Abstract
Breast cancer is less likely to be diagnosed at the earliest stage in Hispanic/Latino (Hispanic) women compared to non-Hispanic White women, even after accounting for differences in age, socioeconomic status, and method of detection. Moffitt Cancer Center created a comprehensive health education program called Yo me cuido® (YMC) to address and reduce breast cancer disparities among Spanish- and English-speaking Hispanic women by providing breast cancer and healthy lifestyles awareness and education, and promoting breast cancer screenings, reminders, and referrals for women 40 years and older. The purpose of this paper is to showcase the innovative approaches and methods to cancer prevention and early detection of the YMC program, and to promote it as an effective tool for improving outcomes in community health education, outreach, and engagement activities with Hispanic populations. Key components of the program include educational workshops, mammogram referrals, and a multimedia campaign. The YMC program is unique because of its approaches in reaching the Hispanic population, such as delivering the program with compassionate services to empower participants to live a healthier lifestyle. Additionally, direct follow-up for mammography screenings is provided by program staff. From 2011 to 2013, YMC has educated 2,226 women and 165 men through 93 workshops. About 684 (52 %) women ages 40 and older have had a screening mammogram within their first year of participating in the program. The YMC program is an innovative cancer education and outreach program that has demonstrated a positive impact on the lives of the Hispanic community in the Tampa Bay region.
Similar content being viewed by others
References
U.S. Census Bureau. 2013. Hispanic Heritage Month 2013. http://www.census.gov/newsroom/releases/pdf/cb13ff-19_hispanicheritage.pdf. Accessed 13 March 2014.
World Health Organization, Commission on Social Determinants of Health. 2008. Closing the gap in a generation. http://www.who.int/social_determinants/thecommission/finalreport/en/index.html. Accessed 20 March 2014.
Koutros S, Alavanja MCR, Lubin JH, Sandler DP, Hoppin JA, Lynch CF, Knott C, Blair A, Freeman LE (2010) An update of cancer incidence in the Agricultural Health Study. J Occup Environ Med 52(11):1098–1105
Brennan Ramirez, Laura K., Elizabeth A. Baker, and Marilyn Metzler. 2008. Promoting health equity: a resource to help communities address social determinants of health. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. http://www.cdc.gov/nccdphp/dch/programs/healthycommunitiesprogram/tools/pdf/SDOH-workbook.pdf. Accessed 20 March 2014.
Borrell LN, Dallo FJ (2008) Self-rated health and race among Hispanic and non-Hispanic adults. J Immigr Minor Health 10(3):229–238
Dulin MF, Tapp H, Smith HA, de Hernandez BU, Coffman MJ, Ludden T, Sorensen J, Furuseth OJ (2012) A trans-disciplinary approach to the evaluation of social determinants of health in a Hispanic population. BMC Public Health 12:769
Zsembik BA, Fennell D (2005) Ethnic variation in health and the determinants of health among Latinos. Soc Sci Med 61(1):53–63
U.S. Department of Health and Human Services. 2012. National healthcare disparities report 2011. Rockville: Agency for Healthcare Research and Quality. http://www.ahrq.gov/research/findings/nhqrdr/nhdr11/nhdr11.pdf. Accessed 26 March 2014.
Satcher D (2010) Include a social determinants of health approach to reduce health inequities. Public Health Rep 125(Suppl 4):6–7
American Cancer Society (2012) Cancer facts & figures for Hispanics/Latinos 2012-2014. American Cancer Society, Atlanta
Ooi SL, Martinez ME, Li CI (2011) Disparities in breast cancer characteristics and outcomes by race/ethnicity. Breast Cancer Res Treat 127(3):729–738
Davis JL, Bynum SA, Katz RV, Buchanan K, Lee Green B (2012) Sociodemographic differences in fears and mistrust contributing to unwillingness to participate in cancer screenings. J Health Care Poor Underserved 23(4 Suppl):67–76
Rosales M, Gonzalez P (2013) Mammography screening among Mexican, Central-American, and South-American women. J Immigr Minor Health 15(2):225–233
Wells KJ, Roetzheim RG (2007) Health disparities in receipt of screening mammography in Latinas: a critical review of recent literature. Cancer Control 14(4):369–379
Florida Department of Health, Office of Health Statistics and Assessment. Florida Charts: 2012 Florida Population Estimates. http://www.floridacharts.com/FLQUERY/Population/PopulationRpt.aspx. Accessed 1 April 2014.
U.S. Census Bureau. 2012 American Community Survey. Hispanic or Latino origin by specific origin. http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=ACS_12_1YR_B03001&prodType=table. Accessed 1 April 2014.
Rivera-Colon V, Ramos R, Davis JL, Escobar M, Inda NR, Paige L, Palencia J, Vives M, Grant CG, Green BL (2013) Empowering underserved populations through cancer prevention and early detection. J Community Health 38(6):1067–1073
Livaudais JC, Coronado GD, Espinoza N, Islas I, Ibarra G, Thompson B (2010) Educating Hispanic women about breast cancer prevention: evaluation of a home-based promotora-led intervention. J Women's Health 19(11):2049–2056
Guide to Community Preventive Services. Cancer prevention and control: client-oriented interventions to increase breast, cervical, and colorectal cancer screening. http://www.thecommunityguide.org/cancer/screening/client-oriented/index.html. Accessed 4 April 2014.
Centers for Disease Control and Prevention. Cultural insights: communicating with Hispanics/Latinos. http://www.cdc.gov/healthcommunication/Audience/AudienceInsight_CulturalInsights.pdf. Accessed 2 April 2014.
Purc-Stephenson RJ, Gorey KM (2008) Lower adherence to screening mammography guidelines among ethnic minority women in America: a meta-analytic review. Prev Med 46(6):479–488
De Alba I, Hubbell FA, McMullin JM, Sweningson JM, Saitz R (2005) Impact of U.S. citizenship status on cancer screening among immigrant women. J Gen Intern Med 20(3):290–296
American Cancer Society. American Cancer Society guidelines for the early detection of cancer. http://www.cancer.org/healthy/findcancerearly/cancerscreeningguidelines/american-cancer-society-guidelines-for-the-early-detection-of-cancer. Accessed 20 June 2014.
Davis JL, McGinnis KE, Walsh ML, Williams C, Sneed KB, Baldwin JA, Green BL (2012) An innovative approach for community engagement: using an audience response system. J Health Dispar Res Pract 5(2):1–9
Keifer MC, Reyes I, Liebman AK, Juarez-Carrillo P (2014) The use of audience response system technology with limited-English-proficiency, low-literacy, and vulnerable populations. J Agromed 19:44–52
Gamito EJ, Burhansstipanov L, Krebs LU, Bemis L, Bradley A (2005) The use of an electronic audience response system for data collection. J Cancer Educ 20(1 Suppl):80–86
Julliard K, Vivar J, Delgado C, Cruz E, Kabak J, Sabers H (2008) What Latina patients don't tell their doctors: a qualitative study. Ann Fam Med 6(6):543–549
Hall CP, Hall JD, Pfriemer JT, Wimberley PD, Jones CH (2007) Effects of a culturally sensitive education program on the breast cancer knowledge and beliefs of Hispanic women. Oncol Nurs Forum 34(6):1195–1202
Fernández ME, Gonzaies A, Tortoiero-Luna G, Williams J, Saavedra-Embesi M, Chan W, Vernon SW (2009) Effectiveness of Cultivando La Salud: a breast and cervical cancer screening promotion program for low-income Hispanic women. Am J Public Health 99:936–943
Saad-Harfouche FG, Jandorf L, Gage E, The’le’maque LD, Colo’n J, Castillo AG, Trevino M, Erwin DO (2011) Esperanza y Vida: training lay health advisors and cancer survivors to promote breast and cervical cancer screening in Latinas. J Community Health 36:219–227
Hansen LK, Feigl P, Modiano MR et al (2005) An educational program to increase cervical and breast cancer screening in Hispanic women: a Southwest Oncology Group study. Cancer Nurs 28(1):47–53
Rhodes SD, Foley KL, Zometa CS, Bloom FR (2007) Lay health advisor interventions among Hispanics/Latinos: a qualitative systematic review. Am J Prev Med 33(5):418–427
Larkey LK, Herman PM, Roe DJ et al (2012) A cancer screening intervention for underserved Latina women by lay educators. J Women’s Health 21(5):557–566
Ramirez AG, Pérez-Stable EJ, Penedo FJ et al (2013) Navigating Latinas with breast screen abnormalities to diagnosis: the Six Cities Study. Cancer 119(7):1298–1305
Jandorf L, Bursac Z, Pulley L, Trevino M, Castillo A, Erwin DO (2008) Breast and cervical cancer screening among Latinas attending culturally specific educational programs. Prog Community Health Partnersh Res Educ Action 2(3):181–181
Georgetown University Medical Center, National Center for Cultural Competence. 2004. Bridging the cultural divide in health care settings: the essential role of cultural broker programs. http://nccc.georgetown.edu/documents/Cultural_Broker_Guide_English.pdf. Accessed 2 April 2014.
Santiago-Rivera AL, Arredondo P, Gallardo-Cooper M (2002) Counseling Latinos and La Familia.: a guide for practitioners. Sage, Thousand Oaks
Department of Health and Human Services. 2000. Quality health services for Hispanics: the cultural competency component. http://www.hrsa.gov/culturalcompetence/servicesforhispanics.pdf. Accessed 2 April 2014.
Padilla YC, Villalobos G (2007) Cultural responses to health among Mexican American women and their families. Fam Commun Health 30(1 Suppl):S24–S33
Vanderpool RC, Kornfeld J, Rutten LF, Squiers L (2009) Cancer information-seeking experiences: the implications of Hispanic ethnicity and Spanish language. J Cancer Educ 24(2):141–147
Kagawa-Singer M, Dadia AV, Yu MC, Surbone A (2010) Cancer, culture, and health disparities: time to chart a new course? CA Cancer J Clin 60(1):12–39
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Davis, J.L., Ramos, R., Rivera-Colón, V. et al. The Yo me cuido® Program: Addressing Breast Cancer Screening and Prevention Among Hispanic Women. J Canc Educ 30, 439–446 (2015). https://doi.org/10.1007/s13187-014-0710-2
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13187-014-0710-2