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Grant Details

Grant Number: 7R03CA138123-03 Interpret this number
Primary Investigator: Luque, John
Organization: Georgia Southern University
Project Title: Cervical Cancer Beliefs in Ethnic Subgroups of Latina Immigrants
Fiscal Year: 2009
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Abstract

DESCRIPTION (provided by applicant): Research has highlighted the higher incidence, prevalence, and disproportionately high mortality rates of cervical cancer among Hispanic women (Latinas) compared to non-Hispanic whites in the U.S., signaling health disparities and the need for innovative approaches. Effective community-based interventions are needed to address these health disparities, but the development of such interventions are limited by gaps in our understanding of: 1) Hispanic beliefs toward cervical cancer and HPV depending on country of origin, and 2) culturally specific curriculum designed for community health worker (promotora) programs working with these subpopulation groups. The current application extends previous research suggesting that education and outreach programs have to address cultural beliefs in order to be effective. This collaborative, ethnographic pilot study aims to address cervical cancer disparities by partnering with a rural, Hispanic-serving community organization in order to conduct a cross-cultural examination of Hispanic beliefs toward cervical cancer and HPV. The findings will inform the development of curriculum modules on cervical cancer and HPV designed to be used by a promotora de salud (lay health adviser) intervention program. The specific aims are: 1) to explore levels of knowledge, cultural attitudes, perceptions of risk of cervical cancer and HPV, and screening behaviors with Hispanic subpopulations using ethnographic methods; and 2) to develop a pilot curriculum module on cervical cancer and HPV targeted to promotoras, infused with the ethnographic findings from Phase I. As the Hispanic immigrant population increases in the U.S., there is a growing recognition that interventions need to be tailored to Hispanics of different national origins and education levels. By gathering information on knowledge, risk perceptions, and cultural attitudes among various subgroups, culturally tailored public health outreach efforts can be targeted and potentially be more effective for impacting cervical cancer disparities in groups suffering the greatest burden of the disease. Systematic ethnographic research techniques are proposed to explore the knowledge, risk perceptions, and cultural attitudes of Hispanics toward cervical cancer and HPV in order to develop culturally and literacy-level appropriate educational interventions. Cultural consensus analysis will elicit cultural models of cognitive beliefs toward cervical cancer to collectively inform a comprehensive educational approach. This study is novel in that it 1) utilizes systematic ethnographic research techniques to develop curriculum modules on cervical cancer targeted to a diverse Hispanic audience, 2) recruits Hispanic CNA students to pilot the curriculum modules and introduces them to cancer outreach activities. PHS 398/2590 (Rev. 09/04, Reissued 4/2006) Page 1 Continuation Format Page

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Publications

Salud es vida: development of a cervical cancer education curriculum for promotora outreach with Latina farmworkers in rural Southern Georgia.
Authors: Luque JS, Mason M, Reyes-Garcia C, Hinojosa A, Meade CD
Source: Am J Public Health, 2011 Dec;101(12), p. 2233-5.
EPub date: 2011 Oct 20.
PMID: 22021295
Related Citations

Grant Numbers:
NCI NIH HHS - R03CA138123 NCI NIH HHS - R03 CA138123-03 NCI NIH HHS - R03 CA138123-02
NCI NIH HHS - R03 CA138123-01 NCI NIH HHS - R03 CA138123

MeSH Terms:
Community Health Workers Rural Population Humans
Papillomavirus Vaccines Health Education Peer Group
Uterine Cervical Neoplasms Adult Mexican Americans
Middle Aged Papillomavirus Infections Georgia
Female

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Formative research on HPV vaccine acceptability among Latina farmworkers.
Authors: Luque JS, Castaņeda H, Tyson DM, Vargas N, Meade CD
Source: Health Promot Pract, 2012 Sep;13(5), p. 617-25.
EPub date: 2011 Aug 31.
PMID: 21881079
Related Citations

Grant Numbers:
NCI NIH HHS - R03 CA138123-03 NCI NIH HHS - R03 CA138123-02 NCI NIH HHS - R03 CA138123-01
NCI NIH HHS - R03 CA138123

MeSH Terms:
Agriculture Qualitative Research Humans
Papillomavirus Vaccines Health Education Florida
Health Services Accessibility Health Promotion Uterine Cervical Neoplasms
Socioeconomic Factors Sexual Behavior Hispanic Americans
Perception Risk Factors Adult
Middle Aged Female

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HPV AWARENESS AMONG LATINA IMMIGRANTS AND ANGLO AMERICAN WOMEN IN THE SOUTHERN U.S.: CULTURAL MODELS OF CERVICAL CANCER RISK FACTORS AND BELIEFS.
Authors: Luque JS, Castaņeda H, Tyson DM, Vargas N, Proctor S, Meade CD
Source: NAPA Bull, 2010 Nov 1;34(1), p. 84-104.
PMID: 21116468
Related Citations

Grant Numbers:
NCI NIH HHS - R03 CA138123-03 NCI NIH HHS - R03 CA138123-02 NCI NIH HHS - R03 CA138123-01

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Last Updated: August 24, 2012
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