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首页> 外文期刊>Ethnicity & health >Low baseline awareness of gastric cancer risk factors amongst at-risk multiracial/ethnic populations in New York City: results of a targeted, culturally sensitive pilot gastric cancer community outreach program
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Low baseline awareness of gastric cancer risk factors amongst at-risk multiracial/ethnic populations in New York City: results of a targeted, culturally sensitive pilot gastric cancer community outreach program

机译：纽约市的风险多种族/民族人口中低基线对胃癌风险因素的影响：目标，文化敏感试点胃癌社区外展计划的结果

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Background and Aims: There are limited efforts to address modifiable risk factors for gastric cancer (GC) among racial/ethnic groups at higher GC risk, which may reflect decreased public awareness of risk factors. Our primary aim was to assess baseline awareness of GC risk factors and attitudes/potential barriers for uptake of a GC screening program among high-risk individuals. Methods: Participants attended a linguistically and culturally targeted GC educational program in East Harlem (EH)/Bronx and Chinatown communities in New York City. Demographic information and relevant behavioral/lifestyle habits were collected. Participants' ability to identify GC risk factors and attitudes/barriers surrounding GC screening were assessed before and after the program. Results: Of the 168 included participants, most were female with 77% above age 70. Nearly half of participants in the EH/Bronx programs identified themselves as black and 63% as Hispanic/Latino; 93% of the Chinatown participants identified as Chinese. Among EH/Bronx participants, the majority correctly identified older age, smoking, alcohol, H. pylori, family history, race/ethnicity, excess salt, and preserved foods as risk factors. Among Chinatown participants, the majority correctly identified smoking, alcohol, race/ethnicity, and excess salt, although only 53% and 57.8% correctly identified H. pylori and preserved foods, respectively; the majority incorrectly answered that older age was not a major risk factor. The majority in both groups failed to identify male gender as higher risk and incorrectly identified stress and obesity as major risk factors. Participants were more concerned about the potential findings on GC screening tests than the risks and costs or having to take time off work. Conclusion: Among multiracial/ethnic groups of individuals presumably at higher risk for GC, we identified several gaps in baseline knowledge of both modifiable and non-modifiable GC risk factors. Culturally and linguistically appropriate educational interventions may be a worthwhile adjunctive intervention within the context of a targeted GC screening program.
机译：背景和宗旨：努力解决种族/族群中的胃癌（GC）的可修改危险因素，以较高的GC风险，这可能反映了公众对风险因素的认识。我们的主要目标是评估GC危险因素和态度/潜在障碍的基线意识，以吸收高危人员的GC筛查计划。方法：参与者参加了在纽约市东哈莱姆（EH）/布朗克斯和唐人街社区的语言和文化上针对的GC教育计划。收集人口统计信息和相关行为/生活方式习惯。参与者识别GC危险因素和围绕GC筛查的态度/障碍的能力在该计划之前和之后进行了评估。结果：在168名参与者中，大多数女性超过70岁以上77％。EH / Bronx计划中的近一半参与者认为自己是黑人和63％的西班牙裔/拉丁裔; 93％的唐人街参与者确定了中国人。在EH / Bronx参与者中，大多数人正确地确定了年龄较大的年龄，吸烟，酒精，H.幽门螺杆菌，家族史，种族/种族，过量的盐，以及保存的食物作为风险因素。在唐人街参与者中，大多数人正确鉴定了吸烟，酒精，种族/种族和过量的盐，虽然只有53％和57.8％的正确鉴定了幽门螺杆菌和保存的食物;大多数不正确地回答年龄较大的年龄不是主要的危险因素。两组的大多数人未能将男性性别视为更高的风险，并且错误地将压力和肥胖被认为是主要的风险因素。参与者更关注GC筛查测试的潜在结果，而不是风险和成本或不得不休假工作。结论：大众数/族裔群体占GC的风险较高，我们确定了可修改和不可修改的GC危险因素的基线知识中的几个差距。文化和语言学上，适当的教育干预可能是一个有价值的GC筛选计划的辅助干预。

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