Lofters Aisha, Jain Ankur, Siu Winnie, Kyte Meghan, Lee-Foon Nakia, Scott Fran, Nnorom Onye
Department of Family & Community Medicine, St. Michael's Hospital, 30 Bond St., Toronto, ON, M5B1W8, Canada.
Department of Family & Community Medicine, University of Toronto, Toronto, Canada.
Cancer Causes Control. 2017 Nov;28(11):1207-1218. doi: 10.1007/s10552-017-0920-0. Epub 2017 Jul 6.
Effective strategies are needed to actively encourage Black women in Canada to adhere to breast and cervical cancer screening and follow-up. In this study, we describe "Ko-Pamoja," a pilot peer education program for breast and cervical cancer screening targeted specifically at Black women in Toronto, Canada.
We used an Afrocentric lens to design the program, whose purpose was to increase awareness of cancer susceptibility and the benefits of screening for breast and cervical cancer for Black women. Participants were recruited through three Black-predominant churches. We used pre- and post-session questionnaires to assess changes in participant awareness of cancer susceptibility and screening guidelines, and changes in screening self-efficacy.
30 women attended sessions. Ko-Pamoja was able to increase awareness of cancer susceptibility, awareness of screening guidelines, and screening self-efficacy. Two months after the last session, four women had been screened for breast cancer at a participating mammogram site.
Building on the successes of Ko-Pamoja, future versions are being developed in the region. These versions will be adapted to take into account our lessons learned while maintaining the Afrocentric lens and community-focussed approach, in order to promote cancer screening and ultimately improve outcomes.
需要有效的策略来积极鼓励加拿大的黑人女性坚持进行乳腺癌和宫颈癌筛查及后续跟踪。在本研究中，我们描述了“Ko-Pamoja”，这是一项专门针对加拿大多伦多黑人女性的乳腺癌和宫颈癌筛查同伴教育试点项目。
我们采用以非洲为中心的视角来设计该项目，其目的是提高黑人女性对癌症易感性以及乳腺癌和宫颈癌筛查益处的认识。通过三个黑人占主导的教堂招募参与者。我们使用会前和会后问卷来评估参与者对癌症易感性和筛查指南的认识变化，以及筛查自我效能的变化。
30名女性参加了课程。Ko-Pamoja能够提高对癌症易感性的认识、对筛查指南的认识以及筛查自我效能。最后一节课结束两个月后，有四名女性在参与项目的乳房X光检查机构进行了乳腺癌筛查。
基于Ko-Pamoja的成功经验，该地区正在开发后续版本。这些版本将进行调整，以吸取我们的经验教训，同时保持以非洲为中心的视角和以社区为重点的方法，从而促进癌症筛查并最终改善结果。
