Breast and Cervical Cancer Screening Among Latinas Attending Culturally Specific Educational Programs
| Autor: | LeaVonne Pulley, Deborah O. Erwin, Michelle Treviño, Lina Jandorf, Anabella Castillo, Zoran Bursac |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Male Gerontology Community-Based Participatory Research Health Knowledge Attitudes Practice Health (social science) Sociology and Political Science Uterine Cervical Neoplasms Community-based participatory research Breast Neoplasms Community Networks Education Interviews as Topic Cancer screening Diabetes Mellitus medicine Humans Mass Screening Community Health Services Cultural Competency Mass screening Cervical cancer Arkansas business.industry Mortality rate Hispanic or Latino General Medicine Odds ratio Middle Aged medicine.disease Health equity Patient Compliance Marital status Female New York City business Follow-Up Studies Demography |
| Zdroj: | Progress in Community Health Partnerships: Research, Education, and Action. 2:195-204 |
| ISSN: | 1557-055X |
| DOI: | 10.1353/cpr.0.0034 |
| Popis: | Background. Latinas in the United States have higher morbidity and mortality rates for breast and cervical cancers (compared with non-Latina Whites), often due to lower screening rates. A community-based participatory research (CBPR) approach could help to improve screening rates by creating a culturally customized educational program for Latino men and women addressing low knowledge, gender roles, and spirituality. Objectives. This study was designed to assess the effectiveness of a culturally customized program (Esperanza y Vida [Hope and Life]) in increasing breast and cervical cancer screening among Latinas, and to examine how screening rates related to changes in cancer knowledge, differences in ethnic origins, and geographic location. Methods. Participants were recruited to attend either a breast and cervical (intervention) or diabetes (control) education program, within a randomized plan. Sixty-nine programs (44 intervention; 25 control) were conducted in Arkansas (AR; n = 39) and New York City (NYC; n = 30) with a total of 847 Latino men and women. Telephone follow-up data were collected on 49% of the women who consented to being contacted 2 months postintervention. Results. At the 2-month follow-up call, screening rates were significantly higher for the intervention versus the control group for clinical breast examination (CBE; 48% vs. 31%; adjusted odds ratio [aOR], 2.2; 95% confidence interval [CI], 1.1–4.2), breast self-examination (45% vs. 27%; aOR, 2.3; 95% CI, 1.1–5.0), and Pap testing (51% vs. 30%; aOR, 3.9; 95% CI, 1.1–14.1), but not for mammography (67% vs. 58%; aOR, 0.7; 95% CI, 0.1–3.6). The aORs accounted for the significant effects of study site (AR vs. NYC) and marital status. Conclusions. Esperanza y Vida has the potential to reduce health disparities in breast and cervical cancer morbidity and mortality rates through increasing cancer screening and thereby increasing early detection. |
| Databáze: | OpenAIRE |
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