Sexual Health Empowerment (SHE) for Cervical Health Literacy and Cancer Prevention Diversity Supplement

性健康赋权 (SHE) 促进宫颈健康素养和癌症预防多样性补充

• 批准号: 9386284
• 负责人: Megha Ramaswamy
• 金额: $ 14.74万
• 依托单位: UNIVERSITY OF KANSAS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-04-01 至 2019-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9386284
• 关键词: Address; Behavior; Belief; Cancer Control; Cervical; Cervical Cancer Screening; Clinical; Communities; Complex; Criminal Justice; Development; Discrimination; Drug usage; Effectiveness; Experimental Designs; Face; Goals; Health; Health behavior; Healthcare; Healthcare Systems; Imprisonment; Institution; Intervention; Jail; Knowledge; Life Experience; Light; Literacy Programs; Malignant neoplasm of cervix uteri; Mental Health; Military Personnel; Morbidity - disease rate; Observational Study; Outcome; Population; Prevention; Preventive; Prisons; Provider; Public Health; Recording of previous events; Reproductive Health; Research; Research Design; Research Personnel; Risk; Science; Self Efficacy; Sexual Health; Survey Methodology; System; Target Populations; Time; Translating; Transportation; Visit; Vulnerable Populations; Waiting Lists; Woman; Women' s Group; Work; cancer health disparity; cancer prevention; cancer risk; cervical cancer prevention; cost; cost effective; design; empowerment; ethnic minority population; ethnographic method; follow-up; health disparity; health empowerment; health knowledge; health literacy; high risk; high risk population; improved; interest; mortality; novel; post intervention; prevent; primary outcome; public health relevance; racial and ethnic; reproductive; screening; sexual violence; uptake

DESCRIPTION (provided by applicant): Women in the criminal justice system are four-five times as likely to have cervical cancer compared to non- incarcerated women. In our previous research, we found that the most important contributor to cervical cancer risk, and perhaps lack of follow-up, is incarcerated women's low health literacy about broader reproductive health issues. Until we effectively address incarcerated women's unique reproductive health literacy needs, the cervical cancer health disparity between incarcerated and non-incarcerated women will persist. The objective of this study is to assess the effectiveness of a sexual health empowerment (SHE Project) intervention to improve cervical health knowledge, reduce barriers to screening that are related to beliefs about cervical cancer, improve self-efficacy for navigatin providers and health care systems, and ultimately work towards preventing cervical cancer. This objective is responsive to PAR-10-133 in that it develops an intervention strategy to address health literacy and broader health outcomes in a vulnerable population. To meet the objectives of this study, we propose to assess the impact of a sexual health empowerment intervention (SHE Project) on cervical health knowledge; barriers to screening that are related to beliefs about cervical cancer, and self-efficacy for screening and follow-up among women leaving jail. More specifically, we will conduct a pre- and post-intervention assessment from baseline to the end of a weeklong intervention using a wait-list control design. Next, we will use a three-year observational study design employing both survey and ethnographic methods for follow-up, to understand how knowledge, beliefs, self-efficacy, and other factors change post-release cervical health prevention behaviors over time. This approach will allow us to observe the extent to which women translate, if at all, increased knowledge, reduced barriers, and increased self-efficacy into practice during clinical encounters, or if other factors explain health behaviors ove time. The public health impact of this study is its potential to reduce cervical cancer morbidity and mortality for this high risk and vulnerable group of women. Our development of an effective and easily disseminated health literacy intervention that can be adapted to many health conditions and broader cancer prevention efforts in institutionalized populations (jails, prisons, community corrections, military institutions) will have an impact on public health, and also on the science of developing effective health literacy interventions.

描述（由申请人提供）：与未监禁的妇女相比，刑事司法系统中的妇女患有宫颈癌的可能性是四五倍。在我们先前的研究中，我们发现，宫颈癌风险的最重要贡献者，也许缺乏随访，是妇女对更广泛的生殖健康问题的低健康素养。除非我们有效地满足被监禁的妇女独特的生殖健康素养需求，否则被监禁和非囚禁妇女之间的宫颈癌健康差异将持续存在。这项研究的目的是评估增强性健康能力（SHE项目）干预措施以改善宫颈健康知识的有效性，减少与宫颈癌信念有关的筛查障碍，提高Navigatin提供者和卫生保健系统的自我效能，并最终致力于预防宫颈癌。该目标对PAR-10-133的反应敏感，因为它制定了一种干预策略，以解决脆弱人群中的健康素养和更广泛的健康结果。为了满足这项研究的目标，我们建议评估性健康赋权干预（SHE项目）对宫颈健康知识的影响；与宫颈癌的信念有关的筛查障碍，以及在离开监狱中筛查和随访的自我效能感。更具体地说，我们将使用等待列表的控制设计从基线到为期一周的干预，进行干预前和干预后评估。接下来，我们将使用三年的观察研究设计，该设计使用调查和人种学方法进行后续行动，以了解知识，信念，自我效能和其他因素如何随着时间的流逝而改变释放后宫颈健康后的预防行为。这种方法将使我们能够观察妇女在临床遭遇期间的知识增加，障碍减少并提高自我效能的程度，或者在临床遭遇期间的实践中增加了自我效能，或者其他因素解释了健康行为。这项研究的公共卫生影响在于它的潜力有可能减少这种高风险和脆弱妇女群体的宫颈癌发病率和死亡率。我们开发有效且易于传播的健康素养干预措施，该干预措施可以适应许多健康状况和在制度化人群（监狱，监狱，社区矫正，军事机构）中的更广泛的癌症预防工作，将对公共卫生以及开发有效的健康素养的科学产生影响。