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Enhancing Cultural and Linguistic Competence in Community-based Research

Learn about the value of cultural and linguistic competence in community-based research through a field example presented by Graciela Jaschek. Discover the importance of involving the community, bilingual and bicultural staff, and culturally sensitive data interpretation. Find recommendations for achieving cultural and linguistic competence in research.

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Enhancing Cultural and Linguistic Competence in Community-based Research

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  1. “The Value of Cultural and Linguistic Competence in Community Based Participatory Research: A Field Example” Presented by: Graciela Jaschek, Data Projects Coordinator Montgomery County Department of Health and Human Services http://lhiinfo.org/

  2. BACKGROUND INFORMATION • The 2002 and 2004 Maryland Cancer Survey (MCS) were population-based telephone surveys, conducted in English • Under- representation of Latinos in the 2002 and 2004 MCS • Lack of information on cancer risk factors and screening behaviors for Latinos

  3. MONTGOMERY COUNTY LATINO CANCER SURVEY • A collaboration between the Latino Health Initiative and the University of Maryland • A total of 503 individuals surveyed, ages 40 and older • Limited to those who considered themselves Hispanic/Latino • From 3 different areas of the County representing different economic strata • Areas with at least 20%* of households reporting a Hispanic householder * Census 2000 http://www.fha.state.md.us/cancer/pdf/MCLCS_2005.pdf

  4. SELECTED FINDINGSDemographic Profile 32% 19% 17% 12% 11% 8% 67% 20% 16%

  5. SELECTED FINDINGSDemographic Profile

  6. SELECTED FINDINGSDemographic Profile 33% 67%

  7. SELECTED FINDINGSDemographic Profile 36% 20% 16% 10% 8% 7% 3%

  8. SELECTED FINDINGS Access to Health Care • 58% respondents had no health insurance Comparisons with Healthy People 2010 Targets • The sample has not reachedtarget objectives for the following screening measures: • CRC screening with either FOBT (23%) or lower GI endoscopy (33%) • Mammography for breast cancer screening in the last 2 years (56%) • Pap testing for cervical cancer screening in the last 3 years (84%) • Oral cancer screening in the past year (7%)

  9. LESSONS LEARNED Involve the community in all aspects of the research process • In a successful collaboration like ours, researchers and community partners enhance their capacity and learn • Principal Investigator or other key research staff should be bilingual and bicultural • Survey tools need to be developed in a culturally and linguistically competent manner • Recruit and train bilingual and bicultural interviewers • Consult the community to increase the accuracy and culturally sensitive interpretation of data • Engage the community for more effective dissemination of information to impact public health and policy

  10. RECOMMENDATIONS To achieve cultural and linguistic competence Collect, analyze and report data Enhance the organizational capacity Develop policies and institutionalize them Increase community participation in decision making

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