缩小癌症查差距:评估一个混合方法,基于社区的认知行为教育干预措施在Zuni Pueblo
Kate Cartwright1, Judith Sheche2, Samantha Leekity3
1School of Public Administration, University of New Mexico, Albuquerque, NM, USA.
Cancer control : journal of the Moffitt Cancer Center
|December 24, 2025
概括
一个文化定制的教育计划改善了祖尼成年人的癌症查率和知识. 干预强调了社区参与和文化相关信息的重要性,以减少土著社区的癌症差异.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 土著健康土著健康
背景情况:
- 美国印第安人和阿拉斯加土著人口经历了显著的癌症差异.
- 祖尼普埃布洛成人在癌症查率方面面临着持续的不平等.
- 需要文化定制的干预措施来弥补这些差距.
研究的目的:
- 评估基于社区的认知行为教育干预.
- 为了改善与癌症相关的知识,态度和查行为在祖尼成年人.
- 评估文化定制信息对癌症查遵守的影响.
主要方法:
- 这是一项混合方法,社区参与的研究,涉及117名祖尼族成年人 (年龄21-75岁).
- 参与者完成了干预前和后的调查.
- 通过重点小组和采访收集的定性数据.
主要成果:
- 增加了癌症查尝试:75%用于宫,60%用于乳房影像,43-56%用于便血液测试.
- 与家人讨论癌症风险的可能性更高 (OR=1.23).
- 定性数据显示了文化特定内容和社会支持的价值;障碍包括访问和保密性.
结论:
- 文化定制的教育显著提高了祖尼普埃布洛的癌症查知识,态度和行为.
- 社区参与和文化一致的信息对干预成功至关重要.
- 未来的努力必须整合部落的观点,解决结构性障碍,建立当地能力.
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