title: Esperanza y Vida: a culturally and linguistically customized breast and cervical education program for diverse Latinas at three different United States sites.
abstract: Breast cancer is the most common cause of cancer and the leading cause of cancer death among Latinas in the United States. In addition, Latinas experience a disproportionate burden of cervical cancer incidence, morbidity, and mortality compared with non-Hispanic White women. Lower use of breast and cervical cancer screening services may contribute to these disparities. To address the underutilization of breast and cervical cancer screening among diverse subgroups of Latinas, a peer-led education program called Esperanza y Vida ("Hope and Life") was developed and administered at 3 sites (2 in New York and 1 in Arkansas). Immigrant Latina women and their partners were educated about the importance of breast and cervical cancer screening, with the goals of increasing their knowledge about these cancers and their screening behavior. An analysis of the intervention's findings at baseline among female participants demonstrated significant sociodemographic, interpersonal, cultural, health care system, and program variability in 3 distinct geographic regions in the United States. These data indicate the need for and feasibility of customizing cancer outreach and educational programs for diverse Latina subgroups living in various U.S. regions, with implications for informing the expansion and replication of the program in other regions of the country.
authors: Department of Oncological Sciences, Mount Sinai School of Medicine, New York, New York 10029, USA. lina.jandorf@mssm.edu
authors: Lina
authors: L
authors: Jandorf
authors: Jennie
authors: J
authors: Ellison
authors: Rachel
authors: R
authors: Shelton
authors: Linda
authors: L
authors: Thélémaque
authors: Anabella
authors: A
authors: Castillo
authors: Elsa Iris
authors: EI
authors: Mendez
authors: Carol
authors: C
authors: Horowitz
authors: Michelle
authors: M
authors: Treviño
authors: Bonnie
authors: B
authors: Doty
authors: Maria
authors: M
authors: Hannigan
authors: Elvira
authors: E
authors: Aguirre
authors: Frances
authors: F
authors: Harfouche-Saad
authors: Jomary
authors: J
authors: Colon
authors: Jody
authors: J
authors: Matos
authors: Leavonne
authors: L
authors: Pully
authors: Zoran
authors: Z
authors: Bursac
authors: Deborah O
authors: DO
authors: Erwin
mesh_terms: D000293:Adolescent; D000328:Adult; D001131:Arkansas; D001943:Breast Neoplasms / Q000208:ethnology* / Q000517:prevention & control; D003469:Culture; D005260:Female; D006630:Hispanic or Latino / Q000193:education*; D006801:Humans; D008403:Mass Screening; D009518:New York; D010342:Patient Acceptance of Health Care / Q000208:ethnology; D010349:Patient Compliance / Q000208:ethnology; D010353:Patient Education as Topic / Q000379:methods*; D012959:Socioeconomic Factors; D002583:Uterine Cervical Neoplasms / Q000208:ethnology* / Q000517:prevention & control; D055815:Young Adult