促进越南裔美国人结直肠癌查的多层次和多组件干预:一个集群随机试验
Grace X Ma1,2, Lin Zhu1,2, Yin Tan1
1Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA United States.
Translational behavioral medicine
|October 29, 2025
概括
在越南裔美国人中,一个量身定制的干预措施显著提高了使用便免疫化学测试 (FIT) 的结直肠癌 (CRC) 查. 社区参与和文化特定的方法是提高癌症查率的关键.
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:
- 结肠直肠癌 (CRC) 查对于早期检测至关重要.
- 便免疫化学测试 (FIT) 是一种非侵入性查方法.
- 越南裔美国人面临高CRC负担和低查率.
研究的目的:
- 评估一个文化定制的,多层次的干预措施,促进在50岁以上的越南裔美国人中使用FIT进行CRC查.
- 在一个CRC发病率高,查普及率低的社区解决查障碍.
主要方法:
- 一个双臂集群随机对照试验 (2017-2020年) 涉及20个社区组织的746名参与者.
- 干预组获得了FIT套件,知识教育,获得护理和社会规范.
- 对照组接受了一般癌症预防护理教育.
主要成果:
- 在12个月的随访中,干预组的FIT完成率 (89.56%对7.59%) 和任何CRC测试率 (91.48%对42.41%) 显着更高.
- 95%的参与者只有有限的英语水平,这强调了需要量身定制的方法.
结论:
- 一个多组件,文化定制的干预措施有效地提高了越南裔美国人的CRC查率.
- 社区参与和解决个人/社区障碍对于成功的健康干预至关重要.
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