Co-Designed Culturally Tailored Cancer Screening Promotion Program With Chinese-Australian: Using a Community Partnership Approach

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia Pub Date : 2025-05-29 DOI:10.1002/hpja.70059

Cannas Kwok, Xinyi Xu

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引用次数: 0

Abstract

Issue Addressed

Despite national cancer screening programs in Australia, people from culturally and linguistically diverse (CALD) backgrounds, particularly Chinese-Australians, demonstrate significantly lower participation rates in cancer screening. Cultural beliefs, language barriers and limited health literacy contribute to this disparity, highlighting the need for culturally tailored interventions.

Methods

A culturally tailored cancer awareness education and screening promotion program was developed and implemented using a community partnership approach. A consumer engagement panel comprising Chinese community members, cancer survivors and community leaders was established to guide program development and implementation. Twenty-four educational sessions were delivered in Cantonese or Mandarin to 821 Chinese-Australians. The program's effectiveness was evaluated using pre- and post-intervention questionnaires assessing cancer knowledge, screening awareness and screening intentions.

Results

Significant improvements were observed in participants' awareness of screening practices (bowel screening: 50.1% to 100%; breast awareness: 78.8% to 100%; mammogram: 65.8% to 95.6%; cervical screening: 86.5% to 96.9%). Screening intentions within 6 months increased substantially across all cancer types (bowel: 7.4% to 37%; breast awareness: 21.2% to 77.6%; mammogram: 18.9% to 47.7%; cervical: 39.8% to 73.1%). About 9 out of 13 questions regarding cancer knowledge and beliefs showed significant improvement post-intervention.

Conclusions

The community partnership approach and culturally tailored cancer education effectively improved cancer screening awareness and intentions among Chinese-Australians.

So What?

This study provides a successful model for developing and implementing culturally sensitive cancer screening promotion programmes, which can be adapted for other CALD communities to address health disparities in cancer screening participation.

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与华裔澳大利亚人共同设计文化定制的癌症筛查促进计划：使用社区合作方法

尽管澳大利亚有全国性的癌症筛查项目，但来自不同文化和语言背景（CALD）的人，特别是华裔澳大利亚人，在癌症筛查中的参与率明显较低。文化信仰、语言障碍和有限的卫生知识是造成这种差异的原因之一，因此需要针对不同文化采取干预措施。方法采用社区合作的方式，制定并实施具有文化特色的癌症意识教育和筛查推广计划。成立了一个由华人社区成员、癌症幸存者和社区领袖组成的消费者参与小组，指导项目的发展和实施。共为821名华裔澳洲人提供24期粤语或普通话教育课程。该项目的有效性是通过干预前和干预后的问卷来评估癌症知识、筛查意识和筛查意图。结果参与者对筛查实践的认识显著提高(肠道筛查：50.1%至100%；乳房意识：78.8%至100%；乳房x光检查：65.8% ~ 95.6%；子宫颈普查：86.5%至96.9%)。所有癌症类型6个月内的筛查意愿都大幅增加(肠癌：7.4%至37%；乳房意识：21.2% ~ 77.6%；乳房x光检查：18.9% ~ 47.7%；宫颈：39.8%至73.1%)。在13个关于癌症知识和信念的问题中，约有9个问题在干预后显示出显著的改善。结论社区合作方式和针对不同文化的癌症教育有效地提高了华裔澳大利亚人的癌症筛查意识和意愿。那又怎样?这项研究为制定和实施具有文化敏感性的癌症筛查促进计划提供了一个成功的模式，可以适用于其他CALD社区，以解决癌症筛查参与方面的健康差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Promotion Journal of Australia PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.10

自引率

10.50%

发文量

115

期刊介绍： The purpose of the Health Promotion Journal of Australia is to facilitate communication between researchers, practitioners, and policymakers involved in health promotion activities. Preference for publication is given to practical examples of policies, theories, strategies and programs which utilise educational, organisational, economic and/or environmental approaches to health promotion. The journal also publishes brief reports discussing programs, professional viewpoints, and guidelines for practice or evaluation methodology. The journal features articles, brief reports, editorials, perspectives, "of interest", viewpoints, book reviews and letters.