Lopez Vera A, Castro Felipe G
School of Justice and Social Inquiry, Arizona State University, Tempe, AZ 85287-0403, USA.
J Community Health. 2006 Aug;31(4):343-62. doi: 10.1007/s10900-006-9016-6.
This study examined program attendance and related outcomes for Compañeros en la Salud, a church-based culturally focused health promotion program specifically designed for low-acculturated, low-income Hispanic women. In this church-based study, the cancer prevention intervention was the major intervention group, and its effects were compared with a noncancer-oriented family mental health group. The goal of the present study was to identity predictors of program attendance and increases in cancer prevention knowledge and behaviors. Lower levels of acculturation level and greater overall church attendance were predictive of program attendance for Hispanic women in the cancer prevention component. Also, attendance in the cancer intervention component of the Compañeros en la Salud program was predictive of posttest cancer prevention knowledge. By contrast, higher acculturation level was a significant predictor of having had a clinical breast exam at posttest. Similarly, younger age and lower fear of cancer were predictive of having had a pap smear at posttest. Finally, pretest cancer prevention knowledge was a significant predictor of mammography screening for women ages 40 and over. These results offer implications for the development of culturally tailored cancer prevention programs for Hispanic women.
本研究调查了“健康同伴”项目的参与情况及相关结果。该项目是一个以教会为基础、注重文化特色的健康促进项目，专门为文化适应程度低、低收入的西班牙裔女性设计。在这项基于教会的研究中，癌症预防干预组是主要干预组，其效果与一个非癌症导向的家庭心理健康组进行了比较。本研究的目的是确定项目参与情况以及癌症预防知识和行为增加的预测因素。文化适应程度较低和总体教会参与度较高可预测西班牙裔女性在癌症预防项目中的参与情况。此外，参与“健康同伴”项目的癌症干预部分可预测测试后的癌症预防知识。相比之下，文化适应程度较高是测试后进行临床乳腺检查的一个重要预测因素。同样，年龄较小和对癌症的恐惧较低可预测测试后进行巴氏涂片检查。最后，测试前的癌症预防知识是40岁及以上女性进行乳房X光筛查的一个重要预测因素。这些结果为针对西班牙裔女性制定文化适应性癌症预防项目提供了启示。
