Department of Internal Medicine, University of Arizona, Tucson, USA.
School of Medicine, University of Arizona, Tucson, USA.
BMC Public Health. 2023 Feb 4;23(1):243. doi: 10.1186/s12889-022-14810-5.
To assess awareness levels and knowledge of colorectal cancer (CRC) and CRC screening among an Indigenous Caribbean community.
A community-based participatory research project was developed to perform a needs assessment of cancer prevention and education in an Indigenous non-metropolitan community in Dominica. Purposive sampling occurred at a local health clinic. Data was collected from 58 eligible patients via a 57-item structured interview. Descriptive statistics were calculated, and demographic correlates of CRC knowledge and awareness were assessed using chi-square and Fisher Exact tests.
Of 58 participants, 72.4% identified as Indigenous, and 36.5% had heard of CRC. Most respondents (96.1%) believed CRC screening to be "important," yet only 3.0% of those who were age eligible had received screening in the prior 10 years, and 12.5% knew how to get screened. More respondents with incomes over $5,000 ECD had heard of CRC (72.2%) compared to those who had not (21.7%), and those who were unsure (16.7%, p < 0.01). Among those with a family cancer history, 14.3% knew how to get tested for CRC, 60.0% did not, and 25.0% were unsure (p < 0.03).
Despite limited familiarity with CRC screening, participants broadly believed CRC screening to be important. Health education research is needed to develop patient-centered, culturally appropriate materials about CRC screening and prevention. Future work facilitating productive community partnerships and incorporating prevailing community traditions may align cancer prevention and education initiatives with community priorities.
评估加勒比裔本土社区对结直肠癌（CRC）的认知水平和对 CRC 筛查的了解程度。
开展了一项基于社区的参与性研究项目，对多米尼克一个非大都市的本土社区进行癌症预防和教育的需求评估。在当地一家诊所进行了目的性抽样。通过 57 项结构式访谈，从 58 名符合条件的患者中收集数据。计算描述性统计数据，并使用卡方检验和 Fisher 确切检验评估 CRC 知识和认知的人口统计学相关性。
在 58 名参与者中，72.4% 为本土人，36.5% 听说过 CRC。大多数受访者（96.1%）认为 CRC 筛查“很重要”，但在符合年龄要求的人中，只有 3.0%的人在过去 10 年内接受过筛查，12.5%的人知道如何接受筛查。收入超过 5000 东加元的受访者中，有 72.2%听说过 CRC，而收入低于 5000 东加元的受访者中，听说过 CRC 的比例为 21.7%，收入不确定的受访者比例为 16.7%（p<0.01）。在有家族癌症病史的受访者中，14.3%知道如何接受 CRC 检测，60.0%不知道，25.0%不确定（p<0.03）。
尽管对 CRC 筛查的了解有限，但参与者普遍认为 CRC 筛查很重要。需要开展卫生教育研究，开发以患者为中心、文化适宜的 CRC 筛查和预防知识材料。未来的工作应促进富有成效的社区伙伴关系，并纳入当前社区的传统，使癌症预防和教育计划与社区的优先事项保持一致。
