Abstract Background: Prophylactic human papillomavirus (HPV) vaccines are available, but uptake is suboptimal. Information on factors influencing parental decisions regarding vaccination will facilitate the development of successful interventions. Methods: Parents girls ages 9 to 17 years (n = 476; cooperation rate 67%) from a panel U.S. households completed online surveys between September 2007 and January 2008, documenting vaccine knowledge, attitudes, intentions. Results: Among those...

Churches are a promising setting through which to reach Latinas with cancer control efforts. A better understanding of the dimensions religiousness that impact health behaviors could inform efforts tailor programs for this setting. The purpose study was explore relationships between adherence screening recommendations among church-going Latinas. Female Spanish-speaking members, aged 18 and older from Baptist church in Boston, Massachusetts (N = 78), were interviewed about religiousness. We...

Introduction: Narrowing the racial/ethnic and socioeconomic disparities in breast cervical cancer requires an in-depth understanding of motivation for adherence to screening follow-up care. To inform patient-centered interventions, this study aimed identify reasons why low-income women adhered or delayed screening, treatment despite access care-related services. Methods: Semistructured qualitative interviews were conducted among with services receiving care at academic center, federally...

To assess cancer perceptions among churchgoers and to examine the potential influence of fatalism religious beliefs on use screening tests.

Although most U.S. Latinos identify as Catholic, few studies have focused on the influence of this religious tradition health beliefs among population. This study explores role Catholic teachings, practices, and ministry cancer screening knowledge, attitudes, behaviors Latinos. Eight focus groups were conducted with 67 Latino parishioners in Massachusetts. Qualitative analysis provided evidence strong reliance faith, God, parish leaders for concerns. Parishes described vital sources social...

Introduction Because lifetime trauma exposure has been linked to multiple adverse pregnancy outcomes, there is a need for all perinatal care providers be versed in trauma‐informed practices. However, are few data guide practice during the period. The objective of this study was refine ongoing development framework by conducting qualitative experiences and preferred screening practices pregnant patients at an urban prenatal clinic. Methods In study, we conducted semistructured interviews with...

Abstract Background Disparities in health status among ethnic groups favor the Caucasian population United States on almost all major indicators. exposure to health-related mass media messages may be environmental factors contributing racial and imbalance outcomes. This study evaluated whether variations exist advertisements promotion cues lay magazines catering Hispanic, African American women. Methods Relative absolute assessments of advertising 12 women's over a three-month period were...

<i >Objective</i>: To describe parents' knowledge, attitudes, and decision-making with regard to obtaining the HPV vaccine for their daughters. >Methods</i>: White, Black, Hispanic parents of daughters who were age eligible receive (9&#x2013;17 years) recruited from community settings participate in focus groups. Parents asked about knowledge awareness HPV, vaccine, as well preferred actual sources information. >Results</i>: Seven groups (<svg...

To evaluate a decision aid (DA) designed to promote informed making for prostate cancer screening.Twelve work sites were randomly assigned an intervention or nonintervention comparison condition. Intervention received access computer-tailored DA at the workplace. Male employees age 45 years and above (n = 625) completed surveys baseline 3-month follow-up, documenting aspects of making.Using intention-to-treat analysis, men in group significantly more likely have made screening improved...

Understanding the factors that influence health beliefs, attitudes, and service use among Haitians in United States is increasingly important for this growing population. We undertook a qualitative analysis to explore related cancer screening utilization of services Boston. Key informant interviews (n=42) nine focus groups (n=78) revealed experience unique barriers services. These include language barriers, unfamiliarity with preventive care, confidentiality concerns, mistrust stigma...

Evidence-based interventions (EBIs) to promote cancer control among Latinos have proliferated in recent years, though adoption and implementation of these by faith-based organizations (FBOs) is limited. Capacity building may be one strategy implementation. In this qualitative study, 18 community key informants were interviewed (a) understand existing capacity for health programming Catholic parishes, (b) characterize parishes' resource gaps capacity-building needs implementing EBIs, (c)...

The DuPage Patient Navigation Collaborative evaluated the Research Program (PNRP) model for uninsured women receiving free breast or cervical cancer screening through Illinois Breast and Cervical Cancer in County, Illinois.We used medical records review patient surveys of 477 to compare median follow-up times with external Chicago PNRP benchmarks performance. We examined extent which we mitigated community-defined timeliness risk factors delayed follow-up, a focus on Spanish-speaking...

Faith-based organizations (FBOs) have been successful in delivering health promotion programs for African Americans, though few studies conducted among Latinos. Even fewer focused on organizational change, which is required to sustain community-based initiatives. We hypothesized that FBOs serving Latinos would be more likely offer evidence-based strategies (EBS) cancer control after receiving a capacity enhancement intervention implement programs, and designed the CRUZA trial test this...

Abstract Background There are persistent disparities in maternal and infant perinatal outcomes experienced by Black birthing persons compared with non-Hispanic white (NHW) individuals the US. The differences arise from not only socioeconomic factors individual health behaviors but also structural racism. Recent research is beginning to elucidate benefits of patient navigation support underserved minoritized who experience this constellation barriers equitable care. Qualitative that utilizes...

Enhancing the participation of Chinese older women in biobanking efforts is important for precision medicine efforts, as underrepresented groups risk benefiting less than others from medical advancements individualized therapies. Focusing on a sample Chicago's Chinatown, this qualitative study seeks to describe attitudes toward, and barriers facilitators of, biospecimen research. We conducted six focus among Chinese-speaking adult age 45 above. Focus were transcribed, coded, analyzed...

The CRUZA randomized trial tested the efficacy of an organizational-level intervention to increase capacity Catholic faith-based organizations (FBOs) serving Latinos implement evidence-based strategies (EBS) for cancer control. Thirty-one parishes were enrolled. Twenty a "capacity enhancement" (CE) and 11 "standard dissemination" (SD) condition. Each received Program Implementation Manual Toolkit materials culturally adapted FBOs with Latino audiences five types EBS recommended by US...

Abstract Background Chinese Americans have lower breast and cervical cancer screening rates than the national average experience multiple barriers to care. Patient navigators improved follow-up for medically underserved populations, yet investigations of navigation programs their implementation among are limited. To address this gap, we used Consolidated Framework Implementation Research (CFIR) examine facilitators implementing Chicago-based Chinatown Navigation Program (CPNP) screening,...

Chicago's Chinatown is home to a sizeable community of first-generation Chinese American immigrants. This qualitative study seeks describe the attitudes toward, and barriers facilitators of, breast cancer screening among women in inform strategies for future interventions.We conducted six focus groups Chinese-speaking adult aged 45 older. Focus were transcribed, coded, analyzed emergent themes.Forty-seven participated groups; 10 (21%) had received diagnosis their lifetime, all participants...

The DuPage Patient Navigation Collaborative (DPNC) adapted and scaled the Research Program’s intervention model to navigate uninsured suburban County women with an abnormal breast or cervical cancer screening result. Recent findings reveal effectiveness of DPNC in addressing patient risk factors for delayed follow-up, but gaps remain as measures may not adequately capture navigator impact. Using semistructured interviews 19 providers (representing county health department, clinics, advocacy...

As health care reform continues within the United States, navigators may play increasingly diverse and vital roles across continuum. The growing interest in patient navigation programs for underserved populations calls detailed descriptions of intervention components to facilitate implementation dissemination efforts.In Chicago's Chinatown, Chinese immigrant women face language, cultural, access barriers obtaining breast cervical cancer screening follow-up. These spurred research partnership...

Objective Recent multi-site trials evaluating the efficacy of patient navigation programs have found only modest effects on reducing follow-up time among patients with abnormal breast and cervical cancer screening tests. However, navigators in these primarily been situated within a hospital or clinic. We sought to describe translation clinic-based communitynested explore how disseminating scaling models community settings can address complex barriers care.