NORTH CAROLINA BREAST CANCER SCREENING PROGRAM

北卡罗来纳州乳腺癌筛查计划

• 批准号: 6203248
• 负责人: JO ANNE L EARP
• 金额: $ 16.85万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-08-05 至 2001-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6203248
• 关键词: African American; behavioral /social science research tag; bioimaging /biomedical imaging; breast neoplasm /cancer diagnosis; breast neoplasms; community health services; female; health behavior; health care cost /financing; health care service; human middle age (35-64); human mortality; human old age (65+); human subject; interview; low socioeconomic status; mammography; medical outreach /case finding; neoplasm /cancer education; rural area

This proposal seeks continued funding for the North Carolina Breast Cancer Screening Program (NC-BCSP), a consortium of state and local public health agencies and universities whose primary purpose is to improve initial and repeat breast cancer screening rates among Black women over age 50 in a five county rural area in eastern North Carolina. During Years 4 - 8, the NC-BCSP will continue its mission of reducing the racial gap in breast cancer mortality through the pursuit of three primary alms; these represent continuation and expansion of the aims originally articulated for Years l - 3. The aims are to: 1) increase initial and repeat breast cancer screening with mammography by Black women ages 50 years and older living in five rural eastern North Carolina counties; 2) increase follow- up of positive screening mammograms; and 3) establish partnerships between health care providers and communities to maintain increased breast cancer screening and follow-up. The NC-BCSP aims will continue to be achieved through three complementary intervention components: InReach, OutReach, and Access. The Inreach intervention consists of activities to assist local health departments and rural community health centers with their delivery of up-to-date preventive services and to recruit "physician advocates" to help establish community-wide breast cancer screening plans among health care providers. OutReach intervention activities focus on enhancing community awareness of, and support for, screening older minority women by training selected women to be "lay health advisors" and retired or inactive nurses to be "nurse-advisors to counsel women with abnormal mammogram results. Access activities are designed to overcome structural barriers (transportation and cost) that prevent low income, rural women from getting mammograms. A major emphasis will be placed on institutionalizing and diffusing interventions and coordinating cross-study linkages with SPORE Project 2. We are using a quasi-experimental, pre/post test research design to evaluate not only change in mammography screening behavior but also in numerous barriers and attitudes women have toward breast cancer. For the pretest during the first cycle of the grant, hour-long, face-to-face, structured household interviews have been conducted with a sample of 2,000 women (1,000 White, 1,000 Black) over 50 years of age in the 5 intervention and 5 comparison counties. A post-test survey of this cohort of 2,000 women is planned for 1996 and again in the year in the addition, we are continuing to implement a process evaluation to measure more immediate outcomes agencies and among providers brought about by the intervention activities. Also, working with Project 2, we will monitor pre/post-test changes in size of breast cancers diagnosed among Black and White women in the five intervention and five comparison counties.

该提案寻求继续为北卡罗来纳州乳腺癌提供资金 筛查计划 (NC-BCSP)，州和地方公共卫生联盟 主要目的是改善初始和 50 岁以上黑人女性重复乳腺癌筛查率 北卡罗来纳州东部五个县的农村地区。在 4 至 8 年级期间， NC-BCSP 将继续履行缩小乳房种族差距的使命 因寻求三项主要施舍而导致癌症死亡；这些 代表最初阐明的目标的延续和扩展 第 l - 3 年。目标是：1) 增加初始乳房和重复乳房 50 岁及以上黑人女性通过乳房 X 光检查进行癌症筛查 居住在北卡罗来纳州东部五个农村县； 2）增加关注度 乳房X光检查呈阳性； 3) 建立伙伴关系 卫生保健提供者和社区维持乳腺癌的增加 筛查和随访。 NC-BCSP 的目标将继续通过三个互补的目标来实现 干预组件：InReach、OutReach 和 Access。英瑞奇 干预措施包括协助当地卫生部门的活动和 农村社区卫生中心提供最新的 预防服务并招募“医生倡导者”来帮助建立 医疗保健提供者之间的社区范围乳腺癌筛查计划。 OutReach 干预活动的重点是提高社区意识 通过培训选定的人员，对老年少数族裔妇女进行筛查并提供支持 女性担任“非专业健康顾问”，退休或非在职护士则担任 “护士顾问为乳房 X 光检查结果异常的女性提供咨询。访问 活动旨在克服结构性障碍（交通 和成本），导致低收入农村妇女无法接受乳房 X 光检查。一个 主要重点将放在制度化和传播上 干预措施并协调与 SPORE 项目 2 的交叉研究联系。 我们正在使用准实验性的测试前/测试后研究设计来 不仅评估乳房 X 光检查筛查行为的变化，还评估 女性对乳腺癌存在许多障碍和态度。对于 在资助的第一个周期进行预测试，为期一小时，面对面， 对 2,000 名样本进行了结构化家庭访谈 5 名 50 岁以上女性（1,000 名白人，1,000 名黑人） 干预县和 5 个对照县。该队列的测试后调查 计划在 1996 年增加 2,000 名妇女，并在当年增加， 我们正在继续实施过程评估以衡量更多 机构和提供者之间带来的直接成果 干预活动。此外，与项目 2 合作，我们将监控 黑人和黑人中诊断出的乳腺癌大小在测试前/测试后的变化 五个干预县和五个比较县的白人妇女。