Department of Medicine, The Dr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Division of Cancer Prevention and Control, Department of Oncological Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Ethn Health. 2020 Feb;25(2):189-205. doi: 10.1080/13557858.2017.1398317. Epub 2017 Nov 8.
There are limited efforts to address modifiable risk factors for gastric cancer (GC) among racial/ethnic groups at higher GC risk, which may reflect decreased public awareness of risk factors. Our primary aim was to assess baseline awareness of GC risk factors and attitudes/potential barriers for uptake of a GC screening program among high-risk individuals. Participants attended a linguistically and culturally targeted GC educational program in East Harlem (EH)/Bronx and Chinatown communities in New York City. Demographic information and relevant behavioral/lifestyle habits were collected. Participants' ability to identify GC risk factors and attitudes/barriers surrounding GC screening were assessed before and after the program. Of the 168 included participants, most were female with 77% above age 70. Nearly half of participants in the EH/Bronx programs identified themselves as black and 63% as Hispanic/Latino; 93% of the Chinatown participants identified as Chinese. Among EH/Bronx participants, the majority correctly identified older age, smoking, alcohol, , family history, race/ethnicity, excess salt, and preserved foods as risk factors. Among Chinatown participants, the majority correctly identified smoking, alcohol, race/ethnicity, and excess salt, although only 53% and 57.8% correctly identified and preserved foods, respectively; the majority incorrectly answered that older age was not a major risk factor. The majority in both groups failed to identify male gender as higher risk and incorrectly identified stress and obesity as major risk factors. Participants were more concerned about the potential findings on GC screening tests than the risks and costs or having to take time off work. Among multiracial/ethnic groups of individuals presumably at higher risk for GC, we identified several gaps in baseline knowledge of both modifiable and non-modifiable GC risk factors. Culturally and linguistically appropriate educational interventions may be a worthwhile adjunctive intervention within the context of a targeted GC screening program.
针对具有较高胃癌风险的种族/民族群体，针对可改变的胃癌风险因素的努力有限，这可能反映出公众对风险因素的认识降低。我们的主要目的是评估高危人群对胃癌风险因素的认识水平，以及对胃癌筛查计划的接受程度的态度/潜在障碍。参与者参加了在纽约市东哈莱姆（EH）/布朗克斯和唐人街社区开展的针对胃癌的语言和文化教育项目。收集了人口统计学信息和相关的行为/生活方式习惯。在项目前后评估了参与者识别胃癌风险因素的能力以及对胃癌筛查的态度/障碍。在 168 名纳入的参与者中，大多数是女性，超过 70 岁的占 77%。EH/Bronx 项目的参与者中近一半自认为是黑人，63%是西班牙裔/拉丁裔；93%的唐人街参与者自认为是中国人。在 EH/Bronx 参与者中，大多数人正确地识别出年龄较大、吸烟、饮酒、家族史、种族/民族、盐过量和腌制食品是风险因素。在唐人街参与者中，大多数人正确地识别出吸烟、饮酒、种族/民族和盐过量，尽管只有 53%和 57.8%分别正确识别出 和腌制食品；大多数人错误地认为年龄较大不是主要风险因素。两组参与者都认为男性不是更高的风险因素，而且错误地认为压力和肥胖是主要的风险因素。参与者更担心胃癌筛查测试的潜在结果，而不是风险和成本，或者不得不请假。在可能具有较高胃癌风险的多种族/民族群体中，我们发现对可改变和不可改变的胃癌风险因素的基本知识存在一些差距。在有针对性的胃癌筛查计划的背景下，文化和语言上合适的教育干预措施可能是一种有价值的辅助干预措施。
