A Novel Colorectal and Cervical Cancer Education Program: Findings from the Community Network for Cancer Prevention Forum Theater Program
A Novel Colorectal and Cervical Cancer Education Program: Findings from the Community Network for Cancer Prevention Forum Theater Program
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DOI：
10.1007/s13187-013-0530-9
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发表时间：
2013-12-01
影响因子：
1.6
通讯作者：
Jibaja-Weiss, Maria L.
中科院分区：
文献类型：
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作者：
Rustveld, Luis O.;Valverde, Ivan;Jibaja-Weiss, Maria L.
医疗服务不足的人口继续不成比例地承受着癌症的负担。这种差异的确切原因尚未完全阐明，但可能涉及多种因素。我们探讨了一种名为Forum Theater（FT）的新型社区癌症教育计划的潜在效用，旨在提高非洲裔美国人，西班牙裔和越南人群对结直肠癌（CRC）和宫颈癌（CxC）筛查的认识。我们还确定了观众在演出后6个月内获得CRC和CxC筛查的可能性。2011年9月至2012年7月期间，共举办了30场FT演出。在每次执行时进行简短的调查，引发对关键CRC和CxC筛选问题的回答。共有662名社区居民（316名西班牙裔，165名非洲裔美国人和181名越南人;总体平均年龄50.3 +/- 16.4）参加了表演。调查回应率为71.1%。在观看《金融时报》的表现后，大多数人（> 70%）对CRC和CxC筛查问题做出了正确回答。与西班牙裔和越南参与者相比，非洲裔美国人不太可能报告CRC和CxC是可预防的（p < 0.05），及时和定期筛查可以挽救生命（p = 0.05），大多数女性应在21岁时开始开始CxC筛查（p < 0.05）。我们的研究结果表明，FT可能是传播癌症筛查信息的有效策略。据非裔美国人报道，缺乏CRC/CxC筛查可以挽救生命和CRC/CxC是可以预防的意识，可能不仅仅源于缺乏知识或误解，而是可能受到该人群中癌症结局宿命论的影响。
Medically underserved populations continue to be disproportionately burdened by cancer. The exact reason for this disparity has not been fully elucidated, but likely involves multiple factors. We explored the potential utility of a novel community-based cancer education program called Forum Theater (FT), aimed at raising awareness about colorectal (CRC) and cervical cancer (CxC) screening among African-American, Hispanic, and Vietnamese populations. We also determined audience likelihood of obtaining CRC and CxC screening in the 6 months following performances. Thirty FT performances were held between September 2011 and July 2012. A brief survey was administered at each performance, eliciting responses on key CRC and CxC screening questions. A total of 662 community residents (316 Hispanic, 165 African-American, and 181 Vietnamese; overall mean age 50.3 +/- 16.4) participated in performances. The survey response rate was 71.1 %. After seeing FT performances, the majority responded correctly (> 70 %) on CRC and CxC screening questions. In comparison to Hispanic and Vietnamese participants, African-Americans were less likely to report that CRC and CxC are preventable (p < 0.05), that timely and regular screening saves lives (p = 0.05), and that CxC screening should begin at age 21 for most women (p < 0.05). Our findings suggest that FT may be an effective strategy to disseminate cancer screening information. Lack of awareness that CRC/CxC screening saves lives and that CRC/CxC is preventable, as reported by African-Americans, may not stem from lack of knowledge or misconceptions alone, but may be influenced by a sense of fatalism regarding cancer outcomes in this population.