Estapé Tania, Estapé Jordi, Grau Juan J, Ferrer Conxita
FEFOC, Barcelona, Spain.
Psychooncology. 2003 Mar;12(2):194-7. doi: 10.1002/pon.706.
Access to information on cancer prevention and treatment is often difficult for ethnic or low socio-economic groups. This study aimed to ascertain level of knowledge about cancer, and breast cancer in particular, in Spanish women from low socio-economic groups participating in literacy schemes. A study specific questionnaire was administered to 541 women All participants were married with a median of 2 children, and a total family income of less than 10,000 euros per year. The main themes covered: understanding of and access to screening, knowledge about cancer risk, diagnosis and prognosis. The majority of these women (66%) feel they have no control over getting cancer and 26% report that it can be caught from others. Most believe that a mammogram is the best method of diagnosis (87%) but a minority (14%) agree with the statement that breast cancer can be caused by breast feeding. In general, younger women are better informed and more optimistic about prognosis. In Spain there are problems in disseminating information about cancer to lower social-economic groups. These results confirm that more cancer education needs to be directed to low income and socially deprived groups.
对于少数族裔或社会经济地位较低的群体而言，获取癌症预防与治疗方面的信息往往困难重重。本研究旨在确定参与扫盲计划的西班牙低收入群体女性对癌症，尤其是乳腺癌的认知水平。对541名女性进行了一项专门的研究问卷调查。所有参与者均已婚，子女数量中位数为2个，家庭年收入总计低于10,000欧元。主要涵盖的主题包括：对筛查的理解与接受程度、癌症风险知识、诊断和预后。这些女性中的大多数（66%）觉得自己无法控制患癌风险，26%的人表示癌症可能会从他人那里传染。大多数人认为乳房X光检查是最佳诊断方法（87%），但少数人（14%）认同乳腺癌可能由母乳喂养引起这一说法。总体而言，年轻女性了解的信息更多，对预后也更为乐观。在西班牙，向社会经济地位较低的群体传播癌症信息存在问题。这些结果证实，需要针对低收入和社会弱势群体开展更多的癌症教育。
