NSW Public Health Officer Training Program, NSW Ministry of Health, NSW 2060, Australia.
Cultural and Indigenous Research Centre Australia, NSW 2040, Australia.
Health Promot J Austr. 2014 Apr;25(1):46-51. doi: 10.1071/HE13095.
Knowledge, attitudes and beliefs about lung cancer among Chinese, Vietnamese and Arabic-speaking communities in Sydney, New South Wales (NSW) are explored.
Seven focus groups were completed with a total of 51 participants (smokers and non-smokers) from three culturally and linguistically diverse communities (CALD). Five topics were discussed and translated summaries from focus groups were thematically analysed.
There were variations in perceived susceptibility to lung cancer between the CALD groups and between smokers and non-smokers. Fatalistic views towards lung cancer were apparent across all three CALD communities. There were low levels of awareness of lung cancer signs and symptoms, with the exception of haemoptysis. Differences in help-seeking behaviour and levels of trust of general practitioners (GP) were apparent.
Limited awareness of the signs and symptoms of lung cancer, combined with cultural perceptions about cancer, impacted on attitudes towards help-seeking behaviour in these three CALD communities. So what? The prevalence of smoking among Chinese men, Vietnamese men and Arabic-speaking communities in NSW puts them at increased risk of lung cancer. Health promotion initiatives for lung cancer should be tailored for CALD communities and could focus on increasing knowledge of key symptoms, awareness that ex-smokers are at risk and awareness of the diagnostic pathway including the importance of avoiding delays in help-seeking.
本研究旨在探讨悉尼新南威尔士州（NSW）的华人、越南人和阿拉伯语社区对肺癌的知识、态度和信念。
在三个文化和语言多样化的社区（CALD）中，共完成了 7 个焦点小组，共有 51 名参与者（吸烟者和不吸烟者）参加。讨论了 5 个主题，并对焦点小组的翻译摘要进行了主题分析。
在三个 CALD 群体以及吸烟者和不吸烟者之间，对肺癌易感性的看法存在差异。所有三个 CALD 社区都明显存在对肺癌的宿命论观点。对肺癌的症状和体征的认识水平较低，除咯血外。在寻求帮助的行为和对全科医生（GP）的信任程度方面存在差异。
对肺癌的症状和体征的认识有限，加上对癌症的文化观念，影响了这三个 CALD 社区的寻求帮助行为的态度。那又怎样？新南威尔士州的中国男性、越南男性和阿拉伯语社区的吸烟率较高，使他们面临更高的肺癌风险。针对 CALD 社区的肺癌健康促进计划应该量身定制，可以重点提高对关键症状的认识，认识到戒烟者也有风险，并提高对诊断途径的认识，包括避免寻求帮助时的延误的重要性。
