Sun Protection Barriers and Facilitators Scale (SP-BFS) for Latinos

拉丁裔防晒障碍和促进量表 (SP-BFS)

基本信息

批准号：
9022120
负责人：
Marimer Santiago-Rivas
金额：
$ 8.48万
依托单位：
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-02-16 至 2018-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9022120
关键词：
Acculturation Address Adult African American Assessment tool Attitude Award Behavior Belief Cancer Patient Code Cognitive Communities Complement Cutaneous Melanoma Data Data Analyses Data Reporting Dermatologist Development Diagnosis Disease Frequencies Future Goals Health Promotion Hispanics Incidence Individual Interview Knowledge Latino Life Literature Malignant Neoplasms Measures Methods Modeling Morbidity - disease rate Participant Perception Population Prevention Prognostic Factor Protective Clothing Psychometrics Psychosocial Factor Public Health Recommendation Recruitment Activity Reporting Research Research Support Risk Sampling Site Skin Skin Cancer Skin tanning Socioeconomic Factors Staging Sun Exposure Sunbathing Sunscreening Agents Survival Rate Testing The Sun Thick Ulcer United States Validity and Reliability Visit Woman anticancer research base bilingualism cancer diagnosis cancer health disparity caucasian American disparities in morbidity follow-up health belief improved information gathering innovation lifetime risk melanoma men mortality mortality disparity outcome forecast population based prevent programs protective behavior psychosocial public health relevance response skin cancer prevention sun protection theories therapy development tumor

项目摘要

DESCRIPTION (provided by applicant): Although skin cancer (SC) is a largely preventable disease, it is the most common cancer in the United States. More than 3 million skin cancers are diagnosed annually. The lifetime risk of developing melanoma (an aggressive form of skin cancer) is higher among whites, but this disease is associated with considerable morbidity and mortality in the Latino population. Compared with whites, Latinos have lower 5-year melanoma survival rates, especially among men (76.6% in Latinos vs. 87.0% in whites). The Latino population often presents late-stage melanoma tumors, which can cause detrimental prognoses. Many of the cases of SC that are diagnosed annually could be prevented by protecting the skin from excessive sun exposure. Latinos tend to report a lower frequency of sunscreen use, and to endorse more sun protection barriers. This group is more likely to believe that not much can be done to decrease the risk of SC and to agree that there are too many recommendation about preventing SC "that it's hard to know which ones to follow" when compared with whites. The long-term goal is to use a strong psychosocial measure on sun protection beliefs that can be used to better understand behavior and guide intervention development. The objective of this particular application is to apply a mixed methods approach to better assess psychosocial factors of sun protection in the Latino population, using the Health Belief Model (HBM) and the PEN-3 model of cultural influence as theoretical frameworks. The approach is innovative because it will develop a culturally sensitive, theory-based, and psychometrically strong measure of sun protection barriers and facilitators in English to assess sun protection beliefs in Latinos. In Aim 1, in-depth interviews will be conducted to collect qualitative and quantitative data using a sample of Latino adults (N=30) to create a pool of items reflecting sun protection barriers and facilitators. A cognitive interviewing session will follow u the first set of in-depth interviews (N=15), and the Sun Protection Barriers and Facilitators Scale (SP-BFS) will be developed based on information gathered in this aim. In Aim 2, the scale will be administered to a second sample of Latino adults (N=200) and it will be psychometrically examined (reliability and validity). The proposed research is significant because it will contribut to the limited literature regarding predictors of SC prevention in Latinos as a way to investigate mechanisms to improve health promotion actions. The proposed research supports NCI's goal to identify and understand factors that contribute to disparities in the incidence and mortality of cancer, and for research to help develop appropriate initiatives that are culturally relevant.

描述（由适用提供）：尽管皮肤癌（SC）是一种在很大程度上可以预防的疾病，但它是美国最常见的癌症。每年诊断出超过300万皮肤癌。白人之间存在黑色素瘤的终生风险（一种侵略性的皮肤癌）较高，但是这种疾病与拉丁裔人群的考虑发病率和死亡率有关。与白人相比，拉丁美洲人的5年黑色素瘤存活率较低，尤其是在男性中（拉丁美洲人为76.6％，而白人为87.0％）。拉丁美洲人的种群通常会出现晚期黑色素瘤肿瘤，这会引起有害的预后。每年被诊断出的SC的许多病例都可以通过保护皮肤免受过多的阳光暴露来预防。拉丁美洲人倾向于报告使用防晒霜的频率较低，并认可更多防晒障碍。该小组更有可能相信降低SC的风险不大，并且同意与白人相比，关于防止SC的建议太多建议“很难知道要遵循哪些”。长期的目标是对防晒信念采用强大的社会心理措施，以更好地理解行为和指导干预的发展。该特定应用的目的是采用混合方法方法，以使用健康信念模型（HBM）和文化影响力的PEN-3模型作为理论框架，以更好地评估拉丁裔人口中防晒的心理因素。这种方法具有创新性，因为它将开发出一种文化敏感，基于理论的和心理上的强烈测量，以衡量英语的防晒障碍和促进者，以评估拉丁美洲人的防晒信念。在AIM 1中，将进行深入的访谈，以使用拉丁裔成年人样本（n = 30）来收集定性和定量数据，以创建反映防晒障碍和协助者的项目池。认知访谈会议将遵循您的第一次深入访谈（n = 15），以及防晒障碍和促进者规模（SP-BFS）将根据此目标收集的信息开发。在AIM 2中，该量表将用于第二个拉丁裔成年人的样本（n = 200），并将在心理上检查（可靠性和有效性）。拟议的研究之所以重要，是因为它将有助于有关拉丁裔SC预防预测指标的有限文献，以此来研究改善健康促进行动的机制。拟议的研究支持NCI识别和理解导致事件差异和死亡率的因素的目标癌症，并为有助于制定适当的文化相关举措。