Titre :
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Effectiveness of Cultivando La Salud : A Breast and Cervical Cancer Screening Promotion Program for Low-Income Hispanic Women. (2009)
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Auteurs :
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Maria-E Fernandez ;
CHAN (Wenyaw) : USA. Department of Biostatistics. School of Public Health. University of Texas Health Science Center. Housion. ;
Alicia GONZALES ;
Monica SAAVEDRA-EMBESI ;
TORTOLERO-LUNA (Guillermo) : USA. Comprehensive Cancer Center. University of Puerto Rico. San Juan. ;
Sally-W VERNON ;
Janet Williams ;
Center for Health Promotion and Behavioral Sciences. School of Public Health. University of Texas Health Science Center. Houston. USA ;
National Center for Farmworker Health. Buda. TX. USA
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 99, n° 5, 2009)
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Pagination :
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936-943
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Langues:
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Anglais
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Mots-clés :
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Cancer
;
Efficacité
;
Sein
;
Dépistage
;
Programme
;
Facteur socioéconomique
;
Revenu
;
Femme
;
Homme
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Résumé :
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[BDSP. Notice produite par INIST-CNRS 8kR0x8HE. Diffusion soumise à autorisation]. Objectives. We tested the effectiveness of a lay health worker intervention to increase breastand cervical cancerscreening among low-income Hispanicwomen. Methods. Participants were women 50 years and older who were nonadherent to mammography (n=464) or Papanicolaou (Pap) test (n=243) screening guidelines. After the collection of baseline data, lay health workers implemented the Cultivando la Salud (CLS ; Cultivating Health) intervention. Data collectors then interviewed the participants 6 months later. Results. At follow-up, screening completion was higher among women in the intervention group than in the control group for both mammography (40.8% vs 29.9% ; P<. and pap test vs p screening. in an intent-to-treat analysis these differences remained but were not significant. the intervention increased mammography self-efficacy perceived susceptibility survivability benefits of subjective norms processes change. also significantly having a cancer. it did change knowledge or perceptions about negative aspects conclusions. our results add to evidence concerning effectiveness lay health worker interventions for increasing screening mammography. future research should explore cls other hispanic groups mechanisms through which interpersonal communication influences decisions how effective such as can best be adopted implemented community-based organizations settings.>
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