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一种提高部落社区乳腺X线摄影率的社会生态方法。

A socioecological approach to improving mammography rates in a tribal community.

作者信息

English Kevin C, Fairbanks Jo, Finster Carolyn E, Rafelito Alvin, Luna Jolene, Kennedy Marianna

机构信息

Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, New York 10032, USA.

出版信息

Health Educ Behav. 2008 Jun;35(3):396-409. doi: 10.1177/1090198106290396. Epub 2006 Nov 17.

Abstract

This article highlights the processes and intermediate outcomes of a pilot project to increase mammography rates of women in an American Indian tribe in New Mexico. Using a socioecological framework and principles of community-based participatory research, a community coalition was able to (a) bolster local infrastructure to increase access to mammography services; (b) build public health knowledge and skills among tribal health providers; (c) identify community-specific knowledge, attitudes, and beliefs related to breast cancer; (d) establish interdependent partnerships among community health programs and between the tribe and outside organizations; and (e) adopt local policy initiatives to bolster tribal cancer control. These findings demonstrate the value of targeting a combination of individual, community, and environmental factors, which affect community breast cancer screening rates and incorporating cultural strengths and resources into all facets of a tribal health promotion intervention.

摘要

本文重点介绍了一个试点项目的过程和中期成果,该项目旨在提高新墨西哥州一个美国印第安部落女性的乳房X光检查率。通过社会生态框架和基于社区的参与性研究原则,一个社区联盟得以:(a) 加强当地基础设施,以增加获得乳房X光检查服务的机会;(b) 在部落卫生服务提供者中培养公共卫生知识和技能;(c) 确定与乳腺癌相关的社区特定知识、态度和信念;(d) 在社区卫生项目之间以及部落与外部组织之间建立相互依存的伙伴关系;(e) 采取地方政策举措以加强部落癌症控制。这些发现证明了针对影响社区乳腺癌筛查率的个人、社区和环境因素组合的价值,并将文化优势和资源纳入部落健康促进干预的各个方面。

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