Shokar Navkiran K, Byrd Theresa, Lairson David R, Salaiz Rebekah, Kim Junghyun, Calderon-Mora Jessica, Nguyen Norma, Ortiz Melchor
Texas Tech University Health Sciences Center, El Paso, TX, USA
Texas Tech University Health Sciences Center, El Paso, TX, USA.
Health Promot Pract. 2015 Sep;16(5):656-66. doi: 10.1177/1524839915587265. Epub 2015 May 16.
Colorectal cancer is the second leading cause of cancer-related death in the United States. Despite universal screening recommendations, screening rates in the United States remain suboptimal, especially among the poor, the uninsured, recent immigrants, and Hispanics. This article describes the development of a large community-based colorectal cancer screening program designed to address these disparities.
The Against Colorectal Cancer in our Neighborhoods program is a bilingual, evidence-based, theory-guided, multicomponent community screening intervention, targeting the uninsured and developed using a systematic planning process. It combines community health worker-led outreach, bilingual and culturally tailored community education, and no-cost screening with provision of the fecal immunochemical test or colonoscopy and navigation services. A detailed process and outcome evaluation is planned. Program development cost calculated prospectively (in 2011 dollars) using a societal perspective and micro-costing methods was $243,278, of which $180,344 was direct cost.
The detailed description of the development processes and costs of this health promotion program targeting low-income Hispanics will inform health program decision makers about the resource requirements for planning and developing new programs to reduce disease burden in communities.
在美国，结直肠癌是癌症相关死亡的第二大主要原因。尽管有普遍的筛查建议，但美国的筛查率仍不理想，尤其是在贫困人口、未参保人群、新移民和西班牙裔人群中。本文描述了一个旨在解决这些差异的大型社区结直肠癌筛查项目的开展情况。
“邻里对抗结直肠癌”项目是一项双语、循证、理论指导的多成分社区筛查干预措施，针对未参保人群，采用系统规划流程制定。它结合了由社区卫生工作者主导的外展服务、双语且符合文化特点的社区教育，以及提供粪便免疫化学检测或结肠镜检查和导航服务的免费筛查。计划进行详细的过程和结果评估。从社会角度和微观成本核算方法前瞻性计算（以2011年美元计）的项目开发成本为243,278美元，其中180,344美元为直接成本。
针对低收入西班牙裔人群的这一健康促进项目开发过程和成本的详细描述，将使健康项目决策者了解规划和开发新项目以减轻社区疾病负担所需的资源。
