Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Roswell Park Cancer Institute, Buffalo, NY, USA.
J Racial Ethn Health Disparities. 2016 Dec;3(4):658-666. doi: 10.1007/s40615-015-0184-x. Epub 2015 Nov 17.
Although adhering to regular screenings can improve timely diagnosis and survivorship, Latinas continue to exhibit the lowest breast and cervical cancer screening rates in the country. Initiatives have generally addressed extrinsic factors to combat disparities. However, the answer to increasing screening adherence among Latina women might lie in equally addressing intrinsic factors as well extrinsic factors. Social Cognitive Theory provided the foundation for the design of Esperanza y Vida, a culturally tailored outreach program that educated Latinas on breast and cervical cancer. Non-adherent participants were offered navigation and followed-up to reassess screening behavior. The objective of this manuscript is to outline the salient culture-related intrinsic factors reported by a sample of Latina women from New York and Arkansas in response to open-ended questions asked at 8 months post-educational intervention and navigation services. In turn, the findings are incorporated in an effort to recommend future steps for effective interventions. Content analysis was used to guide the qualitative data analysis. The most salient barriers reported were related to Systems, Organization and Logistics, Time, being Decidedly Unscreened, and Contrary Beliefs or Confusion.
尽管坚持定期筛查可以提高及时诊断和生存机会，但拉丁裔女性的乳腺癌和宫颈癌筛查率仍然是全国最低的。各项举措通常都针对外在因素来解决差异问题。然而，提高拉丁裔女性筛查率的答案可能在于同样解决内在因素和外在因素。社会认知理论为 Esperanza y Vida 的设计提供了基础，这是一个针对拉丁裔的文化外展项目，旨在教育她们了解乳腺癌和宫颈癌。对不依从的参与者提供了导航服务，并进行随访以重新评估筛查行为。本文的目的是概述在教育干预和导航服务 8 个月后，从纽约和阿肯色州的一组拉丁裔女性的开放性问题中报告的与文化相关的显著内在因素。反过来，这些发现被纳入努力为有效的干预措施提出建议。内容分析被用来指导定性数据分析。报告的最显著障碍与系统、组织和物流、时间、明显未筛查以及相反的信念或困惑有关。
