摘要：We developed and evaluated a lay health worker curriculum intended to educate Hispanic farmworker women on cervical cancer, human papillomavirus (HPV), and the HPV vaccine. We pilot tested the curriculum in 2010 with 7 volunteer promotoras for readability, attractiveness, content, comprehension, cultural appropriateness, persuasion, structure and organization of lessons, balance between didactic and participatory activities, and ease of diffusion to community members. Peer-led cervical cancer prevention education is a practical option for low-income, Hispanic farmworker women in newer immigrant-receiving areas of the United States with fewer Spanish-speaking health professionals. Hispanics represent the largest racial/ethnic minority group in the United States. Cervical cancer is characterized by health disparities in incidence and mortality, disproportionately affecting Hispanic women compared with White women in the United States. 1 Hispanic women have the highest incidence rate of cervical cancer (11.5/100 000) of any ethnic group in the United States. 2 Efforts to improve cervical cancer prevention among Mexican immigrants, the largest Hispanic subgroup, will have a significant public health impact. 3 The aim of this study was to develop and evaluate a lay health worker ( promotora ) curriculum intended to educate Hispanic farmworker women on cervical cancer, human papillomavirus (HPV), and the HPV vaccine in rural southern Georgia. The curriculum comprised 2 learning modules that were designed and conceptualized by a multidisciplinary, bilingual team with expertise in cancer prevention and control, health communications and literacy, and design of lay health worker programs.
