设计和实施一个以社区为基础的教育计划,以加强波多黎各东南部的前列腺癌查
Juan Derieux-Cruz1, Milton Rodríguez-Padilla2, Yaritza Pérez1
1School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce 00716-2347, Puerto Rico.
Healthcare (Basel, Switzerland)
|November 13, 2025
概括
波多黎各的一个基于社区的前列腺癌 (PCa) 教育计划显著增加了知识和查意愿. 干预成功发现了PCa病例,显示出减少健康差异的希望.
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:
- 前列腺癌 (PCa) 在波多黎各的发病率和死亡率很高.
- 对PCa的查和早期检测计划是有限的和分散的.
- 专注于具有高非洲血统和高PCa死亡率的农村社区.
研究的目的:
- 设计和实施基于社区的教育计划,以增强PCa知识和查.
- 解决贫困人口查障碍的障碍.
- 评估该计划对知识,信心和查率的影响.
主要方法:
- 使用社区参与原则和干预映射 (2021-2025) 的混合方法研究.
- 社区咨询委员会参与所有干预步骤.
- 提供PSA测试和数字直肠检查 (DRE) 的移动诊所,提供前/后测试和满意度调查.
主要成果:
- 干预后知识分数显著增加 (t = -5.5,p < 0.001).
- 76%的参与者报告说,他们对健康决策的信心增加了.
- 95名男子进行了查,33人被转诊进行随访,并发现了4例PCa病例.
结论:
- 文化定制的教育与可访问的查相结合,克服了障碍.
- 该计划显示了减少波多黎各PCa差距的潜力.
- 基于社区的干预措施对于改善弱势群体的癌症查是有效的.
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