Schmidt-Vaivao Dorothy Etimani, Lutu Genesis, Tulua-Tata Alisi, Hannemann Marion, Tisnado Diana M
Samoan National Nurses Association, University of California Los Angeles.
Promoting Access to Health for Pacific Islander and Southeast Asian Women, Orange County Asian Pacific Islander Community Alliance, University of California Los Angeles.
Calif J Health Promot. 2010 Dec;8(SE):1-10.
Samoans experience among the worst five-year breast cancer survival rates in the U.S., largely due to late stage diagnosis. There is great potential for screening interventions to reduce cancer mortality among Samoans. This paper examines the effectiveness of a culturally and linguistically tailored breast cancer education workshop for Samoan and other Pacific Islander women in Southern California.
Educational workshops were conducted in churches, homes, and the Samoan National Nurses Association office to Pacific Islander women. Effectiveness was assessed using pre- and post-tests. Self-administered questionnaires queried participants about demographics, access, personal or family breast cancer history, screening knowledge and behaviors, and plans to obtain screening (n=495).
Participants were predominantly Samoan, with 57% reporting they were ≥40 years of age. At pre-test, half of the participants did not know how to perform Breast Self Examination (BSE), 40% never had a Clinical Breast Examination (CBE), and 30% never had a mammogram. Less than 40% reported having a mammogram in the past two years. At post-test, 98% reported increased knowledge. Older women were more likely to report plans for screening at post-test.
Health educators in Samoan and other Pacific Islander communities must recognize and appropriately address screening barriers such as cultural beliefs and lack of knowledge, and should consider working with important institutions such as the church.
美属萨摩亚人在美国五年期乳腺癌生存率最低的群体之列，这主要归因于晚期诊断。筛查干预措施在降低萨摩亚人癌症死亡率方面具有巨大潜力。本文考察了为南加州的萨摩亚及其他太平洋岛民女性举办的一场符合文化和语言习惯的乳腺癌教育工作坊的效果。
在教堂、家庭以及萨摩亚国家护士协会办公室为太平洋岛民女性举办教育工作坊。通过前后测试评估效果。自行填写的问卷询问了参与者的人口统计学信息、获取医疗服务的途径、个人或家族乳腺癌病史、筛查知识与行为以及进行筛查的计划（n = 495）。
参与者主要是萨摩亚人，57%的人报告年龄≥40岁。在预测试中，一半的参与者不知道如何进行乳房自我检查（BSE），40%的人从未进行过临床乳房检查（CBE），30%的人从未做过乳房X光检查。不到40%的人报告在过去两年内做过乳房X光检查。在 post - test 中，98%的人报告知识有所增加。年龄较大的女性在 post - test 时更有可能报告有进行筛查的计划。
萨摩亚及其他太平洋岛民社区的健康教育工作者必须认识并妥善应对诸如文化信仰和知识匮乏等筛查障碍，并且应考虑与教会等重要机构合作。
