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探索南加州亚裔美国人和太平洋岛民社区获得癌症控制服务的情况。

Exploring access to cancer control services for Asian-American and Pacific Islander communities in Southern California.

作者信息

Tanjasiri Sora Park, Tran Jacqueline H, Kagawa-Singer Marjorie, Foo Mary Anne, Foong Heng L, Lee Susan W, Nguyen Tu-Uyen Ngoc, Rickles Jordan, Wang Jennifer S

机构信息

California State University, Fullerton-Department of Kinesiology and Health Science, Fullerton 92834-6870, USA.

出版信息

Ethn Dis. 2004 Summer;14(3 Suppl 1):S14-9.

Abstract

During the last 25 years, numerous studies have been conducted to promote breast cancer and cervical cancer screening. Most of these studies focused on individual-level factors predicting screening, but we are unaware of any that directly examined community and ecological influences. The goal of this project, Promoting Access to Health for Pacific Islander and Southeast Asian Women (PATH for Women), was to increase community capacity for breast and cervical cancer screening and follow up in Los Angeles and Orange counties. We focused on Southeast Asian and Pacific Islander women because, although they have the lowest rates for cancer, compared to all other ethnic groups, relatively few programs have specifically targeted Asian-American and Pacific Islander (AAPI) women to promote and sustain screening practices. The PATH for Women project involved a partnership between 5 community-based organizations and 2 universities, and included 7 Asian-American and Pacific Islander communities: Cambodians, Chamorros, Laotians, Thais, Tongans, Samoans, and Vietnamese. In this paper, we share our experiences in developing a Geographic Information System (GIS)-mapping evaluation component that was used to explore availability and accessibility to culturally responsive breast and cervical cancer screening services for Southeast Asian and Pacific Islander women in all 7 communities. We describe the methods used to develop the maps, and present the preliminary findings that demonstrate significant geographic and language barriers to accessing healthcare providers, services for breast and cervical cancer screening, and follow up, in each of the communities. Finally, we discuss implications for programs designed to promote breast and cervical screening and policy education.

摘要

在过去25年里,人们开展了大量研究以推广乳腺癌和宫颈癌筛查。这些研究大多聚焦于预测筛查行为的个体层面因素,但我们尚未发现有任何研究直接考察社区和生态影响。“促进太平洋岛民和东南亚女性获得健康”(女性健康之路)项目的目标是增强洛杉矶和奥兰治县社区开展乳腺癌和宫颈癌筛查及后续跟进的能力。我们将重点放在东南亚和太平洋岛民女性身上,是因为尽管她们的癌症发病率是所有族裔群体中最低的,但相对而言,专门针对亚裔美国人和太平洋岛民(AAPI)女性以促进并维持筛查行为的项目却很少。女性健康之路项目涉及5个社区组织和2所大学之间的合作,涵盖7个亚裔美国人和太平洋岛民社区:柬埔寨人、查莫罗人、老挝人、泰国人、汤加人、萨摩亚人和越南人。在本文中,我们分享在开发地理信息系统(GIS)地图评估组件方面的经验,该组件用于探索为所有7个社区的东南亚和太平洋岛民女性提供的具有文化适应性的乳腺癌和宫颈癌筛查服务的可及性和可达性。我们描述了制作地图所使用的方法,并展示了初步研究结果,这些结果表明在每个社区获取医疗服务提供者、乳腺癌和宫颈癌筛查服务及后续跟进方面存在显著的地理和语言障碍。最后,我们讨论了对旨在促进乳腺癌和宫颈癌筛查及政策教育的项目的启示。

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