Briant Katherine Josa, Espinoza Noah, Galvan Avigail, Carosso Elizabeth, Marchello Nathan, Linde Sandra, Copeland Wade, Thompson Beti
Cancer Prevention Program, Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue North, M3-B232, Seattle, WA, 98109, USA,
J Cancer Educ. 2015 Jun;30(2):237-43. doi: 10.1007/s13187-014-0702-2.
Hispanics are an underserved population in terms of colorectal cancer (CRC). CRC is the second leading cause of cancer incidence among Hispanic men and women, and Hispanics have lower screening rates than non-Hispanic whites. The overall purpose of this project was to provide CRC information, education, and fecal occult blood test (FOBT) kits to Hispanics in a rural three-county region of Washington State. We held a series of 47 community health fair events that incorporated the use of a giant inflatable, walk-through colon model with physical depictions of healthy tissue, polyps, and CRC. We used a pre/post-design to look for changes in familiarity with CRC before and after walking through the colon among adults aged 18 and older (n = 947). McNemar's test analysis indicated significant differences in the distribution of the percentage of correct participant responses to CRC-related questions from pre- to post-test after an educational tour of the colon. Results from logistic regression analysis identified multiple participant characteristics associated with self-reported likelihood of being screened for CRC in 3 months following post-test. We distributed 300 free FOBT kits to be analyzed at no charge to the end user and to attendees aged 50 and older who toured the inflatable colon; 226 FOBT kits (75.3%) were returned for analysis. The use of the inflatable colon was an innovative way to attract people to learn about CRC and CRC screening modalities. Furthermore, the response to our distribution of FOBT kits indicates that if given the opportunity for education and access to services, this underserved population will comply with CRC screening.
就结直肠癌（CRC）而言，西班牙裔是未得到充分服务的人群。结直肠癌是西班牙裔男性和女性中癌症发病率的第二大主要原因，且西班牙裔的筛查率低于非西班牙裔白人。本项目的总体目的是向华盛顿州一个农村三县地区的西班牙裔提供结直肠癌信息、教育以及粪便潜血试验（FOBT）试剂盒。我们举办了一系列47场社区健康博览会活动，活动中使用了一个巨大的可充气、可穿行的结肠模型，该模型对健康组织、息肉和结直肠癌进行了实体展示。我们采用前后设计，以观察18岁及以上成年人（n = 947）在穿行结肠前后对结直肠癌熟悉程度的变化。McNemar检验分析表明，在结肠教育参观后，参与者对结直肠癌相关问题的正确回答百分比分布在测试前和测试后存在显著差异。逻辑回归分析结果确定了与测试后3个月内自我报告的结直肠癌筛查可能性相关的多个参与者特征。我们分发了300份免费的粪便潜血试验试剂盒，供最终用户以及参观可充气结肠的50岁及以上参与者免费进行分析；226份粪便潜血试验试剂盒（75.3%）被返还用于分析。使用可充气结肠是吸引人们了解结直肠癌和结直肠癌筛查方式的一种创新方法。此外，对我们分发粪便潜血试验试剂盒的反馈表明，如果有接受教育和获得服务的机会，这个未得到充分服务的人群会遵守结直肠癌筛查要求。
