阿巴拉契亚州肯塔基州妇女肺癌预防:一个社区参与的混合方法研究
Jessica R Thompson1,2, Nancy E Schoenberg3, Pamela C Hull2,3
1Department of Health Policy and Administration, College of Health and Human Development, The Pennsylvania State University, University Park, PA, USA.
对阿巴拉契亚州肯塔基州妇女的肺癌预防需要多层次干预. 解决社区,医疗保健和政策障碍,以及改善查机会,对于降低高肺癌率至关重要.
科学领域:
- 公共卫生 公共卫生
- 预防癌症 预防癌症
- 健康差异 在健康上的差异
背景情况:
- 肯塔基州的阿巴拉契山脉是美国肺癌发病率最高的地区.
- 在该地区的女性中,肺癌的发病率下降速度较慢.
- 在阿巴拉契亚妇女中,预防肺癌的障碍和促进因素尚未得到充分理解.
研究的目的:
- 确定在肯塔基州阿帕拉契亚山区妇女肺癌预防的障碍和促进因素.
- 确定社区特定的干预措施,以预防肺癌.
主要方法:
- 使用概念映射的参与式混合方法方法被采用.
- 来自肯塔基州的71名成年女性参加了在线数据收集.
- 用多维缩放和层次集群分析来分析数据,随后进行焦点小组讨论.
主要成果:
- 在8个主题集群中确定了70个障碍和促进因素,包括社区,医疗保健和与烟草有关的因素.
- 出现了三个关键的干预领域:教育活动,政策变化 (无烟法律,广告禁令) 和改善肺癌查准入.
- 干预措施是针对年轻人,母亲和有资格进行查的个人量身定制的.
结论:
- 建议在肯塔基州的阿巴拉契亚山区妇女中进行多层次干预,以预防肺癌.
- 提高意识,地方政策和查准入是重要的组成部分.
- 这项研究为当地和性别特定障碍提供了新的见解,为未来的研究和干预提供了信息.
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