Vilaro Melissa J, Bryan Emma, Palani Te, Cooks Eric J, Mertens Gillian, Zalake Mohan, Lok Benjamin C, Krieger Janice L
Family, Youth, and Community Sciences, University of Florida.
STEM Translational Communication Center, University of Florida.
Prev Oncol Epidemiol. 2023;1(1). doi: 10.1080/28322134.2023.2237680. Epub 2023 Nov 17.
Despite robust evidence linking alcohol, processed meat, and red meat to colorectal cancer (CRC), public awareness of nutrition recommendations for CRC prevention is low. Marginalized populations, including those in rural areas, experience high CRC burden and may benefit from culturally tailored health information technologies. This study explored perceptions of web-based health messages iteratively in focus groups and interviews with 48 adults as part of a CRC prevention intervention. We analyzed transcripts for message perceptions and identified three main themes with subthemes: (1) Contradictory recommendations, between the intervention's nutrition risk messages and recommendations for other health conditions, from other sources, or based on cultural or personal diets; (2) reactions to nutrition risk messages, ranging from aversion (e.g., "avoid alcohol" considered "preachy") to appreciation, with suggestions for improving messages; and (3) information gaps. We discuss these themes, translational impact, and considerations for future research and communication strategies for delivering web-based cancer prevention messages.
尽管有充分证据表明酒精、加工肉类和红肉与结直肠癌（CRC）有关，但公众对预防结直肠癌的营养建议的认知度很低。包括农村地区人群在内的边缘化群体结直肠癌负担较重，可能会从针对其文化特点定制的健康信息技术中受益。作为一项结直肠癌预防干预措施的一部分，本研究通过焦点小组和对48名成年人的访谈，反复探讨了对基于网络的健康信息的看法。我们分析了关于信息认知的文字记录，确定了三个主要主题及子主题：（1）相互矛盾的建议，干预措施中的营养风险信息与其他来源或基于文化或个人饮食针对其他健康状况的建议之间存在矛盾；（2）对营养风险信息的反应，从反感（如认为“避免饮酒”的说教意味）到赞赏，并对改进信息提出建议；（3）信息差距。我们讨论了这些主题、转化影响以及未来研究和传播基于网络的癌症预防信息的沟通策略的注意事项。
