CANCER CONTROL AMONG HISPANIC WOMEN

我们提出了一个创新的研究策略，以提高我们的理解 影响西班牙裔妇女的知识，观念和 对乳腺癌和宫颈癌的态度，并设计干预措施 这将增加癌症预防和治疗服务的使用。 背景是北橙子县，加州，一个社区， 大约23%的人口是西班牙裔墨西哥裔美国人， 墨西哥和中美洲。 多学科团队，包括 临床医生，卫生服务研究人员，人类学家，社会学家， 肿瘤学家、流行病学家、妇科学家和统计学家将 进行研究。 该项目有几个创新的组成部分。 首先，我们会 对西班牙裔妇女和健康状况进行深入的民族志采访 护理提供者。 在西班牙裔妇女中，我们将研究文化 关于癌症的信念，它的原因，它的治疗， 癌症防治服务的障碍。 在健康 护理提供者，我们将评估对西班牙裔妇女的看法 了解癌症及其预防癌症的用途， 治疗服务。 我们还将评估供应商的知识， 他们的癌症筛查活动 其次，我们将对西班牙裔美国人、医疗保健、 提供者和卫生保健设施，以评估 对一般人群进行人种学访谈，以确定 提供者对癌症控制服务的了解和使用， 确定现有的癌症控制设施和服务， 社区 第三，我们将设立一个癌症和西班牙裔问题理事会， 制定、实施和评估文化上适当的干预措施 根据人种学访谈和调查的结果。 的 理事会将解决与消费者、医疗保健 提供者和医疗保健系统的结构。 这些 干预措施将提高西班牙裔女性对乳房的了解， 宫颈癌，并将增加他们的癌症预防和使用 治疗服务。

We propose an innovative research strategy to improve our understanding of factors that influence Hispanic women's knowledge, perceptions, and attitudes about breast and cervical cancer and to design interventions that will increase the use of cancer prevention and treatment services. The setting is North Orange County, California, a community in which approximately 23% of the population is Hispanic - Mexican-American, Mexican and Central American. A multidisciplinary team including clinicians, health services researchers, anthropologists, sociologists, oncologists, epidemiologists, gynecologists and statisticians will conduct the research. The project has several innovative components. First of all, we will conduct in-depth ethnographic interviews with Hispanic women and health care providers. Among the Hispanic women, we will study cultural beliefs about cancer, its causes, its treatment, and the perception of obstacles to cancer prevention and treatment services. Among the health care providers, we will assess perceptions about Hispanic women's knowledge about cancer and about their use of cancer prevention and treatment services. We will also assess the providers' knowledge and their cancer screening activities. Secondly, we will conduct broad-based surveys of Hispanics, health care providers, and health care facilities to assess the applicability of the ethnographic interview findings to general populations, to determine knowledge and use of cancer control services by providers, and to identify existing cancer control facilities and services in the community. Thirdly, we will establish a Council on Cancer and Hispanics that will develop, implement, and evaluate culturally appropriate interventions based upon results of the ethnographic interviews and the surveys. The Council will address barriers related to the consumers, the health care providers, and the structure of the health care system. These interventions will improve Hispanic women's knowledge about breast and cervical cancer and will increase their use of cancer prevention and treatment services.