Wu Shenghui, Chalela Patricia, Ramirez Amelie G
Department of Public Health and Exercise Science, Beaver College of Health Sciences, Appalachian State University, Boone, NC, 28607, USA.
Institute for Health Promotion Research, Department of Population Health Sciences, UT Health San Antonio, San Antonio, 78229, USA.
Arch Public Health. 2023 Jul 12;81(1):130. doi: 10.1186/s13690-023-01144-w.
Cervical cancer (CC), colorectal cancer (CRC), and breast cancer (BC) are diseases that can be prevented/detected through early test. Through educational programs, individuals can become better informed about these cancers and understand the importance of screening and early detection. However, many people, especially low-income, low-educated, uninsured minority population groups, do not have their cancer screenings at the recommended intervals and do not receive appropriate and timely follow-up of abnormal screening results or timely treatment after diagnosis. A community-based educational program was developed to improve knowledge and awareness toward the screening of the three cancer types in a South Texas underserved population.
Residents living in Laredo, Texas were invited to participate in the present educational program. From January 2020 to April 2021, participants were recruited using social media and flyer distributions in the general community. Participants received a free live web cancer education presentation delivered by bilingual community health educators, and online pre- and post-education surveys for CC, CRC, and BC separately. Pre-post changes in knowledge for individual items were compared using McNemar's chi-squared tests.
Overall, the participants showed increases in CC (n = 237), CRC (n = 59), and BC (n = 56) screening knowledge and awareness after receiving the cancer screening education (Ps < 0.05). After receiving the cancer screening education, 85-97% of participants had an intent to talk to a healthcare provider about CC/CRC/BC screening, 88-97% had an intent to get a CC/CRC/BC screening test in the next 12 months or at the next routine appointment, and 90-97% had an intent to talk about CC/CRC/BC with their family members or friends.
A community-based educational program culturally and linguistically tailored help increase knowledge and awareness about cervical, colorectal, and breast cancer screening, and promote positive changes in population's knowledge and awareness about the benefits of cancer screening. Future cancer screening educational programs in similar populations are warranted to reduce the risk of cervical, colorectal, and breast cancer.
宫颈癌（CC）、结直肠癌（CRC）和乳腺癌（BC）是可通过早期检测预防/发现的疾病。通过教育项目，个人可以更好地了解这些癌症，并理解筛查和早期检测的重要性。然而，许多人，尤其是低收入、低教育水平、未参保的少数族裔群体，没有按照推荐的间隔进行癌症筛查，也没有对异常筛查结果进行适当及时的随访，或在诊断后及时接受治疗。在南德克萨斯州一个服务不足的人群中开展了一项基于社区的教育项目，以提高对这三种癌症筛查的知识和意识。
邀请居住在德克萨斯州拉雷多的居民参加本次教育项目。2020年1月至2021年4月，通过社交媒体和在普通社区分发传单招募参与者。参与者接受了由双语社区健康教育工作者提供的免费实时网络癌症教育讲座，并分别针对CC、CRC和BC进行了教育前和教育后的在线调查。使用McNemar卡方检验比较各个项目知识的前后变化。
总体而言，参与者在接受癌症筛查教育后，CC（n = 237）、CRC（n = 59）和BC（n = 56）的筛查知识和意识有所提高（P < 0.05）。接受癌症筛查教育后，85% - 97%的参与者打算与医疗保健提供者谈论CC/CRC/BC筛查，88% - 97%的参与者打算在未来12个月内或下次常规预约时进行CC/CRC/BC筛查测试，90% - 97%的参与者打算与家人或朋友谈论CC/CRC/BC。
一个经过文化和语言调整的基于社区的教育项目有助于增加对宫颈癌、结直肠癌和乳腺癌筛查的知识和意识，并促进人群对癌症筛查益处的知识和意识的积极变化。有必要在类似人群中开展未来的癌症筛查教育项目，以降低宫颈癌、结直肠癌和乳腺癌的风险。
