Division of Community Health Sciences, School of Public Health, University of Illinois Cancer Center, University of Illinois Chicago, Chicago, IL 60612, USA.
University of Illinois Cancer Center, University of Illinois Chicago, Chicago, IL 60612, USA.
Int J Environ Res Public Health. 2024 Feb 12;21(2):213. doi: 10.3390/ijerph21020213.
The increasing rates of cancer incidence are disproportionately borne by populations that are ineligible for screening and historically marginalized populations. To address this need, our community-centered model seeks to catalyze the widespread diffusion of evidence-based information and resources (e.g., community-based organizations, federally qualified health centers) to reduce the risks of cancer, chronic disease, and other conditions. In this study, we tested whether improving personal health literacy (i.e., confidence in seeking information) and enabling successful information transfer (i.e., intention to share the specific information learned through the program) among community residents could contribute to greater diffusion intention (i.e., number of network members with whom residents plan to share information and resources). The current study used post-intervention surveys, which were administered to Chicago residents who were 18 years or older and had participated in the program. Among the 1499 diverse Chicago residents, improved personal health literacy was associated with greater diffusion intention (ORs = 2.00-2.68, 95% CI [1.27-4.39], ≤ 0.003). Successful information transfer was associated with greater diffusion, especially for cancer and other chronic disease risk reductions (ORs = 3.43-3.73, 95% CI [1.95-6.68], < 0.001). The findings highlight the potential gains for health equity through sustainable, scalable, multi-sectoral partnerships.
癌症发病率的上升不成比例地落在不符合筛查条件和历史上处于边缘地位的人群中。为了满足这一需求，我们的社区为中心的模式旨在促进基于证据的信息和资源（例如，社区组织、合格的联邦健康中心）的广泛传播，以降低癌症、慢性病和其他疾病的风险。在这项研究中，我们测试了提高社区居民的个人健康素养（即寻求信息的信心）和促进成功的信息传递（即分享通过该计划获得的特定信息的意愿）是否有助于提高扩散意愿（即计划与网络成员分享信息和资源的居民人数）。本研究使用了干预后的调查，这些调查是针对年龄在 18 岁或以上并参加过该计划的芝加哥居民进行的。在 1499 名不同的芝加哥居民中，个人健康素养的提高与更大的扩散意愿相关（ORs=2.00-2.68，95%CI[1.27-4.39]，≤0.003）。成功的信息传递与更大的扩散有关，特别是对癌症和其他慢性病风险的降低（ORs=3.43-3.73，95%CI[1.95-6.68]，<0.001）。这些发现强调了通过可持续、可扩展、多部门伙伴关系实现健康公平的潜力。
