Teufel-Shone Nicolette I, Cordova-Marks Felina, Susanyatame Gloria, Teufel-Shone Louis, Irwin Sandra L
Family and Child Health, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, 85724, USA,
J Community Health. 2015 Oct;40(5):891-8. doi: 10.1007/s10900-015-0009-1.
Cancer incidence among American Indians (AIs) is low, yet their 5-year relative survival rate is the second lowest of all U.S. populations. Culturally relevant cancer prevention education is key to achieve health equity. This collaborative project of the Hualapai Tribe and University of Arizona modified the National Cancer Institute's 2003 Health Information National Trends Survey (HINTS) to yield a more culturally relevant cancer information survey to document the health seeking behaviors and perceptions of cancer risks and preventability of AI adults residing in the Hualapai Indian community. A team of health care providers, educators and cancer survivors (six native and three non-natives) completed the adaptation. Four trained native surveyors administered the survey using a random household survey design. The Hualapai HINTS was well accepted (<5% refusal rate) and was completed by 205 adults (20.5% of all adult residents). Respondents reported a preference for and a trust in verbal cancer information and communication with health care professionals (77.1% preference; 57.4% trust) and at workshops (75.2% preference; 45.5% trust). Respondents were aware of some health behaviors associated with a reduced cancer risk, e.g., avoid tobacco use and need for screening. Respondents were less well informed about the role of diet and exercise. These findings were used to inform local cancer prevention education efforts and to develop a series of monthly workshops that engaged local health professionals to reinforce and discuss pathways of the primary role of lifestyle related factors, specifically diet and exercise in reducing cancer risk.
美国印第安人（AI）的癌症发病率较低，但其5年相对生存率在美国所有人群中位列倒数第二。开展与文化相关的癌症预防教育是实现健康公平的关键。华拉派部落与亚利桑那大学的这个合作项目对美国国立癌症研究所2003年的健康信息国家趋势调查（HINTS）进行了修改，以生成一个更具文化相关性的癌症信息调查，记录居住在华拉派印第安社区的AI成年人的健康寻求行为、对癌症风险及可预防性的认知。一个由医疗保健提供者、教育工作者和癌症幸存者组成的团队（六名原住民和三名非原住民）完成了改编工作。四名经过培训的原住民调查员采用随机家庭调查设计进行调查。华拉派HINTS得到了广泛接受（拒绝率<5%），共有205名成年人完成了调查（占所有成年居民的20.5%）。受访者表示更喜欢通过口头方式获取癌症信息，并更信任与医疗保健专业人员的沟通（77.1%表示更喜欢；57.4%表示信任）以及在研讨会上获取信息（75.2%表示更喜欢；45.5%表示信任）。受访者知晓一些与降低癌症风险相关的健康行为，例如避免吸烟和需要进行筛查。受访者对饮食和运动的作用了解较少。这些研究结果被用于为当地的癌症预防教育工作提供信息，并开展了一系列月度研讨会，邀请当地卫生专业人员参与，以强化和讨论生活方式相关因素（特别是饮食和运动）在降低癌症风险方面的主要作用途径。
