Adelaide Tambo School of Nursing Science, Tshwane University of Technology, Pretoria, South Africa.
Eur J Cancer Care (Engl). 2013 Jan;22(1):107-16. doi: 10.1111/ecc.12005. Epub 2012 Sep 12.
In South Africa, cervical cancer is the most common female cancer followed by breast cancer. Despite the high incidence of these cancers, population-based screening is limited to cervical screening available at primary health clinics. Cervical screening uptake is, however, low. In 2009 a new cancer prevention initiative was launched in a specific resource poor community in Tshwane, South Africa. The low cervical screening uptake as well as a potentially low breast screening uptake could have resulted in the failure of this initiative. The purpose of the study was to develop and pilot test an intervention to address this risk. A Community Health Worker was trained and tasked to raise awareness of cervical and breast cancer and motivate women to take up screening. The intervention was assessed in terms of three outcomes: screening uptake, awareness and the value of the Community Health Worker. Despite the fact that the Community Health Worker's role was valued, screening uptake was disappointing and the level of awareness remained low. Unfortunately this intervention failed and once again we are left with the challenge of improving screening uptake.
在南非，宫颈癌是最常见的女性癌症，其次是乳腺癌。尽管这些癌症的发病率很高，但基于人群的筛查仅限于初级保健诊所提供的宫颈癌筛查。然而，宫颈癌筛查的参与率很低。2009 年，南非茨瓦内的一个特定资源匮乏社区发起了一项新的癌症预防计划。由于宫颈癌筛查参与率低，以及乳腺癌筛查参与率可能较低，该计划可能已经失败。该研究的目的是制定并试点测试一项干预措施来应对这一风险。培训了一名社区卫生工作者，负责提高对宫颈癌和乳腺癌的认识，并激励妇女进行筛查。该干预措施从三个方面进行了评估：筛查参与率、意识和社区卫生工作者的价值。尽管社区卫生工作者的角色受到重视，但筛查参与率令人失望，意识水平仍然很低。不幸的是，该干预措施失败了，我们再次面临提高筛查参与率的挑战。
