Minority Health and Health Equity Archive
Permanent URI for this collectionhttp://hdl.handle.net/1903/21769
Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.
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Item FACTORS ASSOCIATED WITH ADHERENCE TO RECOMMENDATIONS FOR SCREENING MAMMOGRAPHY AMONG AMERICAN INDIAN WOMEN IN COLORADO(2006) Wampler, Nina S.; Saba, Laura; Rahman, Saleh M. M.; Dignan, Mark; Voeks, Jenifer H.; Strzelczyk, Jadwiga (Jodi)Item Does utilization of screening mammography explain racial and ethnic differences in breast cancer?(2006) Smith-Bindman, Rebecca; Miglioretti, Diana L; Lurie, Nicole; Abraham, Linn; Barbash, Rachel Ballard; Strzelczyk, Jodi; Dignan, Mark; Barlow, William E; Beasley, Cherry M; Kerlikowske, KarlaAfrican-American women are less likely to receive adequate mammographic screening than white women, which may explain the higher prevalence of advanced breast tumors among African-American women. Tumor characteristics may also contribute to differences in cancer outcomes because African-American women have higher-grade tumors than white women regardless of screening. These results suggest that adherence to recommended mammography screening intervals may reduce breast cancer mortality rates.Item Developing Community Capacity and Improving Health in African American Communities(2001) Raczynski, James M; Cornell, Carol E; Stalker, Varena; Phillips, Martha; Dignan, Mark; Pulley, Leavonne; Leviton, LauraCommunity-based programs have produced mixed results. Community capacity is thought to be a major determinant of program effectiveness. Thus, enhancing community capacity may increase the beneficial effects of existing programs and enhance future program effectiveness. This highlights the need to focus on understanding the components of capacity and the methods of enhancing capacity. Although we are just beginning to examine and understand key concepts, community capacity is probably influenced by both relatively nonmodifiable characteristics (such as demographic factors, institutional resources, and social structures) and relatively modifiable characteristics (such as knowledge, skills, and the ability and willingness of members and agencies to work collaboratively). In their relationships with community members and agencies, academicians and public health practitioners may help acquire categorical funding to enhance opportunities to build community capacity and their own capacity as well. The relationship between academicians/practitioners and community members/agencies probably is influenced by a host of characteristics which determine the degree to which capacity can be built. This paper discusses: the key components of capacity; the factors that influence building capacity through collaborations; a community health advisor (CHA) model which both builds on sociocultural aspects of African American culture and is consistent with methods for building community capacity; and how modifications to this model allow it to be compatible with categorically funded projects.