Charles R. Drew University of Medicine and Science, Division of Cancer Research and Training, Los Angeles, CA.
University of California Los Angeles Fielding School of Public Health & Jonsson Comprehensive Cancer Center; UCLA Kaiser Permanente Center for Health Equity.
Ethn Dis. 2019 Apr 18;29(2):239-246. doi: 10.18865/ed.29.2.239. eCollection 2019 Spring.
The goal of this study was to establish relationships with Latino churches in South Los Angeles and to collect data from parishioners regarding their access to care, cancer risk factors, and cancer-related knowledge, attitudes and screening.
In 2014, we approached five Latino churches. All allowed us to describe the study and to consent potential respondents at a designated time during the church service.
398 Latino respondents (75% female) completed the survey in English (15%) or Spanish (85%). Most respondents were born in Mexico (63%). Only 56% had health insurance and 51% had a regular doctor. Based on self-reported height and weight, 33% were overweight and 51% were obese. However, only 42% of obese respondents had been told by their doctor that they were obese. Although it is well-established that obesity is a major cancer risk factor, respondents lacked knowledge about the important role of nutrition and exercise in cancer prevention. Among women, adherence to national screening guidelines was 88% for cervical cancer, 72% for breast cancer and 58% for colorectal cancer. However, they were quite willing to undergo cancer screening if recommended by a physician and reported few barriers to colorectal cancer screening.
Our data suggest a need to focus on both primary and secondary cancer prevention by promoting healthy lifestyles to curb the obesity epidemic and by promoting colorectal cancer screening. These data will inform future interventions to promote wellness in South Los Angeles in collaboration with the Latino faith community.
本研究旨在与南洛杉矶的拉丁裔教堂建立关系，并从堂区居民那里收集有关他们获得医疗保健的机会、癌症风险因素以及与癌症相关的知识、态度和筛查的信息。
2014 年，我们联系了五所拉丁裔教堂。所有教堂都允许我们在教堂礼拜期间的指定时间描述研究并征得潜在受访者的同意。
398 名拉丁裔受访者（75%为女性）用英语（15%）或西班牙语（85%）完成了调查。大多数受访者出生于墨西哥（63%）。只有 56%有医疗保险，51%有固定医生。根据自我报告的身高和体重，33%超重，51%肥胖。然而，只有 42%的肥胖受访者被告知他们肥胖。尽管肥胖是一个主要的癌症风险因素，但受访者对营养和运动在癌症预防中的重要作用缺乏了解。在女性中，对宫颈癌、乳腺癌和结直肠癌的国家筛查指南的依从率分别为 88%、72%和 58%。然而，如果医生建议进行癌症筛查，她们非常愿意进行，并且报告了结直肠癌筛查的障碍很少。
我们的数据表明，需要通过促进健康的生活方式来控制肥胖流行，促进结直肠癌筛查，关注初级和二级癌症预防。这些数据将为与拉丁裔信仰社区合作，在南洛杉矶促进健康的未来干预措施提供信息。
