scholarly journals Pacific Islander Organization’s Approach towards Increasing Community Colorectal Cancer Knowledge and Beliefs

2013 ◽  
Vol 11 (2) ◽  
pp. 12-20 ◽  
Author(s):  
Roger Sur ◽  
Ruth Peters ◽  
Leah Leilani Beck ◽  
Melevesi Fifita ◽  
Maria Gonzalez ◽  
...  

Purpose: Evaluate the educational intervention and determine if changes in knowledge and beliefs are associated with positive intentions to screen among Pacific Islanders (PIs). Design: Pre- and post-test surveys were utilized to evaluate the intervention. Educational materials included an in-language presentation, educational videos, and bookmarks with screening re-enforcement messages for communitybased PI groups. Methods: One hundred and ninety-six PIs aged 50 years and older residing in Orange County completed the educational workshop. The dependent variable is intention and the independent variables are demographic, enabling, and predisposing characteristics. Statistical analyses included paired samples t-tests, chi-square tests, and two logistic regression models. Results: Knowledge and belief scores increased pre- to post-test. A majority intended to (1) talk to a doctor about colorectal cancer (CRC) screening (74.5%), and (2) participate in CRC screening (73.5%). Positive change in knowledge score was a significant predictor for intending to talk to a doctor about CRC screening; female gender and positive change in knowledge score were significant predictors for intending to participate in screening. Conclusion: The study highlighted the effectiveness of tailored education in addressing cultural and linguistic needs of the community. Moreover, it demonstrated the education’s potential for moving participants with limited CRC screening knowledge to intend to screen.

2019 ◽  
Vol 34 (4) ◽  
pp. 400-414
Author(s):  
Judy Y Ou ◽  
Echo L Warner ◽  
Gina E Nam ◽  
Laura Martel ◽  
Sara Carbajal-Salisbury ◽  
...  

Abstract Hispanics have the lowest colorectal cancer (CRC) screening rates of all racial/ethnic groups and comprise the largest proportion of low-income manual laborers in the nation. We partnered with businesses to implement a community health worker (CHW)-led intervention among Hispanic workers in service-related and manual labor occupations, which often pay low wages and do not provide health insurance. CHWs measured knowledge, screening adherence and perceptions of CRC risk before and after educational interventions via interview. CHWs provided fecal immunochemical tests (FITs) to participants aged ≥50 years. Chi-square tests and logistic regression identified pre-intervention predictors of CRC knowledge of all participants and adherence among eligible participants. Adherence among participants increased from 40% (n = 307) pre-intervention to 66% post-intervention. Knowledge about CRC was associated with age ≥50 years (OR = 8.90 [95% CI = 2.61–30.35]; ref = 18–30) and perceived personal risk for CRC (Likely, OR = 3.06 [95% CI = 1.40–6.67]; ref = Not likely). Insurance status was associated with screening adherence pre-intervention (OR = 3.00 [95% CI 1.10–8.12]; ref = No insurance). Improvement in adherence post-intervention was associated with income between $25 000 and ≥$55 000 (OR = 8.49 [95% CI 1.49–48.32]; ref = $5000–<$10 000). Community-based health programs can improve CRC screening adherence among Hispanic workers in service-related and manual labor positions, but lowest-income workers may need additional support.


Author(s):  
Sagaya Arockiya Mary. A ◽  
Susai Mari.A ◽  
Wincy. C ◽  
Thirumurugan. M ◽  
Verginia Dsouza ◽  
...  

Background: The one virus stumbled the whole universe is the novel corona virus and impacted physical, emotional and social health status of almost every individual in the world irrespectively. Since the existence of Covid-19 till now it is been noticed that student nurses also affected by this fatal viral infection during their clinical practice. Objectives: The study focused on evaluating the effectiveness of webinar on knowledge regarding the strategies to prevent Covid -19 among student nurses of SIIHS, Honavar, Uttara Kannada. The study aimed at enhancing the knowledge level and influences others through effective health teaching at clinical areas and even in community settings. Methodology: An evaluative approach with pre- experimental, non-randomized, one group pre and post-test research design was adapted. The sample size was 294, purposive sampling technique was adapted. Data collected through testmoz web page and webinar was conducted by google meet app for one week. Data analysed by descriptive and statistical methods (chi-square and z-test) and interpreted by graphs. Results: The findings show that in pre-test 10(3.41%) had poor, 127(43.19%) had average, 157(53.40%) Good and 00% excellent knowledge level whereas in post-test 00% had Poor, 59(20.06%) Average, 176(59.86%) Good and 59 (20.06%) had excellent knowledge level. The pre-test mean score was 23.1 (46.2 %.) and of post-test was 35.6 (71.2%). The computed z’-test value showing significant difference in the pre (x?1=23.1) and post-test (x?2=35.6) knowledge score (p=1.18357, < z= -5.1679, critical z score=-1.6449 ? =0.05 level of significance). Hence the p value is greater than the z value (p(x?Z) = 1.18357e-7), it indicates the webinar was effective and the null hypothesis (H0) is rejected. Conclusion: The study was concluded as the webinar was highly effective and influenced the participant to gain sufficient information on prevention and the spread of Covid 19. Hopefully this enables them to apply


2018 ◽  
Vol 15 (3) ◽  
pp. 247-251 ◽  
Author(s):  
Dipshikha Bajracharya ◽  
Sujaya Gupta ◽  
Manish Sapkota ◽  
Shishir Bhatta

Background: Lack of knowledge and awareness about oral cancer, its risk factors and negligence of the early warning signs play crucial role in raising the incidence of the disease. The present study was carried out to evaluate the awareness of oral cancer among patients visiting Kantipur Dental College, Kathmandu, Nepal.Methods: The cross-sectional study was done in 471 patients from 15-85 years. Self administered questionnaire was prepared which comprised of knowledge of oral cancer, source of information, its early signs and symptoms along with the awareness of its risk factors.Results: Most of the participants (41.80%) had not heard of oral cancer. 31.60% recognized tobacco smoking and tobacco chewing as the chief risk factor with 15.50% and 10.80% of participants who identified white patch and red patch as early sign of oral cancer respectively. Pearson’s chi square test was used which showed statistically significant association of total mean knowledge score and awareness score with age, education level and occupation (p<0.05).Conclusions: This study done in dental patients showed lack of knowledge and awareness in general public about oral cancer. There seem to be a need for more planned awareness programs through newspapers, radio, television and health campaigns regarding the association of habits in the development of oral cancer and benefits of detecting oral cancer at early stage for better prognosis.


2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Eyad Demyati

Objectives. The objective of this study is to explore the current knowledge, attitude, and practice of family physicians working in family medicine clinics in National Guard Health Affairs (NGHA), Riyadh, toward colorectal cancer (CRC) screening and to identify the barriers of the screening. Methods. Data were collected using a validated self-administered questionnaire adopted from the National Cancer Institute in USA, customized by adding and eliminating questions to be in line with the institution (NGHA) characteristics. Results. Of the 130 physicians, 56.2% of the physicians were not practicing CRC screening although 94.6% considered CRC screening effective. Board certified physicians had higher knowledge score and were practicing CRC screening more when compared to other physicians. Physicians who reported practicing CRC screening scored more on the knowledge score than those not practicing. Male physicians scored better on attitude score than female physicians. The study found that barriers were cited in higher rates among physicians not practicing CRC screening compared with practicing physicians. Lack of patients’ awareness was the most cited barrier. Conclusion. Large percentage of family physicians in this study do not practice CRC screening, despite the knowledge level and the positive attitude.


Author(s):  
Andrew S. Boutsicaris ◽  
James L. Fisher ◽  
Darrell M. Gray ◽  
Toyin Adeyanju ◽  
Jacquelin S. Holland ◽  
...  

AbstractAfrican Americans and Appalachians experience greater incidence and mortality rates of colorectal cancer due to factors, such as reduced prevalence of screening. An educational session (the Screen to Save Initiative) was conducted to increase intent to screen for colorectal cancer among African Americans and Appalachians in Ohio. Using a community-based approach, from April to September 2017, 85 eligible participants were recruited in Franklin County and Appalachia Ohio. Participants completed a knowledge assessment on colorectal cancer before and after participating in either an educational PowerPoint session or a guided tour through an Inflatable Colon. Logistic regression models were used to determine what factors were associated with changes in colorectal cancer knowledge and intent to screen for colorectal cancer. The majority (71.79%) of participants gained knowledge about colorectal cancer after the intervention. Multivariate results showed that race (OR = 0.30; 95% CI: 0.11–0.80 for African Americans versus White participants) and intervention type (OR = 5.97; 95% CI: 1.94–18.43 for PowerPoint versus Inflatable Colon) were associated with a change in knowledge. The association between education and intent to screen was marginally statistically significant (OR = 0.42; 95% CI: 0.16–1.13 for college graduate versus not a college graduate). A change in colorectal cancer knowledge was not associated with intent to screen. Future educational interventions should be modified to increase intent to screen and screening for colorectal cancer. Further research with these modified interventions should aim to reduce disparities in CRC among underserved populations while listening to the voices of the communities.


2021 ◽  
Vol 6 (1) ◽  
pp. 10
Author(s):  
Nurmiaty Nurmiaty ◽  
Wahida Wahida ◽  
Elyasari Elyasari ◽  
Andi Malahayati

Penelitian ini bertujuan untuk mengetahui efektifitas penyuluhan terhadap pengetahuan, sikap dan keputusan ibu melakukan IVA. Desain penelitian adalah Quasi Experimental.  Analisis data dengan uji Wilcoxon dan chi square. Hasil penelitian skor pengetahuan sebelum di beri penyuluhan (T0) sebesar (65,66±12,55) dan setelah diberikan intervensi (T1) berupa penyuluhan, skor pengetahuan meningkat menjadi (81,13±5,62). Hasil ini menunjukkan bahwa pemberian penyuluhan signifikan terhadap pengetahuan, dimana (p<0,05). Skor sikap sebelum di beri penyuluhan  sebesar (58,75±16,60) dan setelah diberi penyuluhan (77,75±10,70)  hasil ini menunjukkan bahwa pemberian penyuluhan signifikan terhadap sikap ibu di mana (p<0,05). Skor keputusan ibu sebelum penyuluhan adalah (61,52±11,87) dan setelah penyuluhan (78,58±10,05). Hasil uji statistik menunjukkan skor perilaku signifikan pada post test di mana (p<0,05), hasil ini menunjukkan bahwa pemberian penyuluhan dapat mempengaruhi tindakan ibu untuk melakukan deteksi dini kanker serviks dengan IVA Test. Pemberian penyuluhan dapat meningkatkan pengetahuan, serta mempengaruhi sikap dan tindakan ibu untuk melakukan deteksi dini kanker serviks menggunakan IVA Test.The purpose of the study was to determine the effectiveness of counselling on the knowledge, attitudes and decisions of mothers conducting an early detection of cervical cancer. The research design was quasi-experimental. Statistical analysis using the Wilcoxon and chi-square test. Based on the results of data analysis with Wilcoxon test obtained knowledge scores before counselling (T0) of (65.66 ± 12.55) and after counselling (T1) knowledge scores increased to (81.13 ± 5.62) p-values <0,05. The attitude score before counselling was (58.75 ± 16.60) and after counselling (77.75 ± 10.70) with a p-value <0.05. The results of the static analysis showed that the provision of counseling significantly increased the knowledge score, attitude score and the mother's decision to make early detection of cervical cancer with an IVA Test.  


2020 ◽  
pp. 001789692095034
Author(s):  
Caroline M Baer ◽  
Michaela A Khoussine ◽  
Page D Dobbs

Objectives: In an attempt to reduce tobacco use among adolescents in the USA, some health educators have created school-based tobacco education programmes. However, none currently exist for middle and high school educators. The current study sought to determine if middle and high school educators’ knowledge about combustible cigarettes and electronic cigarettes (e-cigarettes) improved following an educational session about youth tobacco use. Design: Pre-/post-assessment was employed to measure change in knowledge. Setting: Educators ( N = 41) from a rural, southern middle and high school were invited to take part in the study during an educational workshop held during an in-service training event. Method: In addition to seven knowledge questions, participants also provided demographic information and details of current and previous use of cigarettes and e-cigarettes. Chi-square analyses examined changes in responses to individual items, and total pre-/post-knowledge score change was compared using a dependent t-test. Independent t-tests examined differences between knowledge change and participants’ personal and behavioural characteristics. Results: Participants’ overall knowledge improved from pre- to the post-test ( p < .05); however, there was no relationship between pre-/post-test responses for individual items. In addition, there were no differences between participants’ knowledge change when compared by age, sex, grades taught and past use of cigarettes or e-cigarettes. Discussion: Increasing middle school and high school educators’ knowledge about tobacco products, particularly novel devices, is important due to the increasing rates of use among youth. More research is needed to determine how educators’ knowledge can help decrease tobacco initiation and use among school-aged children.


2019 ◽  
pp. 1-2
Author(s):  
Mr. Prashant Kumar S Hiremath

BACKGROUND: Road Trafc Accidents are the leading cause of unnatural deaths in the world and a major burden on the world`s economy. Better road safety measures and awareness campaign such as sensitization program will help to reduce morbidity, mortality, disability and economic impact of road trafc accidents. The study was aimed to evaluate the effectiveness of sensitizing program and to associate selected demographic variables of adolescents with the knowledge, on prevention of road trafc accidents. METHODOLOGY: Pre-experimental research study with pre and post-test group. A structured knowledge questionnaire used to obtain data from 60 adolescents samples. RESULT: The post test ndings shows that the calculated mean was 25.20 compared with pretest mean i.e. 18.22. The calculated paired t test value [t(59,0.05)=10.84 >2.00] is higher than the table value, which shows that the sensitizing program was very effective. The association between the level of knowledge and demographic variables were assessed by chi-square test and which shows there is no signicant association between post test knowledge score and demographic variables


2019 ◽  
Vol 15 (4) ◽  
pp. 285-293
Author(s):  
Benjamin W. Barrett ◽  
T. Elizabeth Durden

Purpose The purpose of this paper is to study the colorectal cancer (CRC) screening practices of Latinos in the USA, a traditionally disadvantaged group regarding health, while operating within the theoretical lens of segmented acculturation. Differential acculturation experiences influence migrant health and healthcare access, including CRC screening. Design/methodology/approach Latinos are categorized into subgroups and are referenced against non-Latino whites and non-Latino blacks. Descriptive statistics and binomial logistic regression models are used to analyze the data from the 2008 and 2010–2014 National Health Interview Survey. Findings Latinos and respondents born outside of the non-territorial USA exhibit disparities in CRC screening participation. Screening discrepancies are not uniform across Latino subgroups, reflecting the importance of a segmented acculturation theoretical lens. Practical implications A discrepancy exists in CRC screening utilization among the largest minority population in the USA. These inconsistencies among US Latinos must be addressed directly to avoid serious health consequences in a large and growing population. Originality/value Interventions should be tailored to address the unique situational contexts of Latino subgroups suffering the health disparities. These distinct contexts are only elucidated through the use of a theoretical lens of segmented acculturation in studies of Latino health, which explicitly considers the historical and contemporary social forces acting upon the subgroups. This study extends beyond individual-level exposures to provide a more holistic view of the health behaviors and outcomes among Latino subgroups in the USA. Insight gained from this study is invaluable to improving the health of these traditionally disadvantaged groups.


2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e15516-e15516
Author(s):  
Suleyman Yasin Goksu ◽  
Mohammad Faizan Zahid ◽  
Muhammet Ozer ◽  
Nina Niu Sanford ◽  
Aravind Sanjeevaiah ◽  
...  

e15516 Background: The biology of microsatellite instability-high (MSI-H) in elderly colorectal cancer (CRC) patients is attributed to hypermethylation of promoter region of genes coding for mismatch repair proteins. It is unknown if such patients are predisposed to other malignancies. It is also unknown if the presence or absence of multiple primary malignancies affects elderly MSI-H CRC patients' survival. We aimed to evaluate the clinicopathologic features and outcomes in elderly CRC patients with MSI-H and multiple primary malignancies. Methods: We analyzed the National Cancer Database and included elderly (≥ 65 years) patients with CRC diagnosed between 2010-2016. MSI status was determined using genetic and immunohistochemical testing and categorized as microsatellite stable (MSS) and MSI-H. We further categorized the population into single primary malignancy versus multiple primary malignancies. We compared the baseline characteristics using the Chi-square test. Kaplan-Meier and log-rank tests were performed to calculate the overall survival (OS). Results: Among 52,494 elderly CRC patients, 78.0% were MSS, and 22.0% were MSI-H. The probability of MSI-H disease increased with increasing age, female gender, and non-Hispanic White ethnicity (all p < .001). MSI-H patients were associated with elevated CEA, wild-type KRAS, multiple neoplasms, right-sided tumors, stage II disease, and grade III/IV histology. The proportion of patients with multiple primary malignancies was higher in the MSI-H population versus MSS (36% vs. 31%, p < 0.001). The rate of multiple primary malignancies increased with age in both groups. Among MSI-H CRC patients, the factors associated with multiple primary malignancies included female gender (61.6%), non-Hispanic White ethnicity (86.3%), comorbidity index ≥ 2 (14.8%), and right-sided tumors (77.2%). Multiple primary malignancies were more frequently associated with stage I-III CRC as compared to metastatic CRC. For stage III-IV elderly MSI-H patients, the utilization of chemotherapy was 57.8% overall, but it was not significantly different between single primary malignancy versus multiple primary malignancies groups. MSI-H patients with single primary malignancy had the highest OS, followed by MSS patients with single primary malignancy, MSI-H patients with multiple primary malignancies, and MSS patients with multiple primary malignancies (74.7, 66.7, 58.1, 54.8 mos, respectively) (log-rank p < 0.001). Conclusions: Elderly CRC patients with MSI-H had a higher rate of multiple primary malignancies than MSS. This was associated with female gender, non-Hispanic White ethnicity, and right-sided tumor. MSI-H patients with single primary malignancy had the highest survival while the presence of multiple primary malignancies adversely affected survival in both MSI-H and MSS populations.


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