Hou Su-I, Liu Ling Jie
1 50616 College of Health and Public Affairs, University of Central Florida , Orlando, FL, USA.
2 Department of Health Promotion and Behavior, College of Public Health, 1355 University of Georgia , Athens, GA, USA.
Int Q Community Health Educ. 2017 Oct;38(1):47-56. doi: 10.1177/0272684X17749567. Epub 2018 Jan 3.
This study examined cancer knowledge between church-going younger versus older Chinese adults. Hou's 8-item validated cancer screening knowledge test (CSKT) and a new 14-item cancer warning signs test (CWST) were used to assess objective knowledge. Subjective knowledge was measured by one overall 5-point Likert scale item. A total of 372 Taiwanese and Chinese Americans from nine churches participated. Although there were no significant differences by age on either the CSKT scores (younger = 5.89 vs. older = 5.71; p = .297) or the CWST (younger = 6.27 vs. older = 5.86; p = .245), subjective knowledge was higher among older Chinese adults (younger = 2.44 vs. older = 3.05, p < .001). Older Chinese adults were also more likely to identify cancer warning signs correctly, while younger adults were more likely to identify false warning signs correctly. Results have implication on tailoring cancer knowledge type (subjective vs. objective) and content domain (screening vs. warning signs). Findings can help health educators better understand cancer education needs among Chinese adults.
本研究调查了常去教堂的中国成年人中，年轻群体与年长群体之间的癌症知识差异。使用了经过验证的侯氏8项癌症筛查知识测试（CSKT）和一项新的14项癌症警示标志测试（CWST）来评估客观知识。主观知识通过一个整体的5点李克特量表项目进行测量。共有来自九个教堂的372名台湾人和华裔美国人参与。尽管在CSKT分数（年轻群体=5.89，年长群体=5.71；p=0.297）或CWST（年轻群体=6.27，年长群体=5.86；p=0.245）上，年龄差异均不显著，但年长的中国成年人主观知识得分更高（年轻群体=2.44，年长群体=3.05，p<0.001）。年长的中国成年人也更有可能正确识别癌症警示标志，而年轻成年人更有可能正确识别错误的警示标志。研究结果对于调整癌症知识类型（主观与客观）和内容领域（筛查与警示标志）具有启示意义。研究结果有助于健康教育工作者更好地了解中国成年人的癌症教育需求。
