Hall Ingrid J, Johnson-Turbes Ashani, Berkowitz Zahava, Zavahir Yasmine
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Highway, Atlanta, GA, 30341, USA,
Cancer Causes Control. 2015 May;26(5):787-94. doi: 10.1007/s10552-015-0540-5. Epub 2015 Mar 3.
To evaluate whether a culturally appropriate campaign using "Black radio" and print media increased awareness and utilization of local mammography screening services provided by the Centers for Disease Control and Prevention's National Breast and Cervical Cancer Early Detection Program among African American women.
The evaluation used a quasi-experimental design involving data collection during and after campaign implementation in two intervention sites in GA (Savannah with radio and print media and Macon with radio only) and one comparison site (Columbus, GA). We used descriptive statistics to compare mammography uptake for African American women during the initial months of the campaign (8/08-1/09) with the latter months (2/09-8/09) and a post-campaign (9/09-12/09) period in each of the study sites. Comparisons of monthly mammogram uptake between cities were performed with multinomial logistic regression. We assumed a p value <0.05 to be significant.
We observed an increase of 46 and 20 % in Savannah and Macon, respectively, from the initial period of the campaign to the later period. However, the increase did not persist in the post-campaign period. Analysis comparing monthly mammogram uptake in Savannah and Macon with Columbus showed a significant increase in uptake from the first to the second period in Savannah only (OR 1.269, 95 % CI (1.005-1.602), p = 0.0449).
Dissemination of health promotion messages via a culturally appropriate, multicomponent campaign using Black radio and print media was effective in increasing mammogram uptake in Savannah among low-income, African American women. Additional research is needed to quantify the relative contribution of campaign radio, print media, and community components to sustain increased mammography uptake.
评估一项使用“黑人电台”和平面媒体的文化适宜性活动是否提高了美国疾病控制与预防中心国家乳腺癌和宫颈癌早期检测项目在非裔美国女性中提供的当地乳房X光筛查服务的知晓率和利用率。
该评估采用准实验设计，涉及在佐治亚州的两个干预地点（萨凡纳同时使用电台和平面媒体，梅肯仅使用电台）和一个对照地点（佐治亚州哥伦布市）开展活动期间及之后的数据收集。我们使用描述性统计方法，比较各研究地点非裔美国女性在活动最初几个月（2008年8月至2009年1月）、后几个月（2009年2月至2009年8月）以及活动后时期（2009年9月至2009年12月）的乳房X光检查接受率。使用多项逻辑回归对各城市每月乳房X光检查接受率进行比较。我们假定p值<0.05具有统计学意义。
从活动初期到后期，我们观察到萨凡纳和梅肯的接受率分别提高了46%和20%。然而，这种增长在活动后时期并未持续。将萨凡纳和梅肯与哥伦布市每月乳房X光检查接受率进行比较的分析显示，仅萨凡纳从第一阶段到第二阶段接受率有显著提高（比值比1.269，95%置信区间(1.005 - 1.602)，p = 0.0449）。
通过使用黑人电台和平面媒体的文化适宜性多成分活动传播健康促进信息，对于提高萨凡纳低收入非裔美国女性的乳房X光检查接受率是有效的。需要进一步研究以量化活动中的电台、平面媒体和社区成分对维持乳房X光检查接受率增长的相对贡献。
