Educating Hispanic Women About Breast Cancer Prevention: Evaluation of a Home-Based Promotora-Led Intervention

Details

• Personal Author:
  Coronado GD ; Espinoza N ; Ibarra G ; Islas I ; Livaudais JC ; Thompson B
• Description:
  Objectives: Trained community health promoters (i.e., promotoras) conducted home-based group educational interventions (home health parties) to educate Hispanic women from the Lower Yakima Valley of Washington state about breast cancer and mammography screening. Methods: Women aged 40-79 participating in the parties completed baseline and follow-up surveys 6 months postintervention (n = 70). Changes in general cancer knowledge, breast cancer screening practices, and intentions to be screened among participants from baseline to follow-up were measured using McNemar's test for marginal homogeneity to evaluate the effectiveness of the parties. Results: The average age of the sample was 50.0 years (standard deviation [SD] 10.0), 84% reported less than an eighth grade education, and 54% were covered by the state's Basic Health Care Plan. Significant changes between baseline and follow-up were observed with respect to (1) believing that risk of cancer could not be reduced (41% vs. 15%, respectively, p = 0.001), (2) ever having a mammogram (83% vs. 91%, p = 0.014), (3) discussing a mammogram with a doctor (37% vs. 67%, p < 0.001), and (4) intending to have a mammogram within the next few months among women who did not report having a mammogram between baseline and follow-up (61% vs. 81%, p = 0.046). Conclusions: Participation in home-based group educational interventions delivered by promotoras may be associated with improved breast cancer screening practices among Hispanic women. [Description provided by NIOSH]
• Subjects:
  Health Promotion Occupational Health Safety Women
• Keywords:
  Breast Cancer Health Promotion Intervention Effectiveness Medical Screening
• ISSN:
  1540-9996
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 10 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  19
• Issue:
  11
• NIOSHTIC Number:
  nn:20056906
• Citation:
  J Womens Health 2010 Nov; 19(11):2049-2056
• Contact Point Address:
  Jennifer C. Livaudais, M.P.H., Cancer Prevention Program, Fred Hutchinson Cancer Research Center, P.O. Box 19024, 1100 Fairview Avenue N, M3-B232, Seattle, WA 98109
• Email:
  jlivauda@fhcrc.org
• Federal Fiscal Year:
  2011
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of Women's Health
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:95cfe52f67c68b8b75e71cd8dfb4a574dbe8d8c0b832bb08d4e04d677f9c26105d3f3e27d553156eb38b916008931b67351265ba45d0e14161da1ad1b3bdbb43
• Download URL:
  https://stacks.cdc.gov/view/cdc/214402/cdc_214402_DS1.pdf
• File Type:
  [PDF - 233.75 KB ]