Cancer Prevention Program, Fred Hutchinson Cancer Research Center, Seattle, Washington 98109, USA.
J Womens Health (Larchmt). 2010 Nov;19(11):2049-56. doi: 10.1089/jwh.2009.1733. Epub 2010 Sep 17.
Trained community health promoters (i.e., promotoras) conducted home-based group educational interventions (home health parties) to educate Hispanic women from the Lower Yakima Valley of Washington state about breast cancer and mammography screening.
Women aged 40-79 participating in the parties completed baseline and follow-up surveys 6 months postintervention (n = 70). Changes in general cancer knowledge, breast cancer screening practices, and intentions to be screened among participants from baseline to follow-up were measured using McNemar's test for marginal homogeneity to evaluate the effectiveness of the parties.
The average age of the sample was 50.0 years (standard deviation [SD] 10.0), 84% reported less than an eighth grade education, and 54% were covered by the state's Basic Health Care Plan. Significant changes between baseline and follow-up were observed with respect to (1) believing that risk of cancer could not be reduced (41% vs. 15%, respectively, p = 0.001), (2) ever having a mammogram (83% vs. 91%, p = 0.014), (3) discussing a mammogram with a doctor (37% vs. 67%, p < 0.001), and (4) intending to have a mammogram within the next few months among women who did not report having a mammogram between baseline and follow-up (61% vs. 81%, p = 0.046).
Participation in home-based group educational interventions delivered by promotoras may be associated with improved breast cancer screening practices among Hispanic women.
受过培训的社区健康促进人员（即促进者）在华盛顿州下雅基马谷的家中进行基于群体的教育干预（家庭健康聚会），以教育西班牙裔妇女了解乳腺癌和乳房 X 光筛查知识。
参加聚会的年龄在 40-79 岁的女性在干预后 6 个月完成基线和随访调查（n=70）。使用边际同质性 McNemar 检验测量参与者从基线到随访的一般癌症知识、乳腺癌筛查实践和筛查意向的变化，以评估聚会的效果。
样本的平均年龄为 50.0 岁（标准差[SD]10.0），84%报告受教育程度低于八年级，54%参加了该州的基本医疗保健计划。在以下方面观察到基线和随访之间存在显著变化：（1）认为癌症风险无法降低（分别为 41%和 15%，p=0.001），（2）曾经进行过乳房 X 光检查（分别为 83%和 91%，p=0.014），（3）与医生讨论过乳房 X 光检查（分别为 37%和 67%，p<0.001），以及（4）打算在接下来的几个月内进行乳房 X 光检查，对于那些在基线和随访之间没有报告进行过乳房 X 光检查的女性（分别为 61%和 81%，p=0.046）。
参与由促进者提供的基于家庭的群体教育干预可能与西班牙裔妇女乳腺癌筛查实践的改善有关。
