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Journal of Community Health

, Volume 36, Issue 2, pp 193–203 | Cite as

Multi-Site Implementation of Health Education Programs for Latinas

  • Nora R. Sudarsan
  • Lina Jandorf
  • Deborah O. Erwin
Original paper

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.

Keywords

Cancer Screening Latinos Educational programs 

Notes

Acknowledgments

This study was supported by a grant from the American Cancer Society (RSGT 113129) and funding from the John R. Oishei Foundation of Western New York.

References

  1. 1.
    American Cancer Society. (2009). Cancer facts and figures for Hispanics/Latinos 2009–2011. Atlanta GA: American Cancer Society.Google Scholar
  2. 2.
    Reynolds, D. (2004). Cervical cancer in Hispanic/Latino women. Clinical Journal of Oncology Nursing, 8(2), 146–150.PubMedCrossRefGoogle Scholar
  3. 3.
    International Agency for Research on Cancer. (2005). IARC Handbooks of Cancer Prevention. Lyon: IARC Press.Google Scholar
  4. 4.
    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.PubMedCrossRefGoogle Scholar
  5. 5.
    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.PubMedCrossRefGoogle Scholar
  6. 6.
    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.PubMedCrossRefGoogle Scholar
  7. 7.
    American Cancer Society. (2008). Cancer facts and figures 2008. Atlanta: American Cancer Society.Google Scholar
  8. 8.
    Merzel, C., & D’Afflitti, J. (2003). Reconsidering community-based health promotion: Promise, performance, and potential. American Journal of Public Health, 93(4), 557–574.PubMedCrossRefGoogle Scholar
  9. 9.
    Stokols, D. (2006). Toward a science of transdisciplinary action research. American Journal of Community Psychology, 38(1–2), 63–77.PubMedCrossRefGoogle Scholar
  10. 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.PubMedCrossRefGoogle Scholar
  11. 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.PubMedGoogle Scholar
  12. 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.PubMedCrossRefGoogle Scholar
  13. 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.PubMedCrossRefGoogle Scholar
  14. 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.PubMedGoogle Scholar
  15. 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.PubMedGoogle Scholar
  16. 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.Google Scholar
  17. 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.CrossRefGoogle Scholar
  18. 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.PubMedCrossRefGoogle Scholar
  19. 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.Google Scholar
  20. 20.
    The Urban Institute. (2007). Arkansas is home to nation’s fastest-growing Hispanic population. Urban Institute Publications.Google Scholar
  21. 21.
    US Census Bureau. (2000). New York Census. State and county quick facts 2000.Google Scholar
  22. 22.
    Gambrell, J. (2009). Arkansas sees Hispanic population growth slow. Cattle Network.Google Scholar
  23. 23.
    US Census Bureau. Arkansas Census. (2009). State and county quick facts 2007. US Census Bureau.Google Scholar
  24. 24.
    Limonic, L. (2007). The Latino population of New York City. Latino data project—Report 20. Center for Latin American, Caribbean & Latino Studies 2008.Google Scholar
  25. 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.PubMedCrossRefGoogle Scholar
  26. 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.CrossRefGoogle Scholar
  27. 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.Google Scholar
  28. 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. 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.Google Scholar
  30. 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.CrossRefGoogle Scholar
  31. 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.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Nora R. Sudarsan
    • 1
  • Lina Jandorf
    • 1
  • Deborah O. Erwin
    • 2
  1. 1.Department of Oncological SciencesMount Sinai School of MedicineNew YorkUSA
  2. 2.Office of Cancer Health Disparities Research, Cancer Prevention and Population SciencesRoswell Park Cancer InstituteBuffaloUSA

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