Health Education & Behavior

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Register here to gain access to SAGE's 500+ Journals Online

Click here for more information on The Virtual Advisor

Sign In to gain access to subscriptions and/or personal tools.
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Messer, L.
Right arrow Articles by Dignan, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Messer, L.
Right arrow Articles by Dignan, M.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Health Education & Behavior, Vol. 26, No. 4, 547-562 (1999)
DOI: 10.1177/109019819902600411

Early Detection of Cervical Cancer among Native American Women: A Qualitative Supplement to a Quantitative Study

Lynne Messer, MPH

Department of Health Behavior and Health Education, School of Public Health, University of North Carolina at Chapel Hilllmesser{at}sph.unc.edu

Allan Steckler, DrPH

Department of Health Behavior and Health Education, School of Public Health, University of North Carolina at Chapel Hill

Mark Dignan, PhD

AMC Cancer Research Institute, Denver, Colorado

The North Carolina Native American Cervical Cancer Prevention Project was a 5-year (1989-1995) National Cancer Institute–funded, community-based, early detection of cervical cancer intervention implemented among two Native American tribes in North Carolina: the eastern band of the Cherokee Indians and the Lumbee. The initial quantitative analysis of the intervention showed modest effects and found that the intervention had different effects in the two communities. Due to the equivocal findings, a retrospective qualitative study was conducted. The qualitative study found that two types of factors influenced the intervention’s results. The first were project and intervention characteristics, and the second were community and cultural factors over which the project had no control. The community and cultural factors took two forms: enhancers, which contributed to greater intervention effect, and attenuators, which created barriers to success. Examples of each factor are presented, and implications for cervical cancer detection among Native American women are discussed.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 Health Educ BehavHome page
L. Ross, C. L. Kohler, D. M. Grimley, B. L. Green, and C. Anderson-Lewis
Toward a Model of Prostate Cancer Information Seeking: Identifying Salient Behavioral and Normative Beliefs Among African American Men
Health Educ Behav, June 1, 2007; 34(3): 422 - 440.
[Abstract] [PDF]

Home page
 Health Promot PractHome page
J. H. Williams, G. A. Belle, C. Houston, D. Haire-Joshu, and W. F. Auslander
Process Evaluation Methods of a Peer-Delivered Health Promotion Program for African American Women
Health Promot Pract, April 1, 2001; 2(2): 135 - 142.
[Abstract] [PDF]

Home page
 Med Care Res RevHome page
C. Brach and I. Fraserirector
Can Cultural Competency Reduce Racial and Ethnic Health Disparities? a Review and Conceptual Model
Med Care Res Rev, December 1, 2000; 57(4_suppl): 181 - 217.
[Abstract] [PDF]