Pathways to Early Cancer Detection for Latinas: En Acción Contra el Cáncer

SAGE Publications - Tập 23 Số 1_suppl - Trang 41-59 - 1996
Eliseo J. Pérez‐Stable1, Regina Otero‐Sabogal2, Fabio Sabogal3, Anna Nápoles‐Springer3
1400 Parnassus Ave. A-405, Box 0320, San Francisco, CA 94143-0320
2University of California at San Francisco (UCSF)
3Medical Effectiveness Research Center for Diverse Populations at UCSF.

Tóm tắt

Latinas have less breast cancer, have more cervical cancer, and obtain fewer screening tests at recommended intervals. This article reviews the epidemiology and use of screening tests for these cancers and cultural factors that affect screening. En Acción Contra el Cáncer was designed to increase use of breast and cervical cancer screening services by distributing free cancer educational materials in Spanish, implementing a media campaign, conducting community outreach, training lay networkers, and assisting clinicians. A survey of 1,601 Latinas, 20 to 74 years old, ascertained screening behavior and knowledge and attitudes about cancer. Comparison of intervention and control cities showed significant differences in proportion insured, married, born in the United States, and less acculturated. There were no significant differences in mammography and Pap smear use, knowledge, and attitudes. Culturally appropriate prevention interventions that target ethnic-specific concerns arc needed.

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