Eliminating health disparities requires community i...( I females. A study of seven AAPI commun...),Health

I females. A study of seven AAPI communities conducted by Sonja Park Tajasiri, Dr.PH, MPH, and colleagues in Los Angeles and Orange Counties, Calif., found low levels of baseline breast and cervical cancer screening were due to high un-insurance rates, severe language barriers to accessing even publicly funded care facilities, strong cultural taboos against men and women jointly discussing female examinations, long waits at doctors offices and reliance on traditional remedies. Other screening barriers included lack of time off from work, lack of transportation, lack of child care and lack of female doctors. Because certain barriers are more pronounced than others among the seven different subpopulations of AAPI women, the researchers caution against using a one-size-fits-all approach.

Despite nationwide progress in reducing HIV/AIDS, Latinas have a six-fold higher case rate than non-Hispanic white women and are twice as likely than whites to die from AIDS by age 29. Hortensia Amaro and colleagues studied changes in Latinas HIV knowledge, attitudes and behaviors from baseline to 12 weeks, 3-month follow-up, and 15 months later in both control and intervention groups. While Latinas who attended the educational sessions in Boston showed gains in knowledge at the 3-month post-intervention session compared to controls, these changes were not evident at 15 months. The authors stressed the need for periodic booster sessions as well as engaging Latino males in prevention efforts and changing community norms regarding the acceptability of condom use.

To address the problem of lack of physical activity in minority children and rising rates of obesity, Randy Klebanoff, MSPH, MPH, and Naoko Muramatsu, Ph.D., developed a community-based physical education and activity program for African American pre-adolescent girls in Chicago. The authors attribute success of the Lively Ladies program to a sound theoretical basis, as well as participants ownership of the prog
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Contact: Vicki Varsalone
vvarsalone@sophe.org
202-408-9804
Center for the Advancement of Health
20-Mar-2002

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