BREAST CANCER SCREENING IN A TRI-RACIAL RURAL POPULATION

三种族农村人口的乳腺癌筛查

• 批准号: 6672631
• 负责人: ELECTRA D. PASKETT
• 金额: $ 15.43万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-09-22 至 2002-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6672631
• 关键词: African American; Native Americans; attitude; behavior therapy; behavioral /social science research tag; bioimaging /biomedical imaging; breast neoplasm /cancer diagnosis; cancer prevention; caucasian American; clinical research; clinical trials; community health services; education evaluation /planning; female; health behavior; home health care; human middle age (35-64); human old age (65+); human subject; human therapy evaluation; longitudinal human study; low socioeconomic status; mammography; mass screening; motivation; neoplasm /cancer education; racial /ethnic difference; women's health

The overall goal of the proposed project is to increase early detection of breast cancer by increasing the proportion of low income rural women, age 50 and older, who receive clinical breast exams and mammograms at appropriate intervals, and return for follow-up care when necessary. The proposed project will be implemented in Robeson County, NC, a rural county with a population comprised of three principal ethic groups of approximately equal size: whites, African Americans, and Native Americans. The individualized health education program will be developed and compared to a brochure and letter in a randomized trial design among 1,000 women aged 50 and older who are patients of Robeson Health care Corporation, the principal provider of health care for this population. The education program will use two innovative strategies to address cultural barriers to breast cancer screening in rural women from three racial groups: 1) educational sessions will be at the individual level in the woman's home; and 2) lay health educators will deliver the education program. Specific aims of the proposed project are to: 1) identify barriers to obtaining regular clinical breast exams and mammograms; 2) develop and evaluate an health education program to improve knowledge, to address the identified structural and personal barriers to behavior change, and to motivate women in the target populations to obtain clinical breast exams and mammograms; 3) evaluate, through use of a randomized design the impact of the health education program compared to a brochure and physician letter on the proportion of women obtaining regular clinical breast exam and mammography, overall, and within ethnic groups; and 4) to explore the differential effect of the health education intervention to enhance participation in breast cancer screening among white, African American, and Native American women. Secondary aims will relate to assuring adequate follow-up among women with abnormal test results. If this program is successful in improving breast cancer screening practices among this population of tri-racial rural women, lay health educators from a variety of community organizations can be trained and supervised by health departments to deliver similar programs to rural women.

拟议项目的总体目标是增加早期检测 通过增加低收入农村的比例来增加乳腺癌 50岁及以上的妇女接受临床乳房检查和 乳房X线照片适当的间隔，然后返回以进行后续护理 必要时。 拟议的项目将在 北卡罗来纳州罗伯逊县，一个人口由人口组成 三个大约相等的主要道德群体：白人， 非裔美国人和美洲原住民。 个性化的健康 教育计划将被制定并与小册子和 1,000名50岁女性的随机试验设计中的信件和 年龄较大的人是罗伯森医疗保健公司的患者， 该人群的医疗保健主要提供商。 教育 计划将使用两种创新策略来解决文化障碍 来自三个种族群体的农村妇女的乳腺癌筛查：1） 教育会议将在女人的个人层面上 家; 2）外行健康教育者将提供教育计划。 拟议项目的具体目标是：1）确定 获得定期的临床乳房检查和乳房X线照片； 2）发展 并评估健康教育计划以改善知识， 解决确定的行为结构和个人障碍 改变，并激励目标人群中的妇女获得 临床乳房检查和乳房X线照片； 3）通过使用 随机设计健康教育计划的影响 与小册子和医师信相比 妇女接受定期临床乳房检查和乳房X线摄影， 总体而言，族裔群体； 4）探索差异 健康教育干预的影响以增强参与 白人，非裔美国人和本地乳腺癌筛查 美国妇女。 次要目标将与确保足够 具有异常测试结果的女性的随访。 如果这个程序是 成功改善了乳腺癌筛查实践 三色种族妇女的人口，来自A的健康教育者 可以通过培训和监督各种社区组织 卫生部门向农村妇女提供类似计划。

项目成果

Colorectal cancer screening in 3 racial groups.

3 个种族群体的结直肠癌筛查。

• DOI: 10.5555/ajhb.2007.31.5.502
• 发表时间: 2007
• 期刊: American journal of health behavior
• 影响因子: 2.3
• 作者: Kelly,KimberlyM;Dickinson,StephanieL;Degraffinreid,CeciliaR;Tatum,CathyM;Paskett,ElectraD
• 通讯作者: Paskett,ElectraD