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地方卫生部门实施基于理论的模式以增加乳腺癌和宫颈癌筛查。

Local health departments implement a theory-based model to increase breast and cervical cancer screening.

作者信息

Suarez L, Nichols D C, Pulley L, Brady C A, McAlister A

机构信息

Texas Department of Health, Austin 78756-3199.

出版信息

Public Health Rep. 1993 Jul-Aug;108(4):477-82.

PMID:8341783
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1403412/
Abstract

Su Vida, Su Salud/Your Life, Your Health is a community program to increase participation in breast and cervical cancer screening. This program illustrates the diffusion of an innovative outreach strategy from a research environment to two local health departments. The program uses A Su Salud, the communication model in which positive role models are featured in the media, and community volunteers who give positive social reinforcement. Local health departments in Galveston and Corpus Christi, TX, were selected to implement the model because of excessive mortality rates in the region and the departments' adequate level of resources and commitment. Over an 18-month period, 54 stories of role models appeared in the media in Corpus Christi, and 60 appeared in Galveston. There were 490 volunteers active in Corpus Christi and 279 in Galveston. Of 365 inquiries to the Corpus Christi program, 35 percent were from the Mexican American target group of women ages 40-70. Of 1,457 women who contacted the Galveston program, 9 percent were from the African American target group ages 40-70. Local health departments are well-suited to participation in cancer control research applications because they have direct access to high-risk populations and have the authority to institutionalize effective interventions.

摘要

“苏·维达,苏·萨尔ud/你的生活,你的健康”是一项旨在提高乳腺癌和宫颈癌筛查参与率的社区项目。该项目展示了一种创新的外展策略从研究环境向两个当地卫生部门的传播。该项目采用了“A Su Salud”这种传播模式,即在媒体中展示正面榜样,并借助社区志愿者给予积极的社会强化。得克萨斯州加尔维斯顿和科珀斯克里斯蒂的当地卫生部门被选中实施该模式,是因为该地区死亡率过高,且这两个部门有足够的资源和投入。在18个月的时间里,科珀斯克里斯蒂的媒体上出现了54个榜样故事,加尔维斯顿有60个。科珀斯克里斯蒂有490名志愿者活跃,加尔维斯顿有279名。在向科珀斯克里斯蒂项目咨询的365人中,35%来自40至70岁的墨西哥裔美国女性目标群体。在联系加尔维斯顿项目的1457名女性中,9%来自40至70岁的非裔美国女性目标群体。当地卫生部门非常适合参与癌症控制研究应用,因为它们可以直接接触高危人群,并有权力将有效的干预措施制度化。

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本文引用的文献

1
Cancer prevention and control: from research through applications.癌症预防与控制:从研究到应用
J Natl Cancer Inst. 1987 Aug;79(2):389-400.
2
Mass media campaign--A Su Salud.大众媒体宣传活动——致健康。
Prev Med. 1988 Sep;17(5):608-21. doi: 10.1016/0091-7435(88)90054-0.
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Uses of data to plan cancer prevention and control programs.数据在规划癌症预防与控制项目中的用途。
Public Health Rep. 1990 Jul-Aug;105(4):354-60.
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Data-based interventions for cancer control in Texas.德克萨斯州基于数据的癌症控制干预措施。
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