守建议，在异常后进行随访 乳房X光片

DESCRIPTION: (Applicant's Description) This proposal is being resubmitted to address the R25 Areas of Special or Continuing Interest: "Minority health and women's health education cancer outreach to communities." The proposal is unique in addressing the problem of adherence to annual breast cancer screening guidelines among urban American Indian women, a high-risk, underserved population. This proposed project is also unique in proposing a partnership with an established mammography registry serving the study population, the Colorado Mammography Advocacy (CMAP) and the Denver Indian Center. CMAP is an NCI-funded project ("Breast Cancer Surveillance Research in Colorado") that collects information on mammograms in a 6-country region of Colorado known as the Denver Metropolitan Area. The study population for this project will include American Indian women, age 40 and older, who are CMAP participants but who have not had mammogram within the past 12 months. The specific aims of the project are to: (1) Refine the Native Women's Wellness through Awareness (NAWWA) breast cancer intervention, for face-to-face implementation by American Indian lay health advisors; (2) Adapt the NAWWA intervention for delivery by telephone; and, (3) Evaluate the effectiveness of the face-to-face and telephone interventions in increasing adherence to mammography screening against an observation-only group. The primary research question for this project is whether culturally-relevant interventions will increase adherence to mammography screening guidelines among a population of urban American Indian women. The anticipated outcomes from this project are to: (1) an increased proportion of American Indian women receiving annual mammograms, and (2) an increased proportion of American Indian women complying with recommendations for follow-up after an abnormal mammograms.