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LHS+女性宫颈癌的差异:医学生入门指南。

Disparities in Cervical Cancer Among LHS+ Women: A Primer for Medical Students.

作者信息

Conde Toro Alexandra M, Vélez Figueroa Andrea C, Báez Cruz Alicia, Grau Rodríguez Marcel, Montalvo Rivera Edwin J, Collazo Irizarry Diego E, Vivaldi Marrero Edymarie, Rodríguez Vega Pamela, Báez Rivera Alejandra C, Calderón Alonso Ana I, Pommells Kaitlyn, Pérez Álvaro, Sánchez John Paul

机构信息

Fourth-Year Medical Student, Universidad Central del Caribe School of Medicine.

First-Year Resident, Hospital Universitario Dr. Ramón Ruiz Arnau and Universidad Central del Caribe School of Medicine.

出版信息

MedEdPORTAL. 2024 Dec 24;20:11482. doi: 10.15766/mep_2374-8265.11482. eCollection 2024.

Abstract

INTRODUCTION

Latina, Latino, Latinx, Latine, Hispanic, or of Spanish origin+ (LHS+) women face higher cervical cancer risks, incidence, and mortality compared to non-Hispanic White women. These disparities are attributable to socioeconomic factors, limited access to health care, language and cultural barriers, and negative health care experiences.

METHODS

We used the Kern model to design, implement, and evaluate a workshop to educate medical students and health care professionals on cervical cancer disparities among LHS+ women and culturally competent communication skills. The workshop included a 60-minute session featuring a PowerPoint presentation, video, and case discussions.

RESULTS

We conducted the workshop four times, both in person and virtually. We administered pre- and posttests to 46 participants, including medical students and health care professionals. Only 39 participants completed both forms, yielding an 85% response rate. Analysis using the related-samples Wilcoxon signed rank test on responses revealed a significant increase in confidence for each learning objective ( < .01). Participants rated the workshop as very good or excellent, and their feedback highlighted the value of interactive activities like the video and case discussions.

DISCUSSION

Increasing health care providers' awareness of and knowledge about cervical cancer disparities in LHS+ women is essential to improve health care experiences and outcomes. Future workshops should incorporate culturally specific materials for different Spanish-speaking nationalities (e.g., Dominican, Mexican, etc.), medical Spanish training, and cervical cancer education for LGBTQ+ LHS+ women.

摘要

引言

与非西班牙裔白人女性相比,拉丁裔、拉丁裔、拉丁裔、拉丁裔、西班牙裔或有西班牙血统+(LHS+)的女性面临更高的宫颈癌风险、发病率和死亡率。这些差异可归因于社会经济因素、获得医疗保健的机会有限、语言和文化障碍以及负面的医疗保健经历。

方法

我们使用克恩模型设计、实施和评估了一个研讨会,以教育医学生和医疗保健专业人员了解LHS+女性宫颈癌差异以及具备文化胜任力的沟通技巧。该研讨会包括一个60分钟的环节,有PowerPoint演示文稿、视频和案例讨论。

结果

我们亲自和通过线上方式举办了四次该研讨会。我们对46名参与者(包括医学生和医疗保健专业人员)进行了前后测试。只有39名参与者完成了两份表格,回复率为85%。对回复进行的相关样本威尔科克森符号秩检验分析显示,每个学习目标的信心都有显著提高(<.01)。参与者对研讨会的评价为非常好或优秀,他们的反馈突出了视频和案例讨论等互动活动的价值。

讨论

提高医疗保健提供者对LHS+女性宫颈癌差异的认识和了解对于改善医疗保健体验和结果至关重要。未来的研讨会应纳入针对不同讲西班牙语国籍(如多米尼加、墨西哥等)的特定文化材料、医学西班牙语培训以及针对LGBTQ+LHS+女性的宫颈癌教育。

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