Knowledge and experience of cancer prevention and screening among Gypsies, Roma and Travellers: a participatory qualitative study.
Knowledge and experience of cancer prevention and screening among Gypsies, Roma and Travellers: a participatory qualitative study.
复制标题
DOI：
10.1186/s12889-021-10390-y
复制
发表时间：
2021-02-16
影响因子：
4.5
通讯作者：
Fenlon D
中科院分区：
文献类型：
--
作者：
Condon L;Curejova J;Morgan DL;Miles G;Fenlon D
癌症的发病率在世界范围内不断增加，这导致公共卫生更加注重初级预防。少数族裔对癌症风险因素和服务的认识较低，癌症死亡风险较大。虽然吉普赛人、罗姆人和游民的健康状况甚至与其他少数民族相比也很差，但人们对他们如何看待和实施初级预防知之甚少。本研究采用参与式方法，探讨这些社区的癌症预防和筛查知识和经验。同行研究人员进行了访谈（n = 37）和焦点小组（n = 4）在威尔士和英格兰西南部的社区成员有目的的样本。参与者自称是罗姆人（来自斯洛伐克和罗马尼亚）或吉普赛人，旅行者或表演者（这里称为吉普赛人/旅行者）。三分之一的样本是罗姆人，四分之一是男性，年龄从18岁到77岁不等。数据收集时间为2018年10月至2019年3月。妇女和男子都知道，健康饮食、戒烟、少喝酒和防晒等生活方式因素有助于降低癌症风险。然而，人们普遍对这些措施的有效性缺乏信心，特别是在吸烟方面。罗姆人和吉普赛人/游民有共同的传统文化信仰，但不一定影响个人的行为。大多数妇女参加了子宫颈和乳房检查，但很少有吉普赛/游民男子参加肠道检查，这与社会上坚忍的男子气概的理想相冲突。罗姆人参与者描述了筛查的语言障碍，对联合王国和斯洛伐克方案之间的时间和资格差异感到困惑;这导致一些人在国外进行筛查。这项研究提供了关于吉普赛人、罗姆人和游民如何保持健康和预防疾病的新知识，使人们深入了解年龄、性别和社区之间的异同。这些文化独特、需求高的少数民族在癌症预防和筛查方面有特殊需求，值得有针对性和可接受的健康促进，以减少健康不平等。在线版本包含补充材料，可在10.1186/s12889-021-10390-y获得。
The incidence of cancer is increasing worldwide, which has led to greater public health focus on primary prevention. Ethnic minorities have lower awareness of cancer risk factors and services, and are at greater risk of cancer mortality. While Gypsies, Roma and Travellers have poor health outcomes even in comparison with other ethnic minorities, little is known about how they view and enact primary prevention. This study takes a participatory approach to explore knowledge and experience of cancer prevention and screening in these communities. Peer researchers conducted interviews (n = 37) and a focus group (n = 4) with a purposive sample of community members in Wales and South-West England. Participants self-identified as Roma (from Slovakia and Romania) or as Gypsies, Travellers or Showpeople (here described as Gypsy/Travellers). A third of the sample were Roma, and a quarter male, with ages ranging from 18 to 77 years. Data were collected from October 2018 to March 2019. Women and men knew that lifestyle factors, such as healthy diet, stopping smoking, drinking less alcohol and using sun protection, contribute to cancer risk reduction. However, there was a widespread lack of confidence in the effectiveness of these measures, particularly in relation to smoking. Traditional cultural beliefs were shared by Roma and Gypsy/Travellers, but did not necessarily affect the behaviour of individuals. Most women participated in cervical and breast screening but few Gypsy/Traveller men would engage with bowel screening, which conflicted with community ideals of stoical masculinity. Roma participants described language barriers to screening, with confusion about differences in timing and eligibility between the UK and Slovakian programmes; this led some to access screening abroad. This study provides new knowledge about how Gypsies, Roma and Travellers keep healthy and prevent disease, giving insights into similarities and differences between ages, sexes and communities. These culturally distinct and high-need ethnic minorities have specific needs in relation to cancer prevention and screening, which merit targeted and acceptable health promotion to reduce health inequalities. The online version contains supplementary material available at 10.1186/s12889-021-10390-y.
登录
查看更多内容
影响因子：
4
作者：
Bonevski B;Randell M;Paul C;Chapman K;Twyman L;Bryant J;Brozek I;Hughes C
通讯作者：
Hughes C
影响因子：
2.9
作者：
Bell, Sadie;Edelstein, Michael;Mounier-Jack, Sandra
通讯作者：
Mounier-Jack, Sandra
影响因子：
17.1
作者：
Colditz GA;Wolin KY;Gehlert S
通讯作者：
Gehlert S
影响因子：
8.8
作者：
Brown KF;Rumgay H;Dunlop C;Ryan M;Quartly F;Cox A;Deas A;Elliss-Brookes L;Gavin A;Hounsome L;Huws D;Ormiston-Smith N;Shelton J;White C;Parkin DM
通讯作者：
Parkin DM
影响因子：
4
作者：
Gale NK;Heath G;Cameron E;Rashid S;Redwood S
通讯作者：
Redwood S