Harsch Stefanie, Weber Lea S, Kassaman Dinah, Kailemia Peter N, Oria Victor O
Center for Medicine and Society, University of Freiburg, Freiburg, Germany.
School of Nursing and Midwifery, Aga Khan University, Nairobi, Kenya.
Front Public Health. 2025 May 16;13:1527400. doi: 10.3389/fpubh.2025.1527400. eCollection 2025.
In light of the rising incidences of cancer in Kenya, there is an urgent need to evaluate and strengthen cancer health literacy (CHL). Nevertheless, no review has been undertaken to synthesise the empirical evidence on CHL in Kenya. This study aims to review the evidence, explore the use of the concept CHL and, assess the situation of HL interventions.
A comprehensive scoping review was conducted to explore the evidence on CHL in Kenya. The review included a thorough concept analysis, based on the work of Sorensen et al. and a situational analysis, employing the precede-proceed model of Green and Kreuter. Nine international scientific databases (PubMed, Web of Science, CINAHL, APA PsycINFO, OpenDissertation, ERIC, Cochrane Library, African Journals Online, and African Index Medicus) were searched to identify articles on cancer health literacy-related concepts in Kenya since 2010. Two researchers screened the titles and abstracts and analysed the full texts based on the eligibility criteria. Data was extracted using a deductively developed coding scheme.
A total of 727 articles were identified, of which 110 deemed eligible for analysis. The studies presented findings on the geographical distribution, cancer type, phase of the cancer care continuum, target group, cancer-related aspects, and intervention's influencing factors. Most studies concentrated on early detection and assessed barriers and facilitators. A mere 31 studies reported on treatment. There is a paucity of knowledge regarding educational interventions for cancer patients and their effectiveness. The concept of CHL was primarily concerned with possessing knowledge and information, with relatively little attention devoted to the processes of using them, specifically their appraisal and application. Various situational aspects of interventions were identified.
Further research is required to develop and implement promising interventions for the general public and cancer patients, enabling them to utilise information more effectively. Interventions that are decentralised, digital, and involve cancer patients and survivors are recommended to meet the needs of the growing numbers of cancer patients and their families. The findings can inform the development of promising CHL interventions and mitigate their barriers in Kenya and beyond.
鉴于肯尼亚癌症发病率不断上升，迫切需要评估并加强癌症健康素养（CHL）。然而，尚未进行综述来综合肯尼亚关于CHL的实证证据。本研究旨在综述相关证据，探讨CHL概念的应用，并评估健康素养干预措施的情况。
进行了一项全面的范围综述，以探索肯尼亚关于CHL的证据。该综述包括基于索伦森等人的工作进行的深入概念分析，以及采用格林和克鲁特的先行-后续模型进行的情况分析。检索了九个国际科学数据库（PubMed、科学网、护理学与健康领域数据库、美国心理学会心理学文摘数据库、开放学位论文数据库、教育资源信息中心、考科蓝图书馆、非洲在线期刊和非洲医学索引），以识别自2010年以来肯尼亚与癌症健康素养相关概念的文章。两名研究人员筛选了标题和摘要，并根据纳入标准分析了全文。使用演绎开发的编码方案提取数据。
共识别出727篇文章，其中110篇被认为符合分析条件。这些研究呈现了关于地理分布、癌症类型、癌症护理连续统一体阶段、目标群体、癌症相关方面以及干预影响因素的研究结果。大多数研究集中在早期检测，并评估了障碍和促进因素。仅有31项研究报告了治疗情况。关于针对癌症患者的教育干预措施及其效果的知识匮乏。CHL概念主要关注拥有知识和信息，相对较少关注使用这些知识和信息的过程，特别是其评估和应用。确定了干预措施的各种情况方面。
需要进一步开展研究，为公众和癌症患者开发并实施有前景的干预措施，使他们能够更有效地利用信息。建议采用分散式、数字化且涉及癌症患者和幸存者的干预措施，以满足越来越多癌症患者及其家庭的需求。这些研究结果可为肯尼亚及其他地区有前景的CHL干预措施的开发提供参考，并减少其障碍。
