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解决阿拉斯加原住民中的结直肠癌问题:社区与主题专家研讨会

Addressing Colorectal Cancer Among Alaska Native Peoples: A Community and Subject Matter Expert Symposium.

作者信息

Redwood Diana, McNelly Samantha, Flynn Kate, Siekaniec Claire, Habeger Charissa, Wark Kyle, Takeno Todd, Thomas Timothy

机构信息

Alaska Native Tribal Health Consortium, Anchorage, Alaska.

American Cancer Society, Anchorage and Juneau, Alaska.

出版信息

Gastro Hep Adv. 2024 Oct 18;4(3):100572. doi: 10.1016/j.gastha.2024.10.012. eCollection 2025.

DOI:10.1016/j.gastha.2024.10.012
PMID:39897113
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11786197/
Abstract

BACKGROUND AND AIMS

Alaska Tribal health organizations are working to increase colorectal cancer (CRC) prevention and control as well as awareness of its impact among Alaska Native peoples, who have the highest rates of CRC in the world.

METHODS

The Alaska Native Tribal Health Consortium convened the first Alaska Native CRC Research Symposium (symposium) held June 12-13, 2023 in Anchorage, Alaska. The symposium had 3 objectives: (1) Describe the epidemiology of Alaska Native CRC, clinical practices, and risk factors; (2) Share CRC prevention research happening in Alaska; and (3) Explore future ideas to reduce Alaska Native CRC. We report on the symposium design, findings, knowledge gaps, and future directions for others seeking to combat CRC in their state or Tribal community.

RESULTS

The symposium brought together Alaska Tribal healthcare leaders, community members, clinicians, scientists, and public health professionals. A third of attendees (32%) were Alaska Native or American Indian people and/or from rural/remote Alaska (27%). The symposium consisted of 6 different scientific sessions organized around the following themes: CRC Trends in Alaska and the United States, Risk and Protective Factors, Alaska Tribal Prevention Activities, Alaska Native Research and Initiatives, Knowledge Gaps, and New Research and Other Initiatives.

CONCLUSION

Reducing the burden of CRC among Alaska Native peoples will require persistent efforts to conduct quality research in partnership with Alaska Native communities; dedication of resources to fund research, prevention, and screening activities; and a steadfast, multisectoral commitment to addressing the persistent inequity of CRC experienced by Alaska Native peoples, families, and communities. This symposium was an important step in engaging in the collective journey to prevent CRC and promote health and wellness among Alaska Native peoples.

摘要

背景与目标

阿拉斯加部落卫生组织致力于加强结直肠癌(CRC)的预防与控制,并提高阿拉斯加原住民对其影响的认识,阿拉斯加原住民的结直肠癌发病率位居世界之首。

方法

阿拉斯加原住民部落卫生联盟于2023年6月12日至13日在阿拉斯加安克雷奇召开了首届阿拉斯加原住民结直肠癌研究研讨会。该研讨会有3个目标:(1)描述阿拉斯加原住民结直肠癌的流行病学、临床实践及风险因素;(2)分享阿拉斯加正在开展的结直肠癌预防研究;(3)探索降低阿拉斯加原住民结直肠癌发病率的未来思路。我们报告该研讨会的设计、结果、知识空白以及未来方向,供其他希望在本州或部落社区抗击结直肠癌的人士参考。

结果

该研讨会汇聚了阿拉斯加部落医疗保健领导人、社区成员、临床医生、科学家和公共卫生专业人员。三分之一的与会者(32%)是阿拉斯加原住民或美洲印第安人,和/或来自阿拉斯加农村/偏远地区(27%)。研讨会包括6个不同的科学会议,围绕以下主题组织:阿拉斯加和美国的结直肠癌趋势、风险与保护因素、阿拉斯加部落预防活动、阿拉斯加原住民研究与倡议、知识空白以及新研究与其他倡议。

结论

要减轻阿拉斯加原住民的结直肠癌负担,需要持续努力与阿拉斯加原住民社区合作开展高质量研究;投入资源资助研究、预防和筛查活动;坚定地做出多部门承诺,解决阿拉斯加原住民、家庭和社区在结直肠癌方面长期存在的不平等问题。本次研讨会是在预防结直肠癌以及促进阿拉斯加原住民健康与福祉的集体征程中迈出的重要一步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9877/11786197/ce0c16d8e4cd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9877/11786197/ce0c16d8e4cd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9877/11786197/ce0c16d8e4cd/gr1.jpg

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本文引用的文献

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The Development of a Community-Led Alaska Native Traditional Foods Gathering.社区主导的阿拉斯加原住民传统食物采集的发展。
Health Promot Pract. 2023 Nov;24(6):1091-1095. doi: 10.1177/15248399231190363.
2
Elevated colorectal cancer incidence among American Indian/Alaska Native persons in Alaska compared to other populations worldwide.与全球其他人群相比,阿拉斯加的美国印第安人/阿拉斯加原住民的结直肠癌发病率较高。
Int J Circumpolar Health. 2023 Dec;82(1):2184749. doi: 10.1080/22423982.2023.2184749.
3
Elevated Adenomatous Polyp Detection Rate Among Alaska Native and American Indian People in Interior Alaska, 2018-2022.
2018-2022 年,阿拉斯加内陆地区阿拉斯加原住民和美洲原住民的腺瘤性息肉检出率升高。
Public Health Rep. 2023 Sep-Oct;138(2_suppl):56S-60S. doi: 10.1177/00333549221143204. Epub 2023 Jan 23.
4
Cancer statistics for American Indian and Alaska Native individuals, 2022: Including increasing disparities in early onset colorectal cancer.2022年美国印第安人和阿拉斯加原住民的癌症统计数据:包括早发性结直肠癌中日益扩大的差异。
CA Cancer J Clin. 2023 Mar;73(2):120-146. doi: 10.3322/caac.21757. Epub 2022 Nov 8.
5
Development of a colorectal cancer screening intervention for Alaska Native people during a pandemic year.在大流行年份为阿拉斯加原住民开发结直肠癌筛查干预措施。
Contemp Clin Trials Commun. 2022 Oct 10;30:101016. doi: 10.1016/j.conctc.2022.101016. eCollection 2022 Dec.
6
Characteristics of colorectal cancers among Alaska Native people before and after implementing programs to promote screening.阿拉斯加原住民实施筛查促进项目前后的结直肠癌特征。
J Cancer Policy. 2021 Sep;29:100293. doi: 10.1016/j.jcpo.2021.100293. Epub 2021 Jul 12.
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Dietary fibre to reduce colon cancer risk in Alaska Native people: the Alaska FIRST randomised clinical trial protocol.膳食纤维降低阿拉斯加原住民结肠癌风险:阿拉斯加 FIRST 随机临床试验方案。
BMJ Open. 2021 Aug 27;11(8):e047162. doi: 10.1136/bmjopen-2020-047162.
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Gastric Cancer in Alaska Native and American Indian People Living in Alaska, 1990-2017.阿拉斯加原住民和美国印第安人在阿拉斯加的胃癌发病率,1990-2017 年。
Clin Transl Gastroenterol. 2021 Jun 23;12(7):e00374. doi: 10.14309/ctg.0000000000000374.
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Cost-Effectiveness of Multitarget Stool DNA Testing vs Colonoscopy or Fecal Immunochemical Testing for Colorectal Cancer Screening in Alaska Native People.多靶点粪便 DNA 检测与结肠镜检查或粪便免疫化学检测用于阿拉斯加原住民结直肠癌筛查的成本效益比较。
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