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作者信息

Ruel Julie, Moreau André C, Ndengeyingoma Assumpta, Arwidson Pierre, Allaire Cécile

出版信息

Sante Publique. 2020;2(HS2):75-78. doi: 10.3917/spub.197.0075.

Abstract

In recent years, there has been a noticeable drop in mortality rates from cancer, although cancer remains the primary cause of death in France and in the province of Québec. Several factors contribute to this reduction in mortality rates.First, better cancer screening is provided, and better follow ups are offered when abnormalities are detected. Second, cancer treatments benefit from ongoing developments which provide new treatments and more efficient measures to fight this illness. Last, we must also credit promotional campaigns to adopt healthy habits and lifestyles, particularly the fight against smoking.However, cancer strikes preferentially in some subgroups. In particular, cancer rates are higher and cancer-screening rates are lower in some subgroups, increasing disparities amongst subgroups of the same population. It seems that an insufficient level of literacy could be a factor explaining these discrepancies.This article presents a brief definition of the concept of literacy in general, followed by a definition of health-literacy behaviors and competencies. Then, we will present some data from research and from literature reviews on the potential linkages between literacy and cancer in general, and specific cancers in particular. We will conclude by considering a path to literacy in cancer screening.

摘要

近年来,癌症死亡率显著下降,尽管癌症仍是法国和魁北克省的主要死因。死亡率下降有几个因素。首先,提供了更好的癌症筛查,并且在检测到异常时提供了更好的后续跟进。其次,癌症治疗受益于不断的发展,这些发展提供了新的治疗方法和更有效的对抗这种疾病的措施。最后,我们还必须归功于推广健康习惯和生活方式的宣传活动,特别是与吸烟作斗争的活动。

然而,癌症在某些亚组中更容易发生。特别是,某些亚组的癌症发病率较高,而癌症筛查率较低,这加剧了同一人群中亚组之间的差异。似乎文化程度不足可能是解释这些差异的一个因素。

本文首先简要定义了一般意义上的文化程度概念,接着定义了健康素养行为和能力。然后,我们将展示一些来自研究和文献综述的数据,这些数据涉及文化程度与一般癌症,特别是特定癌症之间的潜在联系。我们将通过考虑癌症筛查中的文化程度提升途径来得出结论。

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