Yonsei University, Republic of Korea.
School of Social Work, The University of Alabama, Tuscaloosa, AL, United States.
Asian Pac J Cancer Prev. 2021 Mar 1;22(3):927-933. doi: 10.31557/APJCP.2021.22.3.927.
Colorectal, breast, and cervical cancers disproportionately impact the Vietnamese population. However, research on cancer prevention among this population was very limited. The purpose of this study is to examine the cancer screening literacy levels for these three types of cancers among rural Vietnamese and investigate correlates of cancer screening literacy.
A sample of 226 Vietnamese men and women aged 25-70 years old was recruited from rural Vietnam and finished a self-administered questionnaire. Andersen's Behavioral Model was used to guide this cross-sectional study to identify modifiable variables. Bivariate analysis was used to explore the relationship between demographic factors and cancer screening literacy levels. Multiple linear regressions were also used to identify significant factors for cancer literacy levels.
Cancer screening literacy levels of Vietnamese men and women were low regarding all three types of cancers, especially HPV symptom questions. Only about 24% of women answered correctly on "most people with genital HPV have no visible signs/symptoms" and less than 18% answered correctly on "I can transmit HPV to my partner(s) even if I have no HPV symptoms." Findings suggested that having an annual checkup was associated with higher colorectal (β=.15, p <.05), breast (β=.25, p <.001), and cervical (β=.18, p <.01) cancer screening literacy.
Public health efforts should focus on encouraging annual checkups in the Vietnamese population. During the annual checkup, health care professionals should educate patients about importance of cancer screening and provide recommendations for regular cancer screenings to reduce cancer health disparities.
结直肠癌、乳腺癌和宫颈癌在越南人群中发病率较高。然而，针对该人群的癌症预防研究非常有限。本研究旨在评估农村越南人群对这三种癌症的癌症筛查知识水平，并探讨癌症筛查知识水平的相关因素。
从越南农村招募了 226 名年龄在 25-70 岁的越南男性和女性，完成了一份自我管理的问卷。安德森行为模型被用于指导这项横断面研究，以确定可改变的变量。使用二变量分析来探讨人口统计学因素与癌症筛查知识水平之间的关系。还使用多元线性回归来确定癌症知识水平的显著因素。
越南男性和女性对所有三种癌症的筛查知识水平都较低，尤其是 HPV 症状问题。只有约 24%的女性回答“大多数感染 HPV 的人没有明显的体征/症状”是正确的，不到 18%的女性回答“即使我没有 HPV 症状，我也可以将 HPV 传染给我的伴侣”是正确的。研究结果表明，每年进行一次体检与较高的结直肠癌（β=.15，p <.05）、乳腺癌（β=.25，p <.001）和宫颈癌（β=.18，p <.01）筛查知识水平相关。
公共卫生工作应重点关注鼓励越南人群进行年度体检。在年度体检期间，医疗保健专业人员应教育患者癌症筛查的重要性，并为定期癌症筛查提供建议，以减少癌症健康差距。
