Cancer Epidemiology Unit, Cancer Research UK Primary Care Education Research Group, University of Oxford, Roosevelt Drive, Oxford, UK.
Br J Cancer. 2009 Dec 3;101 Suppl 2(Suppl 2):S31-9. doi: 10.1038/sj.bjc.6605388.
Low cancer awareness contributes to delay in presentation for cancer symptoms and may lead to delay in cancer diagnosis. The aim of this study was to review the evidence for the effectiveness of interventions to raise cancer awareness and promote early presentation in cancer to inform policy and future research.
We searched bibliographic databases and reference lists for randomised controlled trials of interventions delivered to individuals, and controlled or uncontrolled studies of interventions delivered to communities.
We found some evidence that interventions delivered to individuals modestly increase cancer awareness in the short term and insufficient evidence that they promote early presentation. We found limited evidence that public education campaigns reduce stage at presentation of breast cancer, malignant melanoma and retinoblastoma.
Interventions delivered to individuals may increase cancer awareness. Interventions delivered to communities may promote cancer awareness and early presentation, although the evidence is limited.
癌症意识低下导致癌症症状出现时的就诊延迟，并可能导致癌症诊断延迟。本研究旨在综述提高癌症意识和促进癌症患者早诊早治的干预措施的有效性证据，以为政策和未来研究提供信息。
我们检索了针对个人的干预措施的随机对照试验和针对社区的干预措施的对照或非对照研究的文献数据库和参考文献列表。
我们发现一些证据表明，针对个人的干预措施在短期内适度提高了癌症意识，但没有足够的证据表明它们促进了早期就诊。我们发现有限的证据表明，公众教育活动降低了乳腺癌、恶性黑色素瘤和视网膜母细胞瘤的就诊分期。
针对个人的干预措施可能会提高癌症意识。针对社区的干预措施可能会提高癌症意识和促进早期就诊，但证据有限。
