Multi-Site Implementation of Health Education Programs for Latinas
- 277 Downloads
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.
KeywordsCancer Screening Latinos Educational programs
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.
- 1.American Cancer Society. (2009). Cancer facts and figures for Hispanics/Latinos 2009–2011. Atlanta GA: American Cancer Society.Google Scholar
- 3.International Agency for Research on Cancer. (2005). IARC Handbooks of Cancer Prevention. Lyon: IARC Press.Google Scholar
- 7.American Cancer Society. (2008). Cancer facts and figures 2008. Atlanta: American Cancer Society.Google Scholar
- 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
- 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.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.The Urban Institute. (2007). Arkansas is home to nation’s fastest-growing Hispanic population. Urban Institute Publications.Google Scholar
- 21.US Census Bureau. (2000). New York Census. State and county quick facts 2000.Google Scholar
- 22.Gambrell, J. (2009). Arkansas sees Hispanic population growth slow. Cattle Network.Google Scholar
- 23.US Census Bureau. Arkansas Census. (2009). State and county quick facts 2007. US Census Bureau.Google Scholar
- 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
- 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.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.Google Scholar