COMMUNITY OUTREACH FOR HIGH RISK MEXICAN AMERICAN WOMEN

描述：拟议的调查将研究过程和影响 一个改变墨西哥裔美国人癌症相关行为的项目 高危妇女患上子宫颈癌。具体而言是 该项目的目标将是鼓励墨西哥裔美国妇女谁拥有 多个性伴侣参加巴氏涂片筛查，以中度 与性伴侣发生性接触或使用避孕套， 不鼓励他们使用酒精、香烟和静脉注射毒品。 研究人员将融合来自 以人口为基础的社区研究， 在艾滋病毒研究中接触高危亚群的经验 控制并将其应用于社区环境中的特定群体。 拟议中的研究将针对休斯顿的两个内城地区 主要由墨西哥裔美国人居住。研究领域提供 将明确界定和随机分配接触高危妇女的机会， 处理或比较条件。初步社区观察 将导致研究措施的发展或完善， 干预程序。在每个地点，基线和随访数据 将主要通过简短的“拦截”匿名收集 由一个训练有素的“街头”调查小组进行访谈。这些数据将 评估与癌症相关的风险以及相关的意图和态度。共 将在五年内完成1,500次面试，其中500次 完成每一波数据收集。数据分析将建立 治疗过程和结果之间的关系。执行 还将收集跟踪和定性数据， 量化研究成果。 建议的治疗方案将根据最近的经验加以调整 与艾滋病毒控制外展，其中难以接触的群体， 通过同行网络联系， 行为通过对等建模来加速。中的规划活动 治疗地点将包括招募和激活网络 土著志愿人员能够参与高风险 妇女创建一个伴随的“小型”媒体运动将使用 低识字率和新闻及其他形式的非书面材料 展示研究人群中的积极榜样。

DESCRIPTION: The proposed investigation will study processes and effects of a program to modify cancer-related behaviors among Mexican American women at high risk for contracting cervical cancer. Specifically, the goal of this project will be to encourage Mexican American women who have multiple sex partners to participate in pap smear screening, to moderate sexual contact or use condoms with their sexual partners, and to discourage them from using alcohol, cigarettes and intravenous drugs. The investigators will blend well-developed methodologies from population-based community studies with more recent, successful experiences with outreach to high-risk subpopulations in research on HIV control and apply them to a specific group within a community setting. The proposed research will target two inner-city areas of Houston predominantly populated by Mexican Americans. Study areas providing access to high-risk women will be clearly defined and randomly assigned to treatment or comparison conditions. Preliminary community observation will lead to the development or refinement of research measures and intervention procedures. In each location, baseline and follow-up data will be collected, primarily through brief "intercept" anonymous interviews conducted by a trained "street" survey team. These data will assess cancer-related risks and related intentions and attitudes. A total of 1,500 interviews will be completed over a five-year period, with 500 completed per wave of data collection. Data analysis will establish the relationship between treatment processes and outcomes. Implementation tracking and qualitative data will also be gathered to help interpret quantitative research results. The proposed treatment program is to be adapted from recent experiences with outreach for HIV control, in which hard-to-reach groups are contacted through peer networks and the adoption of risk-reducing behaviors is accelerated by peer modeling. The planned activities in the treatment locations will include recruitment and activation of a network of indigenous volunteers capable of gaining participation from high-risk women. The creation of an accompanying "small" media campaign will use low-literacy and non-written materials in journalistic and other formats to display positive role models from within the study populations.