Moore-Monroy Martha, Wilkinson-Lee Ada M, Verdugo Lorena, Lopez Elvia, Paez Lourdes, Rodriguez Debora, Wilhelm Mari, Garcia Francisco
Center of Excellence in Women's Health, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85719, USA.
Health Promot Pract. 2013 Mar;14(2):274-83. doi: 10.1177/1524839912454141. Epub 2012 Sep 14.
Despite significant advances in prevention, Mexican American women continue to experience disparities related to cervical cancer and access to current and relevant health information. To address this disparity a community-campus partnership initiated an outreach program to Latinas in Arizona as one part of an integrated approach. Promotoras (community health workers) provided the leadership in the development of a curriculum to (a) train promotoras on cervical cancer, (b) meet informational needs of community members, (c) address relevant social determinants of heath, and (d) promote access to health care. The purpose of this article is to describe the community-based participatory approach used in the development of the curriculum. Specifically, the article describes the leadership of promotoras, the curriculum development, and the use of continual feedback to inform the quality control. To address cervical cancer disparities for Mexican American women, the Pima County Cervical Cancer Prevention Partnership used principles of community-based participatory action.
尽管在预防方面取得了重大进展，但墨西哥裔美国女性在宫颈癌以及获取最新相关健康信息方面仍存在差距。为了解决这一差距，一个社区与校园的合作项目在亚利桑那州针对拉丁裔女性启动了一项外展计划，作为综合方法的一部分。社区健康工作者（Promotoras）在制定课程方面发挥了领导作用，该课程旨在：（a）培训社区健康工作者关于宫颈癌的知识；（b）满足社区成员的信息需求；（c）解决健康的相关社会决定因素；（d）促进获得医疗保健服务。本文的目的是描述在课程开发中使用的基于社区的参与式方法。具体而言，本文描述了社区健康工作者的领导作用、课程开发以及如何利用持续反馈来进行质量控制。为了解决墨西哥裔美国女性的宫颈癌差距问题，皮马县宫颈癌预防合作组织采用了基于社区的参与式行动原则。
