Cervical cancer is considered to be a major health problem for women in developing countries, but it is also problematic for more developed countries as global migration increases and health behaviors move from the countries of origin to new places of residence. We designed and produced a testimonial video and a fotonovela (printed short story) to educate women about cervical cancer and screening. The development of the materials included formative research, production, pretesting, dissemination, and evaluation. The evaluation included 100 women that completed a pretest and a posttest at eight health clinics in Medellin. The pretest and posttest were analyzed using McNemar's test for categorical variables and paired t test for continuous variables. Women in the study had a high initial Stage of Change as defined by the Transtheoretical Model and a high baseline knowledge of HPV and cervical cancer, with the caveat of specific knowledge deficiencies especially for HPV. While not statistically significant, postintervention Transtheoretical Model status in both interventions changed towards higher stages, specifically, from Precontemplation to Contemplation and Preparation. Women who participated in the study liked the educational materials and their knowledge increased, especially for HPV. However, the perception of risk did not change.
The emergence of recovery as an organizing construct for behavioral health public policy and the resulting push to increase the recovery orientation of addiction treatment have sparked renewed questions about the prevalence of substance use disorder (SUD) remission/recovery within the general population. The present study reports findings on recovery-related questions imbedded within a public health survey conducted in Philadelphia and four adjacent counties in Southeastern Pennsylvania. The results reveal an adult recovery prevalence rate (9.4%) comparable to rates found in national surveys, but key measures of physical, emotional, and social health of adults in recovery suggest the need for assertive, sustained, and community-based approaches to recovery management that transcend brief episodes of professional intervention.
Although addiction-recovery mutual-aid support groups have grown dramatically and now span secular, spiritual, and religious frameworks of recovery, most of what is known from the standpoint of science about these groups is based on the early participation of treated populations in Alcoholics Anonymous. Many questions remain about the effects of participation in other mutual-aid groups and different pathways and styles of recovery within and across diverse ethnic groups. This article reviews existing data on ethnic group participation in recovery mutual-aid groups, summarizes the history of culturally indigenous recovery movements within Native American and African American communities in the United States, and describes strategies aimed at increasing recovery prevalence and the quality of life in recovery for persons of color in Philadelphia, PA.
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