Fouad Mona N, Nagy M Christine, Johnson Rhoda E, Wynn Theresa A, Partridge Edward E, Dignan Mark
Division of Preventive Medicine, Department of Medicine, University of Alabama at Birmingham, 35294-4410, USA.
Ethn Dis. 2004 Summer;14(3 Suppl 1):S53-60.
The purpose of this project was to establish a coalition of academic, state, and community-based organizations to develop a community action plan (CAP) to eliminate breast and cervical cancer morbidity and mortality disparities between African-American (AA) and Caucasian women. The project targeted rural and urban low-income AA women in Alabama. Based on the logic model, community capacity building was implemented, followed by the development of a community-driven CAP. For community capacity building, a coalition comprising 12 organizations was established, and a network of 84 community volunteers was formed. Community needs assessments identified 3 levels of barriers to breast and cervical cancer screening: 1) individual, 2) community systems, and 3) healthcare provider. Based on these findings, a community-driven CAP was developed. Our results indicate that a coalition of diverse organizations can partner and develop CAPs to improve the health of their communities.
本项目的目的是建立一个由学术机构、州政府机构和社区组织组成的联盟,以制定一项社区行动计划(CAP),消除非裔美国(AA)女性和白人女性在乳腺癌和宫颈癌发病率及死亡率方面的差异。该项目针对阿拉巴马州农村和城市的低收入非裔美国女性。基于逻辑模型,实施了社区能力建设,随后制定了由社区驱动的CAP。为了进行社区能力建设,成立了一个由12个组织组成的联盟,并形成了一个由84名社区志愿者组成的网络。社区需求评估确定了乳腺癌和宫颈癌筛查存在的3个层面障碍:1)个人层面,2)社区系统层面,3)医疗服务提供者层面。基于这些发现,制定了由社区驱动的CAP。我们的结果表明,不同组织组成的联盟能够合作并制定CAP,以改善其社区的健康状况。