Department of Urology, College of Medicine-Tucson, The University of Arizona, Tucson, AZ 85724, USA.
The University of Arizona Cancer Center, Tucson, AZ 85724, USA.
Int J Environ Res Public Health. 2022 May 27;19(11):6546. doi: 10.3390/ijerph19116546.
Cancer screening rates among American Indian men remain low, without programs specifically designed for men. This paper describes the Community-Based Participatory Research processes and assessment of cancer screening behavior and the appropriateness of the mHealth approach for Hopi men's promotion of cancer screenings. This Community-Based Participatory Research included a partnership with H.O.P.I. (Hopi Office of Prevention and Intervention) Cancer Support Services and the Hopi Community Advisory Committee. Cellular phone usage was assessed among male participants in a wellness program utilizing text messaging. Community surveys were conducted with Hopi men (50 years of age or older). The survey revealed colorectal cancer screening rate increased from 51% in 2012 to 71% in 2018, while prostate cancer screening rate had not changed (35% in 2012 and 37% in 2018). Past cancer screening was associated with having additional cancer screening. A cellular phone was commonly used by Hopi men, but not for healthcare or wellness. Cellular phone ownership increased odds of prostate cancer screening in the unadjusted model (OR 9.00, 95% CI: 1.11-73.07), but not in the adjusted model. Cellular phones may be applied for health promotion among Hopi men, but use of cellular phones to improve cancer screening participation needs further investigation.
美国印第安男性的癌症筛查率仍然很低,而且没有专门针对男性的项目。本文描述了社区参与式研究的过程以及对癌症筛查行为的评估,以及移动健康方法在促进霍皮男性进行癌症筛查方面的适宜性。这项社区参与式研究包括与 H.O.P.I.(霍皮预防和干预办公室)癌症支持服务以及霍皮社区咨询委员会建立合作伙伴关系。在利用短信的健康计划中,对男性参与者的手机使用情况进行了评估。对霍皮男性(50 岁及以上)进行了社区调查。调查显示,结直肠癌筛查率从 2012 年的 51%上升到 2018 年的 71%,而前列腺癌筛查率没有变化(2012 年为 35%,2018 年为 37%)。过去的癌症筛查与更多的癌症筛查有关。手机被霍皮男性广泛使用,但不是用于医疗保健或健康。在未调整模型中,手机拥有增加了前列腺癌筛查的几率(OR9.00,95%CI:1.11-73.07),但在调整模型中则没有。手机可用于促进霍皮男性的健康,但需要进一步研究使用手机来提高癌症筛查参与度。