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Published in: Journal of Community Health 4/2006

01-08-2006

PARTICIPATION AND PROGRAM OUTCOMES IN A CHURCH-BASED CANCER PREVENTION PROGRAM FOR HISPANIC WOMEN

Authors: Vera A. Lopez, PhD, Felipe G. Castro, PhD

Published in: Journal of Community Health | Issue 4/2006

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Abstract

This study examined program attendance and related outcomes for Compañeros en la Salud, a church-based culturally focused health promotion program specifically designed for low-acculturated, low-income Hispanic women. In this church-based study, the cancer prevention intervention was the major intervention group, and its effects were compared with a noncancer-oriented family mental health group. The goal of the present study was to identity predictors of program attendance and increases in cancer prevention knowledge and behaviors. Lower levels of acculturation level and greater overall church attendance were predictive of program attendance for Hispanic women in the cancer prevention component. Also, attendance in the cancer intervention component of the Compañeros en la Salud program was predictive of posttest cancer prevention knowledge. By contrast, higher acculturation level was a significant predictor of having had a clinical breast exam at posttest. Similarly, younger age and lower fear of cancer were predictive of having had a pap smear at posttest. Finally, pretest cancer prevention knowledge was a significant predictor of mammography screening for women ages 40 and over. These results offer implications for the development of culturally tailored cancer prevention programs for Hispanic women.
Literature
1.
go back to reference Castro FG, Barrera M, Martinez CR (2004) The cultural adaptation of prevention interventions: Resolving tensions between fidelity and fit. Prev Sci 5:41–45CrossRefPubMed Castro FG, Barrera M, Martinez CR (2004) The cultural adaptation of prevention interventions: Resolving tensions between fidelity and fit. Prev Sci 5:41–45CrossRefPubMed
2.
go back to reference O’Malley AS, Kerner J, Johnson A, Mandelblatt J (1999) Acculturation and breast cancer screening among Hispanic women in New York City. Am J Public Health 89:219–227PubMed O’Malley AS, Kerner J, Johnson A, Mandelblatt J (1999) Acculturation and breast cancer screening among Hispanic women in New York City. Am J Public Health 89:219–227PubMed
3.
go back to reference Wells BL, Horm JW (1998) Targeting the underserved for breast and cervical cancer screening: The utility of ecological analyses using the National Health Interview Survey. Am J Public Health 88:1484–1489PubMed Wells BL, Horm JW (1998) Targeting the underserved for breast and cervical cancer screening: The utility of ecological analyses using the National Health Interview Survey. Am J Public Health 88:1484–1489PubMed
4.
go back to reference White E, Urban N, Taylor V (1993) Mammography utilization, public health impact, and cost effectiveness in the United States. Annu Rev Public Health 14:605–633PubMed White E, Urban N, Taylor V (1993) Mammography utilization, public health impact, and cost effectiveness in the United States. Annu Rev Public Health 14:605–633PubMed
5.
go back to reference Valdez A, Banerjee K, Ackerson L, Fernandez M (2002) A multimedia breast cancer education intervention for low-income Latinas. J Community Health 27:33–51CrossRefPubMed Valdez A, Banerjee K, Ackerson L, Fernandez M (2002) A multimedia breast cancer education intervention for low-income Latinas. J Community Health 27:33–51CrossRefPubMed
6.
go back to reference Harlan LC, Bernstein AB, Kessler LG (1991) Cervical cancer screening: Who is not screened and why? Am J Public Health 81:885–890PubMedCrossRef Harlan LC, Bernstein AB, Kessler LG (1991) Cervical cancer screening: Who is not screened and why? Am J Public Health 81:885–890PubMedCrossRef
7.
go back to reference Solis JM, Marks G, Garcia M, Shelton D (1990) Acculturation, access to care, and use of prevention services by Hispanics. Findings from HHANES 1982–84. Am J Public Health 80:11–19 Solis JM, Marks G, Garcia M, Shelton D (1990) Acculturation, access to care, and use of prevention services by Hispanics. Findings from HHANES 1982–84. Am J Public Health 80:11–19
8.
go back to reference Trevino FM, Moyer ME, Valdez RB, Stroup-Benham CA (1991) Health insurance coverage and utilization of health services by Mexican Americans, mainland Puerto Ricans, and Cuban-Americans. JAMA 265:233–237CrossRefPubMed Trevino FM, Moyer ME, Valdez RB, Stroup-Benham CA (1991) Health insurance coverage and utilization of health services by Mexican Americans, mainland Puerto Ricans, and Cuban-Americans. JAMA 265:233–237CrossRefPubMed
9.
go back to reference Hunt LM, de Voogd KB, Akana LL, Browner CH (1998) Abnormal Pap screening among Mexican-American women: Impediments to receiving and reporting follow-up care. Oncol Nurs Forum 25:1743–1749PubMed Hunt LM, de Voogd KB, Akana LL, Browner CH (1998) Abnormal Pap screening among Mexican-American women: Impediments to receiving and reporting follow-up care. Oncol Nurs Forum 25:1743–1749PubMed
11.
go back to reference Castro FG, Rios R, Montoya H (2006) Ethical community-based research with Hispanic or Latina(o) populations: Balancing research rigor and cultural responsiveness. In: Trimble J, Fisher C (eds) The Handbook of ethical research with ethnocultural populations and communities. Sage, Thousand Oaks, CA, pp 137–153 Castro FG, Rios R, Montoya H (2006) Ethical community-based research with Hispanic or Latina(o) populations: Balancing research rigor and cultural responsiveness. In: Trimble J, Fisher C (eds) The Handbook of ethical research with ethnocultural populations and communities. Sage, Thousand Oaks, CA, pp 137–153
12.
go back to reference Boehm S, Coleman-Burns P, Schlenk EA, Funnell MM, Parzuchowski J, Powell IJ (1995) Prostrate cancer in African American men: Increasing knowledge and self-efficacy. J Community Health Nurs 12:161–169CrossRefPubMed Boehm S, Coleman-Burns P, Schlenk EA, Funnell MM, Parzuchowski J, Powell IJ (1995) Prostrate cancer in African American men: Increasing knowledge and self-efficacy. J Community Health Nurs 12:161–169CrossRefPubMed
13.
go back to reference Fox SA, Stein JA, Gonzalez RE, Farrenkopf M, Dellinger A (1998) A trial to increase mammography utilization among Los Angeles Hispanic women. J Health Care Poor Underserved 9:309–321PubMed Fox SA, Stein JA, Gonzalez RE, Farrenkopf M, Dellinger A (1998) A trial to increase mammography utilization among Los Angeles Hispanic women. J Health Care Poor Underserved 9:309–321PubMed
14.
go back to reference Kumpfer KL, Alvarado R, Smith P, Bellamy N (2002) Cultural sensitivity and adaptation in family-based prevention interventions. Prev Sci 3:241–246CrossRefPubMed Kumpfer KL, Alvarado R, Smith P, Bellamy N (2002) Cultural sensitivity and adaptation in family-based prevention interventions. Prev Sci 3:241–246CrossRefPubMed
15.
go back to reference Balcazar H, Castro FG, Krull JL (1995) Cancer risk reduction in Mexican American women: The role of acculturation, education, and health risk factors. Health Educ Q 22:61–84PubMed Balcazar H, Castro FG, Krull JL (1995) Cancer risk reduction in Mexican American women: The role of acculturation, education, and health risk factors. Health Educ Q 22:61–84PubMed
16.
go back to reference Castro FG. The Southern California Social Survey. University of California, Los Angeles, Unpublished Manuscript 1988 Castro FG. The Southern California Social Survey. University of California, Los Angeles, Unpublished Manuscript 1988
17.
go back to reference Castro FG, Cota MK, Vega SC (1999) Health promotion in Latino populations: A sociocultural model for program planning, development, and evaluation. In: Huff RM, Kline MV (eds) Promoting Health in Multicultural Perspectives: A Handbook for Practitioners. Sage, Thousand Oaks CA, pp 137–168 Castro FG, Cota MK, Vega SC (1999) Health promotion in Latino populations: A sociocultural model for program planning, development, and evaluation. In: Huff RM, Kline MV (eds) Promoting Health in Multicultural Perspectives: A Handbook for Practitioners. Sage, Thousand Oaks CA, pp 137–168
18.
go back to reference Kellum SG, Langevin DJ (2003) A framework for understanding “evidence” in prevention research and programs. Prev Sci 4:137–153CrossRefPubMed Kellum SG, Langevin DJ (2003) A framework for understanding “evidence” in prevention research and programs. Prev Sci 4:137–153CrossRefPubMed
Metadata
Title
PARTICIPATION AND PROGRAM OUTCOMES IN A CHURCH-BASED CANCER PREVENTION PROGRAM FOR HISPANIC WOMEN
Authors
Vera A. Lopez, PhD
Felipe G. Castro, PhD
Publication date
01-08-2006
Publisher
Springer US
Published in
Journal of Community Health / Issue 4/2006
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-006-9016-6

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