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Comprehensive workplace intervention for cancer prevention in China

中国预防癌症的综合工作场所干预措施

基本信息

批准号：
MR/W023857/1
负责人：
Feng He
金额：
$ 233.88万
依托单位：
Queen Mary University of London
依托单位国家：
英国
项目类别：
Research Grant
财政年份：
2022
资助国家：
英国
起止时间：
2022 至无数据
项目状态：
未结题

来源：
https://gtr.ukri.org/projects?ref=MR%2FW023857%2F1
关键词：
Comprehensive workplace intervention cancer prevention

项目摘要

Globally, cancer is the second leading cause of death and approximately 70% of the cancer deaths occur in low- and middle-income countries (LMICs). The death numbers are continuing to increase, which puts a tremendous burden on individuals and the healthcare system in LMICs. Workplace is an important channel for cancer prevention and control. Several high-income countries, such as the US and the UK, have established workplace health promotion programmes to address behaviour risk factors of cancer. These programmes have been successfully implemented, resulting in a significant improvement not only in behaviour changes of the employees, but also in the work-related outcomes, including economic returns of the employers. Based on the international experience and local assessment, our research will adapt existing evidence-based strategies and establish a scalable model for cancer prevention that can be widely applied in Chinese workplaces. A comprehensive workplace intervention package, which will address major behaviour risks of cancer for the employees, such as tobacco and alcohol use, unhealthy diet, obesity and lack of physical activity, will be developed, implemented and evaluated through a series of multilevel involvement strategies covering individual programmes, organizational policies and supportive environment and with the support of a tailored smartphone application. In this research, we will test the adaptability of the intervention package across various workplaces in diverse regions with different diets and lifestyles. We will select 15 workplaces with approximately 1500 employees from three cities located in the northern, central and southern provinces of China respectively - mostly in the economically underdeveloped areas. By full engagement of employers and employees in a staggered design with the intervention duration lasting for 1 year, 1.5 years and 2 years respectively, the research aims to achieve the individual behaviour changes in modifiable risk factors of cancer. In the long term, the research outcome will also be demonstrated by the reduction of occurrence of cancer and other major non-communicable diseases, such as stroke and heart attacks of employees, the productivities of the employees and their work performance, as well as the economic benefits of the employers. The comprehensive workplace intervention will bring enormous benefits to millions of Chinese workplace population and furthermore, will have a great potential to be adapted by many other LMICs with a similar situation of heavy cancer burden. The research will provide evidence and solutions to address the common challenges of these countries, particularly to overcome the barriers in intervention implementation. Ultimately, the research outcome will contribute to the attainment of the United Nations' Sustainable Development Goal 3.4 by reducing a great deal of premature mortality from cancers. The success of this research will lead to significant global health impact in a world with huge health and economic burden caused by cancer.

在全球范围内，癌症是第二大死亡原因，大约 70% 的癌症死亡发生在低收入和中等收入国家 (LMIC)。死亡人数持续增加，给中低收入国家的个人和医疗系统带来巨大负担。工作场所是癌症防治的重要渠道。美国和英国等一些高收入国家已经制定了工作场所健康促进计划，以解决癌症的行为风险因素。这些计划已成功实施，不仅显着改善了员工的行为变化，而且显着改善了与工作相关的成果，包括雇主的经济回报。基于国际经验和本地评估，我们的研究将调整现有的循证策略，并建立可在中国工作场所广泛应用的可扩展的癌症预防模型。将通过一系列涵盖个人计划、组织政策和支持环境的多层次参与策略，并在定制的智能手机应用程序的支持下，制定、实施和评估一套全面的工作场所干预方案，解决员工患癌症的主要行为风险，如吸烟和饮酒、不健康饮食、肥胖和缺乏体力活动。在这项研究中，我们将测试干预方案在不同地区、不同饮食和生活方式的不同工作场所的适应性。我们将从中国北部、中部和南部省份的三个城市选择15个工作场所，约1500名员工，其中大部分位于经济欠发达地区。该研究通过雇主和雇员的充分参与，采用交错设计，干预持续时间分别为1年、1.5年和2年，旨在实现可改变的癌症危险因素的个体行为改变。从长远来看，研究成果还将体现在员工癌症和其他主要非传染性疾病（如中风和心脏病）发病率的降低、员工的生产力和工作表现以及雇主的经济效益上。全面的工作场所干预措施将为数以百万计的中国工作场所人口带来巨大的好处，而且也有很大的潜力被许多其他具有类似癌症负担情况的中低收入国家所采用。该研究将为解决这些国家面临的共同挑战，特别是克服干预措施实施中的障碍提供证据和解决方案。最终，研究成果将通过减少大量癌症过早死亡率，为实现联合国可持续发展目标 3.4 做出贡献。在癌症造成巨大健康和经济负担的世界中，这项研究的成功将对全球健康产生重大影响。

项目成果

期刊论文数量（3）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Cancer Prevention and Early Action.

DOI：
10.46234/ccdcw2022.075
发表时间：
2022-04-15
期刊：
CHINA CDC WEEKLY
影响因子：
4.7
作者：
Wu, Jing
通讯作者：
Wu, Jing

Cancer Mortality and Cause Eliminated Life Expectancy in Key Areas of Four Provinces - China,

中国四省重点地区的癌症死亡率和导致预期寿命下降的原因

DOI：
发表时间：
2022
期刊：
China CDC Weekly
影响因子：
4.7
作者：
Baohua Wang
通讯作者：
Baohua Wang

Comprehensive workplace intervention for cancer prevention in China (WECAN): protocol for a stepped-wedge, cluster-randomised controlled trial.

DOI：
10.1136/bmjopen-2023-072405
发表时间：
2023-04-25
期刊：
BMJ OPEN
影响因子：
2.9
作者：
Li, Yuan;Sun, Kaige;Wang, Baohua;Wang, Ning;Luo, Rong;Wang, Changqiong;Liu, Yu;Duffy, Stephen;MacGregor, Graham A.;Wu, Jing;He, Feng J.;Zhang, Puhong
通讯作者：
Zhang, Puhong