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Related Experiment Videos

From ethnography to intervention: developing a breast cancer control program for Latinas

F A Hubbell1, L R Chavez, S I Mishra

  • 1Department of Medicine, University of California, Irvine, USA.

Journal of the National Cancer Institute. Monographs
|January 1, 1995
PubMed
Summary

Latinas exhibit distinct beliefs and attitudes regarding breast cancer risk factors and screening compared to Anglo women. This study informed a culturally sensitive intervention to improve breast cancer control among Latinas.

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Area of Science:

  • Public Health
  • Health Disparities
  • Cancer Control Research

Background:

  • Latinas are less likely to undergo appropriate breast cancer screening than Anglo women.
  • Culturally based beliefs and socioeconomic factors contribute to screening disparities.
  • Understanding these differences is crucial for developing effective interventions.

Purpose of the Study:

  • To explore breast cancer knowledge, attitudes, and behaviors among Latinas, Anglo women, and physicians.
  • To test the generalizability of ethnographic findings through a telephone survey.
  • To design a culturally sensitive breast cancer control intervention.

Main Methods:

  • Ethnographic interviews with diverse groups including Salvadoran immigrants, Mexican immigrants, Chicanas, Anglo women, and physicians.

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  • A telephone survey of 1225 randomly selected women to confirm belief differences.
  • Intervention design informed by Bandura's self-efficacy theory and Freire's empowerment pedagogy.

    • Main Results:

    • Latinas held significantly different beliefs about breast cancer risk factors, including a greater emphasis on trauma.
    • Fatalistic attitudes towards breast cancer were more prevalent among Latinas.
    • A telephone survey confirmed substantial differences in beliefs between Latinas and Anglo women.

    Conclusions:

    • Significant disparities in breast cancer beliefs and attitudes exist between Latinas and Anglo women.
    • Culturally sensitive interventions are necessary to address these disparities.
    • Findings have implications for future cancer control research and practice.