Melikam E Sylvia, Magwood Gayenell S, Ford Marvella, Salley Judith, Abraham-Hilaire Latecia, Nelson Joni, McCrary-Quarles Audrey, Berry Cammie, Sirizi Delaram, Cartmell Kathleen B
Department of Public Health Sciences, Clemson University, 513 Edwards Hall, Clemson, SC, 29634, USA.
Department of Biobehavioral Health and Nursing Science, College of Nursing, University of South Carolina, 1601 Greene St., Columbia, SC, 29208, USA.
J Cancer Educ. 2025 Aug;40(4):559-566. doi: 10.1007/s13187-024-02543-5. Epub 2024 Dec 21.
Despite landmark breakthroughs in cancer research, African American adults (AA) bear the highest cancer burden compared to other racial groups in the United States (US). AA adults have twice the likelihood of dying from prostate and uterine cancers compared to White adults, suggesting that there are fundamental issues yet to be addressed when developing and implementing cancer-preventative programs for AA communities. Community-based participatory research (CBPR) empowers community members to identify and prioritize their health problems and preferred strategies to tackle these issues. In alignment with the CBPR approach, the South Carolina Cancer Disparities Research Center (SC CADRE) undertook a study to inform cancer research priorities and interventions. A survey designed by the SC CADRE team to assess perceptions about health problems (cancer risk factors), prioritization of cancer education topics, and attitudes related to cancer prevention was completed by predominantly AA community members in South Carolina (N = 179). Participants had a mean age of 51.59 ± 16.53 years; the majority were AA (72.49%), females (76.44%), had bachelor's/graduate degrees (66.29%), and were from the Lowcountry coastal region of the state (85.26%). Obesity emerged as the greatest health concern, followed by poor diet and low physical activity. The top three priorities for cancer education were to learn about causes of cancer, strategies for healthy eating, and how to access healthcare. These findings could inform cancer education and intervention programs to address the top priority health needs identified by AA communities in South Carolina. They may also be relevant in other states, especially in rural southern parts of the USA.
尽管癌症研究取得了具有里程碑意义的突破，但与美国其他种族群体相比，非裔美国成年人承受着最高的癌症负担。与白人成年人相比，非裔美国成年人死于前列腺癌和子宫癌的可能性是其两倍，这表明在为非裔美国社区制定和实施癌症预防计划时，仍有一些基本问题有待解决。基于社区的参与性研究（CBPR）使社区成员能够确定他们的健康问题并对其进行优先排序，以及确定解决这些问题的首选策略。按照CBPR方法，南卡罗来纳癌症差异研究中心（SC CADRE）开展了一项研究，以确定癌症研究的重点和干预措施。SC CADRE团队设计了一项调查，以评估对健康问题（癌症风险因素）的看法、癌症教育主题的优先级以及与癌症预防相关的态度，该调查由南卡罗来纳州的主要非裔美国社区成员完成（N = 179）。参与者的平均年龄为51.59 ± 16.53岁；大多数是非裔美国人（72.49%）、女性（76.44%），拥有学士/研究生学位（66.29%），并且来自该州的低地沿海地区（85.26%）。肥胖成为最令人担忧的健康问题，其次是不良饮食和缺乏体育锻炼。癌症教育的三大优先事项是了解癌症病因、健康饮食策略以及如何获得医疗保健。这些发现可为癌症教育和干预计划提供参考，以满足南卡罗来纳州非裔美国社区确定的首要健康需求。它们在其他州可能也具有相关性，尤其是在美国南部农村地区。
