Caribbean Prevention Center (Fundashon Prevenshon), Willemstad, Curaçao.
Department of Gastroenterology and Hepatology, Amsterdam UMC location University of Amsterdam, Amsterdam, The Netherlands.
BMC Public Health. 2023 Jul 27;23(1):1437. doi: 10.1186/s12889-023-16335-x.
During the first year of the population based colorectal cancer (CRC) screening program on Curaçao, about 20% of invitees participated. This study explored the target population's perceptions and awareness on CRC (screening), beliefs on the program provision, their preferences and information needs for informed decision-making.
Semi-structured interviews with 23 individuals, who were not yet invited for CRC screening, were recorded, transcribed, coded and analyzed.
CRC (screening) was discussed in the context of personal health, where own responsibility and food were important. Cancer was perceived as an unpredictable disease that causes suffering and leads to death and was also associated with fear. Despite being aware of the program, most respondents were not familiar with the screening procedure. Provision of the screening program was regarded positively and as an opportunity to contribute to health improvement. This seemed related to the expressed trust in the Caribbean Prevention Center (program organizer). Respondents preferred to make independent decisions about CRC screening participation. A personal approach, visual aids and media were the preferred sources of information.
The results of our interviews suggest that it may be beneficial to provide information on CRC screening in Curaçao within the context of personal health. While including sensitivity to fears and respect for the autonomy of the target population. Finally, electronic media maybe useful in supporting informed decision-making.
在库拉索岛基于人群的结直肠癌（CRC）筛查计划的第一年，约有 20%的受邀者参与其中。本研究探讨了目标人群对 CRC（筛查）的看法和意识、对项目提供的信念、他们的偏好和信息需求，以做出明智的决策。
对 23 名尚未受邀进行 CRC 筛查的个体进行了半结构化访谈，对访谈进行了录音、转录、编码和分析。
CRC（筛查）是在个人健康背景下讨论的，其中个人责任和食物很重要。癌症被视为一种不可预测的疾病，会导致痛苦和死亡，也与恐惧有关。尽管大多数受访者了解该计划，但他们并不熟悉筛查程序。提供筛查计划被认为是积极的，可以为改善健康做出贡献。这似乎与对加勒比预防中心（项目组织者）的信任有关。受访者更喜欢对 CRC 筛查参与做出独立的决定。个人方法、视觉辅助工具和媒体是受访者首选的信息来源。
我们的访谈结果表明，在库拉索岛，在个人健康背景下提供 CRC 筛查信息可能是有益的。同时包括对恐惧的敏感性和对目标人群自主权的尊重。最后，电子媒体可能有助于支持知情决策。
