印第安化和农村化NCI屏幕以节省计划:资源,优化推广,教学,科学 (ROOTS)
William Maybee1, Whitney Ann Henry2, Dakota Lazore-Swan2
1Department of Indigenous Cancer Health, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA. william.maybee@roswellpark.org.
文化定制的结直肠癌 (CRC) 教育改善了土著和农村人口的风险因素意识和查意图. 该计划通过促进知识和鼓励查参与,有效地减少了健康差异.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 预防癌症 预防癌症
背景情况:
- 大肠直肠癌 (CRC) 不成比例地影响土著和农村人口,导致较高的死亡率.
- 现有的癌症查计划往往对这些社区缺乏文化相关性.
- 解决健康差异需要文化定制的干预措施来改善癌症的结果.
研究的目的:
- 对美国东北部的土著和农村社区进行文化适应和实施NCI Screen to Save (S2S) 计划.
- 评估该计划对CRC风险因素和查意向的认识的影响.
- 评估文化定制方法在减少癌症健康差异方面的有效性.
主要方法:
- 通过与社区咨询委员会合作,NCI Screen to Save (S2S) 计划被本土化/农村化.
- 外展团队为土著和农村/郊区社区提供了量身定制的计划.
- 参与者 (n=82) 接受了前后调查 (n=79),平均年龄为49岁.
主要成果:
- 参与者正确地将吸烟,使用烟草和缺乏体育活动作为CRC风险因素.
- 干预后,参与者报告说身体活动和CRC查的可能性增加.
- 参与者表示有更多的意图鼓励家人和朋友接受CRC查.
结论:
- 文化定制的CRC信息显著增加了原住民和农村人口的查意图和知识.
- 这种方法有效地减少了缺乏服务的社区之间的癌症健康差异.
- 未来的研究应该集中在饮食,患者导航,遗传查和翻译科学质量改进上.
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