Novinson Daniel, Puckett Mary, Townsend Julie, Tortolero-Luna Guillermo, Patterson Jenny Rees, Gelb Cynthia A, Stewart Sherri L
Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy, Mailstop F-76, Atlanta, GA, 30341, USA.
Division of Cancer Control and Population Sciences, University of Puerto Rico Comprehensive Cancer Center, San Juan, Puerto Rico.
J Cancer Educ. 2019 Dec;34(6):1190-1197. doi: 10.1007/s13187-018-1427-4.
Uterine cancer is the fourth most commonly diagnosed cancer among women in the USA. To increase knowledge among women and healthcare providers about uterine cancer, the Centers for Disease Control and Prevention's National Comprehensive Cancer Control Program (NCCCP) partnered with the Inside Knowledge: Get The Facts About Gynecologic Cancer campaign to present facilitated discussions about uterine cancer with women and providers. After standardized training, local NCCCP grantees developed and led community-based, tailored, facilitated discussions for public participants and providers. Pre- and post-session surveys were administered to assess knowledge of risk factors, symptoms, testing, and diagnostic options for uterine cancer. Following the facilitated sessions, significantly, more public respondents identified uterine cancer risk factors (e.g., advanced age, post-menopausal status). However, they also equally identified factors not associated with uterine cancer (e.g., smoking, HPV). Non-OB/GYN provider knowledge increased, significantly for some risks and symptoms, and their confidence with relaying uterine cancer information to patients significantly increased from 51.4 to 91.0% (P < 0.0001). Relatively low proportions of OB/GYNs (19.3%), other primary care providers (46.2%), and public participants (51.8%) knew post-session that genetic testing for Lynch syndrome can help stratify women for uterine cancer risk. Participant knowledge significantly increased for some risk factors and symptoms following Inside Knowledge educational sessions; however, some knowledge gaps remained. Overall, the Inside Knowledge materials are effective for increasing uterine cancer awareness among providers and women. Additional provider education could include specific resources related to uterine cancer genetic associations, as advancements in genetic testing for all uterine cancers are currently being made.
子宫癌是美国女性中第四大最常被诊断出的癌症。为了提高女性和医疗保健提供者对子宫癌的认识,疾病控制与预防中心的国家综合癌症控制项目(NCCCP)与“深入了解:获取妇科癌症事实”运动合作,举办了关于子宫癌的促进性讨论,参与者包括女性和医疗保健提供者。经过标准化培训后,当地的NCCCP受资助者为公众参与者和医疗保健提供者开展并主持了基于社区的、量身定制的促进性讨论。在讨论前后进行了问卷调查,以评估对子宫癌风险因素、症状、检测和诊断选项的了解情况。在促进性讨论之后,显著更多的公众受访者识别出了子宫癌的风险因素(如高龄、绝经后状态)。然而,他们也同样识别出了与子宫癌无关的因素(如吸烟、人乳头瘤病毒)。非妇产科医疗保健提供者的知识有所增加,对于某些风险和症状的了解显著提高,并且他们向患者传达子宫癌信息的信心从51.4%显著提高到了91.0%(P < 0.0001)。相对较低比例的妇产科医生(19.3%)、其他初级保健提供者(46.2%)和公众参与者(51.8%)在讨论会后知道,林奇综合征的基因检测有助于对女性的子宫癌风险进行分层。在“深入了解”教育活动之后,参与者对某些风险因素和症状的了解显著增加;然而,一些知识差距仍然存在。总体而言,“深入了解”材料对于提高医疗保健提供者和女性对子宫癌的认识是有效的。额外的医疗保健提供者教育可以包括与子宫癌基因关联相关的特定资源,因为目前所有子宫癌的基因检测都在取得进展。