Document Detail

Results of Mujeres Felices por ser Saludables: a dietary/breast health randomized clinical trial for Latino women.
MedLine Citation:
PMID:  15454356     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Data are limited on the efficacy of health-focused interventions for young, low-acculturated Latino women. Because breast cancer is the most commonly diagnosed cancer and the most common cause of cancer mortality in this population, combined interventions that address both early detection and dietary patterns could help reduce both morbidity and mortality associated with breast cancer in this underserved population. PURPOSE: Mujeres Felices por ser Saludables was randomized intervention study designed to assess the efficacy of an 8-month combined dietary and breast health intervention to reduce fat and increase fiber intake as well as to increase the frequency and proficiency of breast self-examination (BSE) and reduce anxiety related to BSE among Latinas. METHODS: Blocked randomization in blocks of 6 was used to randomize 256 20- to 40-year-old Latinas to the intervention (n = 127) or control group (n = 129). The intervention group attended an 8-month multicomponent education program designed specifically for low-acculturated Latinas. The control group received mailed health education material on a schedule comparable to the intervention. A total of 195 women (76.2%) completed both the baseline and 8-month follow-up interviews. RESULTS: The intervention and control groups were similar on baseline sociodemographic characteristics. At the 8-month follow up, the intervention group reported lower dietary fat (P < .001) and higher fiber intake (p = .06); a higher proportion reported practicing BSE at the recommended interval (p < .001) and showed improved BSE proficiency (p < .001) compared to the control group. BSE-related anxiety was low for both groups at baseline, and no difference in reduction was observed. CONCLUSIONS: This project provides a successful model for achieving dietary change and improving breast health behavior in young, low-acculturated Latinas.
Marian L Fitzgibbon; Susan M Gapstur; Sara J Knight
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Publication Detail:
Type:  Clinical Trial; Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Annals of behavioral medicine : a publication of the Society of Behavioral Medicine     Volume:  28     ISSN:  0883-6612     ISO Abbreviation:  Ann Behav Med     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-09-30     Completed Date:  2004-12-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8510246     Medline TA:  Ann Behav Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  95-104     Citation Subset:  IM    
Department of Psychiatry and Behavioral Sciences, Northwestern University Medical School, Chicago, IL 60611, USA.
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MeSH Terms
Breast Neoplasms / diagnosis*,  prevention & control*
Breast Self-Examination / utilization
Dietary Fiber*
Health Promotion*
Hispanic Americans*
Intervention Studies
Women's Health*

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