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Breast Cancer and the Environment: Reaching Multicultural Communities; Advocates Mentoring Advocates

机译:乳腺癌与环境:进入多元文化社区;提倡者指导提倡者

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Addressing the unequal burden of environmental risks to health in communities of color is an important goal of environmental health scientists and advocates. The Breast Cancer and the Environment Research Program (BCERP) is a long term initiative studying how early life exposures to endocrine disrupting chemicals may increase a woman's risk for breast cancer. Breast cancer mortality rates among African American women are higher than Caucasian women; there are higher rates of diagnosis among women atyounger ages. Lower incomes and low health literacy in many African American communities represent challenges to reach women with information about breast cancer and the environment that they can act upon. This article describes a peer led breast cancerand the environment training program with and for African American women in New York City designed by BCERP investigators and their community partners. The program used the expertise of "seasoned" breast cancer advocates/mentors to help women from the Witness Project of Harlem, a faith-based breast and cervical cancer education program, develop and deliver messages on breast cancer and the environment to their communities. The program emphasized environmental exposures in the home—personal care products, household cleaning products, plastics, and pesticides. Learning about safer, affordable alternatives to reduce exposure was an important focus. Twelve women from the Witness Project of Harlem were trained. Based on that foundation, community presentations, tailored to the cultural styles, language, and education of women in Harlem and other New York City communities, were delivered. Results demonstrate interest in environmental health and significant increases in knowledge.
机译:解决有色社区对健康造成的环境风险的不平等负担是环境健康科学家和倡导者的重要目标。乳腺癌与环境研究计划(BCERP)是一项长期计划,旨在研究生命早期接触内分泌干扰化学物质如何增加女性罹患乳腺癌的风险。非裔美国人妇女的乳腺癌死亡率高于白人妇女;年轻女性的诊断率更高。在许多非裔美国人社区中,较低的收入和较低的健康素养是向妇女提供有关乳腺癌及其可以采取的行动环境的信息的挑战。本文介绍了由BCERP调查人员及其社区合作伙伴设计的针对纽约市非裔美国女性的同伴导致的乳腺癌和环境培训计划。该计划利用“经验丰富”的乳腺癌倡导者/导师的专业知识,帮助哈林见证人计划的妇女(基于信仰的乳腺癌和宫颈癌教育计划)发展并向其社区传达有关乳腺癌和环境的信息。该计划强调家庭中的环境暴露-个人护理产品,家用清洁产品,塑料和杀虫剂。了解更安全,负担得起的替代品以减少接触是一个重要的重点。哈林见证人计划的十二名妇女接受了培训。在此基础上,针对哈林区和其他纽约市社区的妇女的文化风格,语言和教育程度进行了社区介绍。结果显示出对环境健康的兴趣和知识的显着增加。

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