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一项针对东南亚跨代女性开展的、旨在促进乳腺癌和宫颈癌筛查的定制化导航干预随机对照试验。

A randomized controlled trial of a tailored navigation intervention to promote breast and cervical cancer screening among intergenerational Southeast Asian women.

作者信息

Kue Jennifer, Tate Judith, Szalacha Laura A, Menon Usha

机构信息

College of Nursing, University of South Florida, Tampa, FL, USA.

College of Nursing, The Ohio State University, Columbus, OH, USA.

出版信息

Contemp Clin Trials Commun. 2023 Dec 20;37:101248. doi: 10.1016/j.conctc.2023.101248. eCollection 2024 Feb.

Abstract

BACKGROUND

Cancer is the leading cause of death for Southeast Asian women in the U.S. Southeast Asian women have significantly high rates of breast and cervical cancers, yet are least likely to obtain regular mammography and Pap testing of all racial/ethnic groups in the U.S.

OBJECTIVES

The purpose of this study is to compare a tailored navigation intervention delivered by bilingual and bicultural Community Health Advisors to information and reminder only to increase age-appropriate breast and cervical cancer screening completion among Southeast Asian women.

METHODS

The Southeast Asian Women's Health Project study will enroll 232 Cambodian, Filipino, Lao, and Vietnamese women who are not up to date with their breast and cervical cancer screenings. Women randomized to navigation will receive the intervention for 10 weeks. Women in the information group will be mailed information on mammography and Pap testing only. All participants will be contacted post-enrollment to assess screening completion.

DISCUSSION

We will examine intervention efficacy, predictors of each intervention group, and the influence of intergenerational exchange of breast and cervical cancer screening information between mothers and daughters. We will disseminate study results locally to the community, nationally at conferences, and through peer-reviewed journals.

摘要

背景

癌症是美国东南亚裔女性的主要死因。东南亚裔女性的乳腺癌和宫颈癌发病率显著较高,但在美国所有种族/族裔群体中,她们接受定期乳房X光检查和巴氏试验的可能性最小。

目的

本研究的目的是比较由双语和双文化社区健康顾问提供的量身定制的导航干预措施与仅提供信息和提醒,以提高东南亚裔女性中适龄乳腺癌和宫颈癌筛查的完成率。

方法

东南亚女性健康项目研究将招募232名未及时进行乳腺癌和宫颈癌筛查的柬埔寨、菲律宾、老挝和越南女性。随机分配到导航组的女性将接受为期10周的干预。信息组的女性将仅收到关于乳房X光检查和巴氏试验的信息。所有参与者在登记后都将被联系以评估筛查完成情况。

讨论

我们将研究干预效果、每个干预组的预测因素,以及母女之间乳腺癌和宫颈癌筛查信息的代际交流影响。我们将在当地向社区、在全国性会议上以及通过同行评审期刊传播研究结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e8b/10792624/cec336427704/gr1.jpg

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