Impact of a cancer education seminar on knowledge and screening intent among Chinese Americans: Results from a randomized, controlled, community‐based trial

Fung, Lei-Chun; Nguyen, Kim; Stewart, Susan L.; Chen, Moon S.; Tong, Elisa K.

doi:10.1002/cncr.31111

Cited by 18 publications

(22 citation statements)

References 19 publications

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“…In China, rural residents' awareness of the basics of cancer prevention was reported as suboptimal 4 . Currently, several studies have reported that knowledge of a certain cancer could influence individuals' attitudes, healthy lifestyles, and positive health behaviors 5‐8 . However, to date, no study has explored the association between the core knowledge of cancer prevention and the risk of developing cancer.…”

Section: Introductionmentioning

confidence: 99%

Association of cancer awareness levels with the risk of cancer in rural China: A population‐based cohort study

Zeng

Zheng

et al. 2020

Cancer

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BACKGROUND: Evidence of the effects of cancer prevention knowledge on the risk of developing cancer remains scarce. The objective of this study was to prospectively examine the association of cancer prevention awareness levels with cancer risk in a population-based cancer screening cohort in China. METHODS: This prospective cohort study included 164,341 participants aged 40 to 69 years with no history of cancer and with available information on cancer prevention core knowledge in the Esophageal, Stomach, and Liver Cancer Screening Program. Participants were recruited from 18 rural regions across 4 provinces in China from 2007 to 2014 and were followed until December 31, 2015. The core knowledge of cancer prevention content included 9 items, with a total score ranging from 0 to 100. Cox proportional hazards regression models and restricted cubic spline analysis were used to estimate hazard ratios and 95% CIs. RESULTS: High cancer prevention knowledge scores were inversely associated with the overall risk of cancer (group 4 vs group 1: hazard ratio, 0.669; 95% CI, 0.576-0.776). Subgroup analysis showed that this inverse association could be observed in women, participants with lower educational or income levels, and those without a family history of cancer. Restricted cubic spline analysis exhibited a nonlinear (L-shaped) relation between cancer knowledge scores and cancer risk (overall P < .0001; nonlinear P = .0141). CONCLUSIONS: The main finding of this prospective study was that higher levels of cancer prevention awareness could be associated with a relative reduction in the risk of developing cancer. Cancer 2020;126:4563-4571.

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Section: Introductionmentioning

confidence: 99%

Association of cancer awareness levels with the risk of cancer in rural China: A population‐based cohort study

Zeng

Zheng

et al. 2020

Cancer

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“…Half of the studies ( n = 8) used multiple researcher-designed instruments to collect data and collected data from rural/underprivileged areas. Five studies were underpinned by theory including the Health Belief Model ( Fung et al , 2018 ; Williams et al , 2021 ); elements of Self-Regulation Theory, Theory of Planned Behaviour, and Implementation Intentions ( Emery et al , 2019 ); Ottawa Decision Support Framework ( Lau et al , 2015 ) and Theory of Planned Behaviour ( Mueller et al , 2019 ). Six studies used large or national multimodal campaigns as their intervention with three studies reporting on the same campaign namely the ‘Be Clear on Cancer’ UK-based campaign ( Ironmonger et al , 2015 ; Moffat et al , 2015 ; Power and Wardle, 2015 ) ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…In contrast, a spirometry, self-help manual, action and coping plans and tailored monthly prompts (SMS, emails, post-cards, phone calls, and fridge magnets) (IG) yielded no statistically significant changes in knowledge in comparison to spirometry and brief general discussion about lung health (CG) 1 and 12 months post-test (mean difference = -0.2, p = 0.3954 vs. mean Difference = –0.1, p = 0.6083, respectively) ( Emery et al , 2019 ). Similarly, a four-day research education seminar on cancer prevention (IG) and biospecimen collection (CG) did not yield a statistically significant increase in awareness of LC early detection immediately post-education ( p = 0.18 and p = 0.49, respectively; group comparison p = 0.13) ( Fung et al , 2018 ).…”

Section: Resultsmentioning

confidence: 99%

Promoting lung cancer awareness, help-seeking and early detection: a systematic review of interventions

Saab

Fitzgerald

Noonan

et al. 2021

Health Promotion International

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Summary Lung cancer (LC) is the leading cause of cancer death. Barriers to the early presentation for LC include lack of symptom awareness, symptom misappraisal, poor relationship with doctors and lack of access to healthcare services. Addressing such barriers can help detect LC early. This systematic review describes the effect of recent interventions to improve LC awareness, help-seeking and early detection. This review was guided by the Cochrane Handbook for Systematic Reviews of Interventions. Electronic databases MEDLINE, CINAHL, ERIC, APA PsycARTICLES, APA PsycInfo and Psychology and Behavioral Sciences Collection were searched. Sixteen studies were included. Knowledge of LC was successfully promoted in most studies using educational sessions and campaigns. LC screening uptake varied with most studies successfully reducing decision conflicts using decision aids. Large campaigns, including UK-based campaign ‘Be Clear on Cancer’, were instrumental in enhancing LC awareness, promoting help-seeking and yielding an increase in chest X-rays and a decrease in the number of individuals diagnosed with advanced LC. Multimodal public health interventions, such as educational campaigns are best suited to raise awareness, reduce barriers to help-seeking and help detect LC early. Future interventions ought to incorporate targeted information using educational resources, face-to-face counselling and video- and web-based decision aids.

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“…Moreover, the increased consumption of spicy and salty foods could have led to the younger age for GI cancer incidence in urban Wuhan 35,36. In contrast, Chinese Americans may have received public-health education to avoid risk factors earlier than mainland China, which may have delayed the onset age of GI cancers 37,38. In addition, the coverage of cancer screening and access to qualified medical services in the US might be better, which also might explain in part the older age for GI cancer mortality than Jiang’an District 38,39…”

Section: Discussionmentioning

confidence: 99%

<p>Population-Based Incidence, Mortality, And Survival For Gastrointestinal Cancers During 2006–2016 In Wuhan, Central China</p>

Cheng

Liu

Liao

et al. 2019

CMAR

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ObjectiveIncidence and mortality rates of malignant tumors in China are higher than global averages, especially for gastrointestinal (GI) cancers. To advance understanding of the epidemiology of GI cancers and to seek clues for cancer control, this study compared the incidence, mortality, and survival for GI cancers among residents of Wuhan (central China) and Chinese Americans.MethodsA population-based study of cancer epidemiology was carried out on Wuhan residents and Chinese Americans. Data were collected from the Cancer Registry of Jiang’an District in Wuhan and the Surveillance, Epidemiology, and End Results (SEER) program. Joinpoint regression analyses were used to examine trends in the incidence and mortality of GI cancers in Wuhan. Furthermore, we estimated age-specific rates of incidence and mortality and survival rates of GI cancers in both populations.ResultsAmong male GI cancer patients, mortality rates exhibited a significant increasing trend during 2006–2016 in Wuhan, with an annual percentage change (APC) of 7.4% (95% CI 1.7%–13.3%). Among female patients, the incidence of GI cancers showed a declining trend (APC –2.3%, 95% CI –3.4% to –1.3%) during 2006–2013, then escalated with an APC of 6.2% (95% CI 2.3%–10.2%) during 2013–2016. Both male and female patients with esophageal cancer in Wuhan experienced better survival than Chinese Americans. However, survival rates for the other three GI cancers in Wuhan were relatively lower than Chinese Americans.ConclusionEscalating trends were observed in incidence among women and mortality among men with GI cancers. In addition, the survival rates of GI cancer patients in Wuhan were lower than Chinese Americans. As such, additional efforts are needed to control GI cancers in Wuhan, central China.

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Impact of a cancer education seminar on knowledge and screening intent among Chinese Americans: Results from a randomized, controlled, community‐based trial

Cited by 18 publications

References 19 publications

Association of cancer awareness levels with the risk of cancer in rural China: A population‐based cohort study

Association of cancer awareness levels with the risk of cancer in rural China: A population‐based cohort study

Promoting lung cancer awareness, help-seeking and early detection: a systematic review of interventions

<p>Population-Based Incidence, Mortality, And Survival For Gastrointestinal Cancers During 2006–2016 In Wuhan, Central China</p>

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