NORTH CAROLINA BREAST CANCER SCREENING PROGRAM

北卡罗来纳州乳腺癌筛查计划

基本信息

批准号：
6356223
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
项目类别：
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

项目摘要

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.

该建议寻求继续为北卡罗来纳州乳腺癌提供资金筛查计划（NC-BCSP），国家和地方公共卫生财团主要目的是提高初始目的的机构和大学在50岁以上的黑人女性中重复乳腺癌筛查率北卡罗来纳州东部的五个县农村地区。在4-8年中， NC-BCSP将继续其使命，以减少乳房的种族差距通过追求三个主要施舍的癌症死亡率；这些代表最初阐明的目标的延续和扩展数年L -3。目的是：1）增加初始和重复乳房 50岁及以上的黑人妇女乳腺X线摄影筛查癌症居住在北卡罗来纳州五个农村县； 2）增加随后 - 正面筛查乳房X线照片； 3）建立合作伙伴关系医疗保健提供者和社区维持增加的乳腺癌筛查和随访。 NC-BCSP的目标将继续通过三个补充来实现干预组件：侵袭，外展和访问。 Inreach 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的最新交付预防服务并招募“医师倡导者”以帮助建立卫生保健提供者中社区范围内的乳腺癌筛查计划。外展干预活动的重点是增强社区意识通过选定的培训来筛选少数民族妇女的筛查和支持妇女成为“外行健康顾问”，退休或不活跃的护士成为 “护士顾问咨询异常乳房X线照片的妇女。活动旨在克服结构障碍（运输和成本）可以防止低收入，农村妇女无法获得乳房X线照片。一个重点将放在制度化和扩散上干预措施和与孢子项目2协调跨研究联系。我们正在使用准实验，预/后测试研究设计不仅评估乳房X线摄影筛查行为的变化，还评估妇女对乳腺癌有许多障碍和态度。为了在赠款的第一个周期中进行了预测试，长达一个小时，面对面，结构化的家庭访谈是用2,000个样本进行的 50岁以上的妇女（1,000白色，1,000黑色）50岁干预和5个比较县。该队列的测试后调查计划在1996年的2,000名妇女中，并在这一增加的一年中再次我们将继续实施流程评估以衡量更多直接成果机构以及由干预活动。此外，使用项目2，我们将监视在黑色和白人妇女在五个干预措施和五个比较县中。