Top

Published in:

01-04-2011 | Original paper

Multi-Site Implementation of Health Education Programs for Latinas

Authors: Nora R. Sudarsan, Lina Jandorf, Deborah O. Erwin

Published in: Journal of Community Health | Issue 2/2011

Abstract

US Latinas are more likely to be diagnosed with late stage breast cancer and have nearly double the incidence of cervical cancer. A culturally customized educational program (Esperanza y Vida) was established in three locations to increase cancer awareness and screening. Educational programs (N = 159) were conducted, with participants randomized to either a breast and cervical (intervention) or diabetes (control) program. Variations in key factors, including gender, program location sites, language utilized, time/day of programs, and data collection method were detected, uncovering unique distributions across locations. Esperanza y Vida was successful in recruiting participants to health programs in three locations, each with a unique Latino population. Program site differences demonstrated educational and screening interventions can be implemented in multiple locations, with program variations reflecting local characteristics. These findings can be applied to outreach efforts to effectively increase participation and enhance screening practices and benefits in other regions.

American Cancer Society. (2009). Cancer facts and figures for Hispanics/Latinos 2009–2011. Atlanta GA: American Cancer Society.

Reynolds, D. (2004). Cervical cancer in Hispanic/Latino women. Clinical Journal of Oncology Nursing, 8(2), 146–150.PubMedCrossRef

International Agency for Research on Cancer. (2005). IARC Handbooks of Cancer Prevention. Lyon: IARC Press.

Abraido-Lanza, A. F., Chao, M. T., & Gates, C. Y. (2005). Acculturation and cancer screening among Latinas: Results from the national health interview survey. Annals of Behavioral Medicine, 29(1), 22–28.PubMedCrossRef

O’Malley, A. S., Kerner, J., Johnson, A. E., & Mandelblatt, J. (1999). Acculturation and breast cancer screening among Hispanic women in New York City. American Journal of Public Health, 89(2), 219–227.PubMedCrossRef

Lees, K. A., Wortley, P. M., & Coughlin, S. S. (2005). Comparison of racial/ethnic disparities in adult immunization and cancer screening. American Journal of Preventive Medicine, 29(5), 404–411.PubMedCrossRef

American Cancer Society. (2008). Cancer facts and figures 2008. Atlanta: American Cancer Society.

Merzel, C., & D’Afflitti, J. (2003). Reconsidering community-based health promotion: Promise, performance, and potential. American Journal of Public Health, 93(4), 557–574.PubMedCrossRef

Stokols, D. (2006). Toward a science of transdisciplinary action research. American Journal of Community Psychology, 38(1–2), 63–77.PubMedCrossRef

10.

Fisher, T. L., Burnet, D. L., Huang, E. S., Chin, M. H., & Cagney, K. A. (2007). Cultural leverage—Interventions using culture to narrow racial disparities in health care. Medical Care Research and Review, 64(5), 243S–282S.PubMedCrossRef

11.

Chavez, L. R., Hubbell, F. A., Mishra, S. I., & Valdez, R. B. (1997). The influence of fatalism on self-reported use of Papanicolaou smears. American Journal of Preventive Medicine, 13(6), 418–424.PubMed

12.

Erwin, D. O., Johnson, V. A., Trevino, M., Duke, K., Feliciano, L., & Jandorf, L. (2007). A comparison of African American and Latina social networks as indicators for culturally tailoring a breast and cervical cancer education intervention. Cancer, 109(2), 368–377.PubMedCrossRef

13.

Navarro, A. M., Senn, K. L., McNicholas, L. J., Kaplan, R. M., Roppe, B., & Campo, M. C. (1998). Por La Vida model intervention enhances use of cancer screening tests among Latinas. American Journal of Preventive Medicine, 15(1), 32–41.PubMedCrossRef

14.

Ramirez, A. G., McAlister, A., Gallion, K. J., et al. (1995). Community level cancer control in a Texas barrio: Part I–theoretical basis, implementation, and process evaluation. Journal of the National Cancer Institute Monographs, 18, 117–122.PubMed

15.

Navarro, A. M., Senn, K. L., Kaplan, R. M., McNicholas, L., Campo, M. C., & Roppe, B. (1995). Por La Vida intervention model for cancer prevention in Latinas. Journal of the National Cancer Institute Monographs, 18, 137–145.PubMed

16.

Jandorf, L., Ellison, J., Shelton, R., et al. (2010). Esperanza y Vida: A culturally and linguistically customized breast and cervical education program for diverse Latinas: At three different US sites. Journal of Community Health; Submitted for Publication.

17.

Jandorf, L., Bursac, Z., Pulley, L., Trevino, M., Castillo, A., & Erwin, D. O. (2008). Breast and cervical cancer screening among Latinas attending culturally specific educational programs. Progress in Community Health Partnerships: Research, Education and Action, 2(3), 181.CrossRef

18.

Erwin, D. O., Johnson, V. A., Feliciano-Libid, L., Zamora, D., & Jandorf, L. (2005). Incorporating cultural constructs and demographic diversity in the research and development of a Latina breast and cervical cancer education program. Journal of Cancer Education, 20(1), 39–44.PubMedCrossRef

19.

Erwin, D. O., Ivory, J., Stayton, C., et al. (2003). Replication and dissemination of a cancer education model for African American women. Cancer, Culture and Literacy, 10(5), 13–21.

20.

The Urban Institute. (2007). Arkansas is home to nation’s fastest-growing Hispanic population. Urban Institute Publications.

21.

US Census Bureau. (2000). New York Census. State and county quick facts 2000.

22.

Gambrell, J. (2009). Arkansas sees Hispanic population growth slow. Cattle Network.

23.

US Census Bureau. Arkansas Census. (2009). State and county quick facts 2007. US Census Bureau.

24.

Limonic, L. (2007). The Latino population of New York City. Latino data project—Report 20. Center for Latin American, Caribbean & Latino Studies 2008.

25.

Moher, D., Schulz, K. F., & Altman, D. (2001). The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomized trials. JAMA, 285(15), 1987–1991.PubMedCrossRef

26.

Burhansstipanov, L., Gamito, E., Krebs, L., et al. (2005). Use of audience response systems to evaluate cancer education curricula. Journal of Cancer Education, 20(3), 12.CrossRef

27.

Erwin, D. O., Jandorf, L., Thelemaque, L., et al. (2010). Esperanza y Vida: Familias saludables empiezan con mujeres saludables: Hope & life: Healthy families begin with healthy women. In Interventions to reduce cancer disparities: Research funded by the American Cancer Society. American Cancer Society.

28.

Erwin, D. O., Trevino, M., Saad-Harfouche, F. G., Rodriguez, E. M., Gage, E., & Jandorf, L. (2010). Contextualizing diversity and culture within cancer control interventions for Latinas: Changing interventions, not cultures. Social Science & Medicine. doi: 10.1016/j.socscimed.2010.05.005.

29.

Erwin, D. O., Trevino, M., Feliciano, L., Saad-Harfouche, F. G., Bursac, Z., & Jandorf, L. (2009). Methods for customizing a cancer screening intervention for Latinas using PEN-3 analysis of qualitative data. Health Promotion Practice; Submitted for Publication.

30.

Wang, J. H., Liang, W., Schwartz, M. D., Lee, M. M., Kreling, B., & Mandelblatt, J. S. (2008). Development and evaluation of a culturally tailored educational video: changing breast cancer-related behaviors in Chinese women. Health Education & Behavior, 35(6), 806–820.CrossRef

31.

Fernandez, M. E., Gonzales, A., Tortolero-Luna, G., et al. (2009). Effectiveness of Cultivando La Salud: A breast and cervical cancer screening promotion program for low-income Hispanic women. American Journal of Public Health, 99(5), 936–943.PubMedCrossRef

Title: Multi-Site Implementation of Health Education Programs for Latinas
Authors: Nora R. Sudarsan
Lina Jandorf
Deborah O. Erwin
Publication date: 01-04-2011
Publisher: Springer US
Published in: Journal of Community Health / Issue 2/2011
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI: https://doi.org/10.1007/s10900-010-9297-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Multi-Site Implementation of Health Education Programs for Latinas

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2011

Promotoras as Mental Health Practitioners in Primary Care: A Multi-Method Study of an Intervention to Address Contextual Sources of Depression

Desire for, and Uptake of HIV Tests by Ghanaian Women: The Relevance of Community Level Stigma

Training Physicians to Do Office-based Smoking Cessation Increases Adherence to PHS Guidelines

The Role of Community in Pediatric Injury

Organizational Change: A Way to Increase Colon, Breast and Cervical Cancer Screening in Primary Care Practices

Mexican Urban Occupational Health in the US: A Population at Risk