Cervical Malignancy: Differences and Models of Ventures Toward an Answer.


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Cervical Cancer. The human papillomavirus (HPV) has been recognized as the essential variable identified with improvement of cervical cancerHPV can spread through skin contact amid sexual exercises. . Cervical Cancer. More than 100 sorts of HPV15 sorts are high riskHPV antibody GardasilTypes 16 and 18(high-hazard; oncogenic)Types 6 and 11(low-hazard; genital warts).
Transcripts
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Cervical Cancer: Disparities and Models of Steps Toward a Solution South Carolina Cancer Alliance Presentation May 11, 2007 Marvella E. Passage, PhD Associate Director for Cancer Disparities Associate Professor Medical University of South Carolina Hollings Cancer Center

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Cervical Cancer The human papillomavirus (HPV) has been distinguished as the essential variable identified with improvement of cervical growth HPV can spread through skin contact amid sexual exercises

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Cervical Cancer Over 100 sorts of HPV 15 sorts are high hazard HPV immunization Gardasil Types 16 and 18 (high-hazard; oncogenic) Types 6 and 11 (low-hazard; genital warts)

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Cervical Cancer Some HPV sorts (16 and 18) cause anomalous cells to create on the coating of the cervix that can form into tumor Some HPV sorts (6 and 11) cause genital warts Typically uneven, raised armies with a cauliflower shape

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Cervical Cancer HPV can stay in the body for 9-12 months with no safe framework reaction HPV is the essential element in the advancement of cervical disease The infection exploits when the body "concentrates" on something else Immunosuppression: Pregnancy, HIV, interminable comorbidities, and so on. Brandt et al. (2006) Cervical tumor variations in South Carolina: An overhaul of early recognition, uncommon projects, spellbinding the study of disease transmission, and developing bearings. The Journal of the South Carolina Medical Association, 102:223-230.

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Cervical Cancer Primary danger components for contracting HPV Ethnicity - African Americans are at higher danger than Caucasians Sex or sexual action (more accomplices = more serious danger) Starting sexual movement at an early age

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Cervical Cancer Primary danger variable for improvement of cervical tumor Failure to get/rare Pap tests HPV contamination Cigarette smoking – represents roughly 1/3 of all instances of cervical growth

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15.1 9.4 6.3 2.5 http://scangis.dhec.sc.gov/filter/

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Cervical Cancer in South Carolina The occurrence of cervical disease in SC is 24% higher than in whatever is left of the US South Carolina positions 9 th in the country for cervical malignancy death rates SCCA 2006 Report Card

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Cervical Cancer Screening: Pap Tests Pap Tests All ladies ought to start screening 3 years after sexual action or by 21 years old Annual screening is directed by smear-technique Pap test OR at regular intervals by fluid based strategy Women > 70 years with three or more typical Pap tests consecutively can quit having screenings

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Cervical Cancer Screening: Pap Tests BRFSS Survey Results for 2006 Have you ever had a Pap test? http://www.scdhec.gov/hs/epidata/brfss_index.htm

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Cervical Cancer Screening Models Two case of methodologies intended to reach underserved ladies with cervical tumor screening The Deep South Network for Cancer Control, concentrating on African Americans (Lisovicz et al. 2006) Cervical Cancer Screening Program for Latinas: Project SAFe (Ell et al. 2002)

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The Deep South Network Project Geographic area Mississippi Alabama

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The Deep South Network Project Includes A Community Health Advisor (CHA) model A strengthening hypothesis created by Paulo Freire Coalition-building methodologies to create organizations inside groups and on a statewide level

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The Deep South Network Project Incorporates three models Community Health Advisors Coalition-Building Strategies Empowerment Eng, E. 1995; Eng, E. et al. 1994; Hinton, A. et al. 1992; Hinton, A. et al. 2005; Freire, P. 1970; Freire, P. 1983; Butterfoss, F.D. et al. 1993

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The Deep South Network Project Methods CHAs get 8 weeks of preparing (2 hours for every week) in bosom and cervical growth mindfulness data After preparing, CHAs take an interest in month to month upkeep gatherings CHAs figure out which tumor mindfulness strategies are most appropriate for their groups

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The Deep South Network Project Evaluation Methods 20-thing pre/posttest Talking Circles

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The Deep South Network Project Results Participants 883 CHA volunteers were prepared 857 (97%) - African American 830 (94%) - female 342 (38.7%) - from the rustic Mississippi Delta 113 (12.8%) - from the recognized urban ranges in Mississippi 307 (34.8%) - from the Alabama Black Belt 121 (13.7%) - from the distinguished urban zones of Alabama

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The Deep South Network Project Results CHAs took part in 740 preparing occasions more than four years (2001-2004) Church occasions Health fairs Health presentations Parades Relay forever (ACS) Other malignancy mindfulness exercises

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The Deep South Network Project Results In both Mississippi and Alabama, there was a critical positive distinction in pre/posttest scores for huge numbers of the test things

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The Deep South Network Project Results The Deep South Network gave the data asked for by the CHAs Community presentations by system staff Radio and TV open serve declarations Radio and TV syndicated program appearances Brochures and other printed materials Breast models Talking focuses about disease and growth attention to help the CHAs in their group disease mindfulness exercises

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The Deep South Network Project Results Coalition-building accomplices The Deep South Network ACS The Department of Agriculture Cooperative Extension Services Information and Quality Healthcare and the Alabama Quality Assurance Foundation Medicare quality certification associations State Departments of Public Health National Black Church Family Council Vision Ministries

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The Deep South Network Project Results Coalition-building exercises Cancer mindfulness strolls Town lobby gatherings Fashion indicates Small workshops with disease specialists

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The Deep South Network Project Results Increased cervical disease screening rates Investigators report a 23% expansion in cervical malignancy screening through pap smear over the study time frame

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The Deep South Network Project Lessons Learned The need to gather group level pattern assessment information The significance of watchful determination, preparing, and backing of staff The significance of incessant correspondence with volunteers The estimation of regular gatherings to fabricate brotherhood among volunteers and staff

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The Deep South Network Project Remaining Barriers Inadequate subsidizing Transportation boundaries Public misguided judgments and fears about growth and disease clinical trials Limited effort Too couple of suppliers for screening and treatment Lisovicz, N., et al. (2006) The Deep South Network for Cancer Control: Building a Community Infrastructure to Reduce Cancer Health Disparities. Disease . 107(8): 1971-1979.

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Cervical Cancer Screening Program for Latinas: Project SAFe Project SAFe: Abnormal cervical screen line up among Latinas with low pay Rationale: Cervical growth frequency and death rates are higher among ladies with low salary than in the overall public Ell, K., et al. (2002) Abnormal cervical screen follow-up among low-pay Latinas: Project SAFe. Diary of ladies\' wellbeing & sexual orientation based pharmaceutical . 11(7):639-651.

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Cervical Cancer Screening Program for Latinas: Project SAFe Design Pilot study Observational outline Structured case administration system to intercede in light of individual and frameworks hindrances to mind

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Cervical Cancer Screening Program for Latinas: Project SAFe Sample 196 transcendently Latina ladies in Los Angeles, CA Low pay Had either a second rate or high-review squamous intraepithelial sore (LGSIL or HGSIL) anomalous Pap result

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Cervical Cancer Screening Program for Latinas: Project SAFe Methods SAFe materials were directed in Spanish with monolingual Spanish-talking ladies Intervention Baseline 30-minute phone call Appointment update and follow-up calls 6-month and 1-year calls to give a fortifying instructive message about the estimation of development and re-screening

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Cervical Cancer Screening Program for Latinas: Project SAFe Results 196/565 qualified ladies were enlisted between December 1998 and October 2000 81 (41%) had LGSIL 115 (59%) had HGSIL

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Cervical Cancer Screening Program for Latinas: Project SAFe Results The greater part (86%) were Latina Most were youthful (129 (66%) were < 40 years) 114 (58%) reported great or superb wellbeing status 75 (38%) reported moderate or high confinements in useful status 94 (48%) reported having one or more wellbeing issues

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Cervical Cancer Screening Program for Latinas: Project SAFe Results One year post-enlistment: 83% of ladies with LGSIL were follower 41% were completely disciple 42% were somewhat follower 93% of ladies with HGSIL were disciple 61% were completely follower 32% were halfway follower In an examination gathering of 369 non-enrollees: 58% of ladies with LGSIL were disciple 67% of ladies with HGSIL were follower

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Presentation Summary Suggestions for Cervical Cancer Screening Promotion Use socially equipped effort methodologies Include people group individuals in effort Ask for group inclinations in effort exercises

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Summary Suggestions for Cervical Cancer Screening Promotion Include men in cervical tumor mindfulness exercises Educate the group on the reason for cervical disease screening and the HPV antibody Clear the pressure of sexual shame

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Summary Suggestions for Cervical Cancer Screening Promotion Identify obstructions to care Seek all the more subsidizing open doors Employ wellbeing supporters to explore ladies through the medicinal services framework

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Cervical Cancer Screening Programs in SC SCDHEC Family Planning Services http://www.scdhec.gov/wellbeing/mch/wcs/fp/index.htm South Carolina Breast and Cervical Cancer Early Detection Program: Best Chance Network http://www.cancer.org South Carolina Medicaid Breast and Cervical Cancer Program http://www.dhhs.stat

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