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评估基于社区的癌症防治宣传巡回活动对认知、态度和行为的影响。

Evaluating the impact of a community-based cancer awareness roadshow on awareness, attitudes and behaviors.

作者信息

Smith Samuel G, Osborne Kirstie, Tring Sophie, George Helen, Power Emily

机构信息

Centre for Cancer Prevention, Wolfson Institute of Preventive Medicine, Queen Mary University of London, Charterhouse Square, London EC1M 6BQ, UK; Health Behaviour Research Centre, Department of Epidemiology and Public Health, University College London, Gower Street, London WC1E 6BT, UK.

Health Behaviour Research Centre, Department of Epidemiology and Public Health, University College London, Gower Street, London WC1E 6BT, UK; Cancer Research UK, Angel Building, 407 St John Street, London EC1V 4AD, UK.

出版信息

Prev Med. 2016 Jun;87:138-143. doi: 10.1016/j.ypmed.2016.02.034. Epub 2016 Feb 24.

Abstract

Improving public awareness of cancer and encouraging health behavior change are important aspects of cancer control. We investigated whether a community-based roadshow was an effective way of communicating with the public about cancer and encouraging behavior change. Data were from 1196 people who completed questionnaires at a Cancer Research UK Cancer Awareness Roadshow in 2013. Of these, 511 (43%) completed questionnaires immediately before their visit (pre-visit group) and 685 (57%) completed questionnaires immediately after their visit (post-visit group). Among the post-visit sample, 217 (32%) were retained after two months. Self-reported data were available on risk factor and symptom awareness, help-seeking barriers, use of healthcare services and health behaviors. Compared with the pre-visit sample, the post-visit group had greater awareness of cancer risk factors and was more positive about aspects of help-seeking but awareness of potential symptoms was similar. Most effects were maintained over two months. Intentions to eat more fruit and vegetables and to exercise more were comparable between the groups but more people in the post-visit sample intended to quit smoking. At 2-month follow-up, smoking prevalence had significantly reduced but fruit and vegetable consumption decreased and there was no change to physical activity. User of weight loss services and general practitioner visits were high at follow-up and largely attributed to the Roadshow. The Cancer Research UK Roadshow appears to improve risk factor awareness, promote positive attitudes towards help-seeking and increase smoking cessation. This approach could be a useful building block for additional cancer prevention and control strategies.

摘要

提高公众对癌症的认识并鼓励健康行为改变是癌症控制的重要方面。我们调查了以社区为基础的巡回展览是否是与公众就癌症进行沟通并鼓励行为改变的有效方式。数据来自2013年在英国癌症研究中心癌症认知巡回展览上完成问卷调查的1196人。其中,511人(43%)在参观前立即完成问卷(参观前组),685人(57%)在参观后立即完成问卷(参观后组)。在参观后样本中,两个月后仍有217人(32%)参与。获得了关于风险因素和症状认知、寻求帮助的障碍、医疗服务使用情况以及健康行为的自我报告数据。与参观前样本相比,参观后组对癌症风险因素的认知更高,在寻求帮助方面更积极,但对潜在症状的认知相似。大多数影响在两个月内得以维持。两组增加水果和蔬菜摄入量以及增加锻炼的意愿相当,但参观后样本中更多人打算戒烟。在2个月的随访中,吸烟率显著降低,但水果和蔬菜摄入量减少,身体活动没有变化。随访时减肥服务的使用者和看全科医生的人数较多,这在很大程度上归因于巡回展览。英国癌症研究中心巡回展览似乎提高了风险因素认知,促进了对寻求帮助的积极态度,并增加了戒烟率。这种方法可能是其他癌症预防和控制策略的有用基石。

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