MAMMOGRAPHY SCREENING IN URBAN AMERICAN INDIANS

描述：(申请人描述) 该提案正在重新提交，以解决R25区域的特别或 持续关注：“少数民族健康与妇女健康教育癌症” 这项建议在解决以下问题方面是独一无二的 美国城市居民对年度乳腺癌筛查指南的遵守情况 印度妇女，一个高危、服务不足的人群。这项拟议的项目是 在提出与现有乳房X光检查公司合作方面也是独一无二的 科罗拉多州乳房摄影术倡导者协会为研究人群服务的登记处 (Cmap)和丹佛印第安人中心。CMAP是由NCI资助的项目(乳房 科罗拉多州的癌症监测研究“)，收集关于 科罗拉多州6个国家的丹佛大都会地区的乳房X光检查 区域。该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 在过去12个月内做过乳房X光检查。该项目的具体目标是： (1)通过意识提炼土著妇女的健康(NAWWA)乳腺癌 干预，由美国印第安人非专业人员面对面实施 顾问；(2)调整NAWWA干预措施，以便通过电话提供；以及，(3) 评估面对面和电话干预的有效性 越来越多地坚持乳房X光检查，而不是仅仅观察 一群人。 这个项目的主要研究问题是是否与文化相关 干预措施将增加对乳房X光检查指南的遵守 在一群城市美国印第安人妇女中。预期的结果 这个项目的目的是：(1)增加美国印第安人女性的比例 接受年度乳房X光检查，以及(2)美国人比例增加 印度妇女在发生异常事件后遵守随访建议的情况 乳房X光检查。

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.