University of Nebraska Medical Center, Omaha, NE, USA.
University of Nebraska at Omaha, Omaha, NE, USA.
Health Promot Pract. 2023 Nov;24(6):1215-1229. doi: 10.1177/15248399221103851. Epub 2022 Jul 22.
Hispanic/Latinx persons have disproportionately lower breast, cervical, and colorectal cancer screening rates than non-Hispanic White (NHW) persons. This low participation in cancer screening results in late-stage cancer diagnosis among Hispanic persons compared to NHW persons. Mobile health (mHealth) interventions effectively improve cancer screening rates in the general population; however, few reviews about mHealth interventions are tailored to Hispanic populations. This is important to investigate given that Hispanic persons differ from NHW persons with regard to culture, language, and health care utilization. Therefore, in this study, we investigated: (a) What types of mHealth interventions have been undertaken to increase cancer screening rates among Hispanic persons in the United States? (b) How effective have these interventions been? and (c) What features of these interventions help increase cancer screening rates? Searches conducted during December 2020 identified 10 articles published between January 2017 and December 2020 that met our inclusion criteria. The review revealed that mHealth interventions mainly provided education about cancer and cancer screening using videos, PowerPoint slides, and interactive multimedia. mHealth interventions that effectively improved screening behavior were mainly for easy-to-screen cancers like skin and cervical cancer. Finally, reviewed studies did not provide details on how cultural adaptations were made, and it is unclear what specific features of mHealth interventions increase cancer screening rates among Hispanic persons. Future research should identify and evaluate the effects of different components of culturally tailored interventions on cancer screening. Public health practitioners and health care providers should tailor mHealth approaches to their clients or patients and practice environment.
拉美裔/拉丁裔人群的乳腺癌、宫颈癌和结直肠癌筛查率明显低于非西班牙裔白人（NHW）人群。拉美裔人群参与癌症筛查的比例较低，导致与 NHW 人群相比，他们的癌症诊断处于晚期。移动医疗（mHealth）干预措施可有效提高一般人群的癌症筛查率；然而，针对拉美裔人群的 mHealth 干预措施的评估很少。鉴于拉美裔人群在文化、语言和医疗保健利用方面与 NHW 人群存在差异，因此对此进行研究非常重要。因此，在这项研究中，我们调查了：（a）为提高美国拉美裔人群的癌症筛查率，已经开展了哪些类型的 mHealth 干预措施？（b）这些干预措施的效果如何？（c）这些干预措施的哪些特点有助于提高癌症筛查率？2020 年 12 月进行的检索确定了 10 篇发表于 2017 年 1 月至 2020 年 12 月期间符合纳入标准的文章。审查结果表明，mHealth 干预措施主要通过视频、PowerPoint 幻灯片和互动多媒体提供有关癌症和癌症筛查的教育。有效改善筛查行为的 mHealth 干预措施主要针对皮肤癌和宫颈癌等易于筛查的癌症。最后，综述研究没有提供有关如何进行文化适应的详细信息，也不清楚 mHealth 干预措施的哪些具体特点可以提高拉美裔人群的癌症筛查率。未来的研究应确定并评估针对特定文化的干预措施不同组成部分对癌症筛查的影响。公共卫生从业人员和医疗保健提供者应根据客户或患者及其实践环境调整 mHealth 方法。
