Curry R H, Moen J B, Morris S J, Scheivelhud L
Cancer Pract. 1994 Jul-Aug;2(4):256-63.
The Atlanta Project, one of six American Cancer Society demonstration projects, is a community-designed and -directed breast and cervical cancer screening program focused on empowering African-American women to accept responsibility for their health maintenance. This article reports the project's goals, objectives, intervention strategies, roles of key project personnel, and outcomes. A total of 3852 women older than 40 years received breast clinical examinations, were taught breast self-examination, and had a screening mammogram; 2689 women obtained a pelvic examination and were screened for cervical cancer with a Papanicolaou smear. Of those women screened, 12 breast and 1 cervical cancers were identified and treated. Important lessons learned and successes achieved from this project were: (1) there is a need for joint planning with community representatives and their involvement in all aspects of the program's implementation and evaluation; (2) in addition to the commitment of the major participants, the community must "buy in" to the proposed health intervention; (3) the focus of the intervention should be on positive health messages; (4) cancer education materials should be culturally and literacy-appropriate; (5) the project's activities were planned to be sustained after the project period; (6) women can be empowered to accept responsibility for and control over their health.
“亚特兰大项目”是美国癌症协会六个示范项目之一，是一个由社区设计和主导的乳腺癌及宫颈癌筛查项目，重点是使非裔美国女性能够承担起维护自身健康的责任。本文报告了该项目的目标、目的、干预策略、关键项目人员的角色以及成果。共有3852名40岁以上的女性接受了乳房临床检查，学习了乳房自我检查，并进行了乳房X光筛查；2689名女性接受了盆腔检查，并通过巴氏涂片进行了宫颈癌筛查。在接受筛查的女性中，发现并治疗了12例乳腺癌和1例宫颈癌。从该项目中学到的重要经验和取得的成功包括：（1）需要与社区代表共同规划，并让他们参与项目实施和评估的各个方面；（2）除了主要参与者的投入外，社区必须“认同”所提议的健康干预措施；（3）干预的重点应放在积极的健康信息上；（4）癌症教育材料应符合文化背景且适合识字水平；（5）项目活动计划在项目期后持续开展；（6）可以使女性有能力承担起对自身健康的责任并加以控制。
