Division of Preventive Medicine, School of Medicine, University of Alabama, Birmingham, AL 35205, USA.
Am J Public Health. 2010 Dec;100(12):2526-31. doi: 10.2105/AJPH.2009.167312.
We assessed the impact of a theory-based, culturally relevant intervention designed to increase mammography screening among African American women in 8 underserved counties in Alabama.
Using principles derived from the Stages of Change, Community Health Advisor, and Community Empowerment models, we developed strategies to increase mammography screening. Trained volunteers (N = 143) provided tailored messages to encourage adoption and maintenance of mammography screening. We collected baseline and follow-up data on 1513 women in the communities targeted for the intervention. Our goal was to decrease the number of women in stage 1 (never screened) while increasing the number of women in stage 2 (infrequently screened) and stage 3 (regularly screened).
At baseline, 14% (n = 211) of the women were in stage 1, 16% (n = 247) were in stage 2, and 70% (n = 1055) were in stage 3. After the 2-year intervention, 4% (n = 61) of the women remained in stage 1, 20% (n = 306) were in stage 2, and 76% (n = 1146) were in stage 3.
Tailored motivational messages and peer support can increase mammography screening rates for African American women.
我们评估了一项基于理论且具有文化相关性的干预措施对增加阿拉巴马州 8 个服务不足县的非裔美国妇女进行乳房 X 光筛查的影响。
我们运用阶段变化、社区健康顾问和社区赋权模型中的原则，制定了增加乳房 X 光筛查的策略。经过培训的志愿者（N=143）提供量身定制的信息，以鼓励接受和维持乳房 X 光筛查。我们在干预目标社区中收集了 1513 名妇女的基线和随访数据。我们的目标是减少处于第 1 阶段（从未接受过筛查）的妇女人数，同时增加处于第 2 阶段（不常接受筛查）和第 3 阶段（定期接受筛查）的妇女人数。
在基线时，14%（n=211）的妇女处于第 1 阶段，16%（n=247）处于第 2 阶段，70%（n=1055）处于第 3 阶段。经过 2 年的干预，4%（n=61）的妇女仍处于第 1 阶段，20%（n=306）处于第 2 阶段，76%（n=1146）处于第 3 阶段。
量身定制的动机信息和同伴支持可以提高非裔美国妇女的乳房 X 光筛查率。
