Cervical Cancer Beliefs in Ethnic Subgroups of Latina Immigrants

拉丁裔移民种族亚群对宫颈癌的看法

• 批准号: 7689210
• 负责人: John S. Luque
• 金额: $ 1.87万
• 依托单位: H. LEE MOFFITT CANCER CTR & RES INST
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-19 至 2009-09-02
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7689210
• 关键词: Address; Adult; Agreement; Attitude; Behavior; Belief; Cancer Education Grant Program; Central America; Charities; Classification; Clinic; Cognitive; Communities; Community Health; Consensus; Country; DNA; Death Rate; Development; Diagnosis; Discipline of Nursing; Early Diagnosis; Education and Outreach; Educational Background; Educational Curriculum; Educational Intervention; Effectiveness; Ensure; Ethnography; Florida; Focus Groups; Funding; Future; Group Interviews; Health; Health Communication; Health Promotion; Healthcare; Hispanics; Human Papilloma Virus Vaccine; Human Papillomavirus; Immigrant; Incidence; Individual; Intervention; Interview; Knowledge; Latina; Link; Malignant Neoplasms; Malignant neoplasm of cervix uteri; Medical; Mexican; Mexico; Modeling; National Cancer Institute; National origin; Nomads; Nonprofit Organizations; Not Hispanic or Latino; Nurses; Pap smear; Phase; Pilot Projects; Population; Prevalence; Proxy; Public Health; Qualitative Research; Recruitment Activity; Relative (related person); Research; Research Methodology; Research Technics; Risk Factors; Rural; Screening procedure; Services; Signal Transduction; Site; Southwestern United States; Staging; Students; Subgroup; Techniques; Testing; Training; United States; Upper arm; Woman; Work; base; biobehavior; burden of illness; cancer education; cancer health disparity; cancer prevention; cancer risk; community organizations; design; ethnographic method; health disparity; improved; informant; information gathering; innovation; intervention program; literacy; mortality; novel; outreach; outreach program; programs; response; risk perception; theories

DESCRIPTION (provided by applicant): Research has highlighted the higher incidence, prevalence, and disproportionately high mortality rates of cervical cancer among Hispanic women (Latinas) compared to non-Hispanic whites in the U.S., signaling health disparities and the need for innovative approaches. Effective community-based interventions are needed to address these health disparities, but the development of such interventions are limited by gaps in our understanding of: 1) Hispanic beliefs toward cervical cancer and HPV depending on country of origin, and 2) culturally specific curriculum designed for community health worker (promotora) programs working with these subpopulation groups. The current application extends previous research suggesting that education and outreach programs have to address cultural beliefs in order to be effective. This collaborative, ethnographic pilot study aims to address cervical cancer disparities by partnering with a rural, Hispanic-serving community organization in order to conduct a cross-cultural examination of Hispanic beliefs toward cervical cancer and HPV. The findings will inform the development of curriculum modules on cervical cancer and HPV designed to be used by a promotora de salud (lay health adviser) intervention program. The specific aims are: 1) to explore levels of knowledge, cultural attitudes, perceptions of risk of cervical cancer and HPV, and screening behaviors with Hispanic subpopulations using ethnographic methods; and 2) to develop a pilot curriculum module on cervical cancer and HPV targeted to promotoras, infused with the ethnographic findings from Phase I. As the Hispanic immigrant population increases in the U.S., there is a growing recognition that interventions need to be tailored to Hispanics of different national origins and education levels. By gathering information on knowledge, risk perceptions, and cultural attitudes among various subgroups, culturally tailored public health outreach efforts can be targeted and potentially be more effective for impacting cervical cancer disparities in groups suffering the greatest burden of the disease. Systematic ethnographic research techniques are proposed to explore the knowledge, risk perceptions, and cultural attitudes of Hispanics toward cervical cancer and HPV in order to develop culturally and literacy-level appropriate educational interventions. Cultural consensus analysis will elicit cultural models of cognitive beliefs toward cervical cancer to collectively inform a comprehensive educational approach. This study is novel in that it 1) utilizes systematic ethnographic research techniques to develop curriculum modules on cervical cancer targeted to a diverse Hispanic audience, 2) recruits Hispanic CNA students to pilot the curriculum modules and introduces them to cancer outreach activities. PHS 398/2590 (Rev. 09/04, Reissued 4/2006) Page 1 Continuation Format Page

描述（由申请人提供）：研究强调，在美国，与非西班牙裔白人相比，西班牙裔女性（拉丁裔）宫颈癌的发病率、患病率和死亡率更高，这表明存在健康差异，需要创新方法。需要采取有效的社区干预措施来解决这些健康差异，但此类干预措施的发展受到我们对以下方面理解差距的限制：1) 西班牙裔人对宫颈癌和 HPV 的看法取决于原籍国，2) 设计的文化特定课程与这些亚人群合作的社区卫生工作者 (promotora) 计划。当前的应用扩展了先前的研究，表明教育和推广计划必须解决文化信仰才能有效。这项合作性人种学试点研究旨在通过与一个为西班牙裔服务的农村社区组织合作，对西班牙裔人对宫颈癌和 HPV 的信念进行跨文化检查，从而解决宫颈癌的差异问题。研究结果将为宫颈癌和 HPV 课程模块的开发提供信息，这些课程模块旨在供 promotora de salud（非专业健康顾问）干预计划使用。具体目标是： 1) 探索知识水平、文化态度、对宫颈癌和 HPV 风险的认知，以及使用人种学方法对西班牙裔亚人群的筛查行为； 2) 开发针对promotoras的宫颈癌和HPV试点课程模块，融入第一阶段的人种学研究结果。随着美国西班牙裔移民人口的增加，人们越来越认识到需要针对西班牙裔制定干预措施不同民族血统和教育水平的人。通过收集有关不同亚群体的知识、风险认知和文化态度的信息，可以有针对性地制定适合文化的公共卫生外展工作，并可能更有效地影响宫颈癌疾病负担最重的群体的差异。建议采用系统的人种学研究技术来探索西班牙裔人对宫颈癌和 HPV 的知识、风险认知和文化态度，以便制定文化和识字水平上适当的教育干预措施。文化共识分析将引出对宫颈癌认知信念的文化模型，共同为综合教育方法提供信息。这项研究的新颖之处在于：1) 利用系统的人种学研究技术开发针对不同西班牙裔受众的宫颈癌课程模块，2) 招募西班牙裔 CNA 学生试点课程模块并向他们介绍癌症外展活动。 PHS 398/2590（修订版 09/04，重新发布 4/2006） 第 1 页 延续格式页