How do Lay Health Navigators Impact Breast Cancer Screening? (MICEO Supplement);

如果妇女每两年做一次乳房X光检查，乳腺癌死亡率就会大大降低。增加 如果不发生这种情况，就会出现死亡。在非裔美国人和黑人妇女中，死亡率一直是 比非西班牙裔白人高出40%。在纽约市，我们的筛查率低于 到2030年，健康人口比例达到80.5%。我们发现，非裔美国妇女在社区与高 非洲裔美国人的比例低于这一目标。本项目将研究 从服务不足的社区招募非专业健康导航员（LHN）大学生的潜力， 非裔美国人和黑人妇女参加我们的文化有针对性的循证教育计划， 乳房X光检查的部位我们将研究与LHN招募相关的因素，包括： LHN的招募和保留，他们工作的忠诚度以及使用导航员的成本效益 用这种方式。我们针对本项目招聘LHN的方法是基于 基于证据的文化和语言针对性的健康教育计划，哈莱姆证人项目， 以及我们目前LHN计划的发展，以增加对肺癌筛查的依从性。的 哈莱姆的见证项目已经发展成为针对被确定为促进者的信仰和神话， 为黑人和非裔美国妇女进行癌症筛查的障碍。我们的外展计划针对 每10万人中年龄调整后乳腺癌死亡率最高的纽约市社区组织 居民使用开发的导航评估工具来评估导航的所有组件，我们将 检查我们的LHN的工作，包括他们的可持续性和保真度，我们的乳房X光检查的成功率 提高了非专业健康导航计划的依从性和成本效益。 .

Breast cancer mortality is greatly reduced when women have mammograms every two years. Increased mortality is seen if this does not happen. Among African American and Black women, the mortality has been reported as 40% higher than non-Hispanic Whites. In New York City, our screening rates are lower than the Health People 2030 goal of 80.5%. We find that African American women in communities with high proportions for African Americans, have screening rates below this target goal. This project will examine the potential of recruiting Lay Health Navigator (LHN) college students from underserved communities to navigate African American and Black women attending our culturally targeted evidence-based education programs to sites for a mammogram, as needed. We will examine factors related to the recruitment of LHN, including: recruitment and retention of the LHNs, the fidelity of their work and the cost effectiveness of utilizing navigators in this way. Our approach to recruitment of LHNs specific to this project is based on the sustainability of the evidence-based culturally and linguistically targeted health education program, the Witness Project of Harlem, and the development of our current LHN program for increasing adherence to lung cancer screening. The Witness Project of Harlem has been developed to target the beliefs and myths identified as facilitators and barriers to cancer screening for Black and African Americans women. Our outreach initiatives target organizations in neighborhoods NYC with the highest age-adjusted breast cancer mortality rates per 100,000 residents. Using the navigation assessment tool developed to assess all components of navigation, we will examine the work of our LHNs including their sustainability and fidelity, our success rate of mammography increased adherence and the cost effectiveness of a lay health navigation program. .