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BMC health services research
Jan 24, 2025;25 (1): 136.

What are the problems and suggestions related to cancer health education in Sichuan, China? A qualitative study of community health workers (CHWs).

Zhonghua Yang, Qingqing Wang, Fang Yi, Linglin Zhang, Yuting Li, Lilou Rong, Shaoping Wan
Author Information
  1. Zhonghua Yang: Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, 610041, P. R. China.
  2. Qingqing Wang: Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, 610041, P. R. China.
  3. Fang Yi: Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, 610041, P. R. China.
  4. Linglin Zhang: School of Public Health, Chengdu University of Traditional Chinese Medicine, Chengdu, 611137, P. R. China.
  5. Yuting Li: School of Public Health, Chengdu University of Traditional Chinese Medicine, Chengdu, 611137, P. R. China.
  6. Lilou Rong: Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, 610041, P. R. China.
  7. Shaoping Wan: Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, 610041, P. R. China. wsp65@vip.163.com.
PMID: 39856689 DOI: 10.1186/s12913-024-11835-x

Abstract

BACKGROUND: Health education conducted by community health workers (CHWs) is an evidence-based strategy for promoting cancer prevention, cancer screening, and adherence to medical guidance from doctors. However, CHWs are confronted with some problems related to cancer health education in China. This study aimed to clarify CHWs' awareness of problems in cancer health education in China and the solutions that they were considering to improve the quality and efficiency of cancer health education.
METHODS: A qualitative descriptive design with purposive sampling was applied in eight primary health care sectors in Guangyuan and Chengdu in Sichuan, China. Face-to-face, in-depth, semistructured interviews were conducted, and a total of 60 CHWs were interviewed. The interviews were transcribed verbatim and imported into Nvivo12.0. Thematic analysis using the constant comparative method was used to analyze the data.
RESULTS: Uncooperative inhabitants, poor organization, low-frequency provision, and inadequate training for CHWs were problems related to cancer health education provided by CHWs in China. CHWs proposed some suggestions to improve the accessibility and acceptability of cancer health education, including combining online and offline education, health education after screening, cancer plus others, health education in the workplace, and volunteer recruitment.
CONCLUSIONS: Both the problems and suggestions described in this study may provide evidence for cancer health education and policy-making related to cancer prevention and control in China.

Keywords

Cancer China Community health workers Health education Problems Suggestions

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MeSH Term

Humans
Community Health Workers
China
Qualitative Research
Female
Male
Adult
Middle Aged
Neoplasms
Health Education
Interviews as Topic
Early Detection of Cancer
Journal Article

Word Cloud

Created with Highcharts 10.0.0healtheducationcancerCHWsChinaproblemsrelatedworkersstudysuggestionsHealthconductedcommunitypreventionscreeningimprovequalitativeSichuaninterviewsBACKGROUND:evidence-basedstrategypromotingadherencemedicalguidancedoctorsHoweverconfrontedaimedclarifyCHWs'awarenesssolutionsconsideringqualityefficiencyMETHODS:descriptivedesignpurposivesamplingappliedeightprimarycaresectorsGuangyuanChengduFace-to-facein-depthsemistructuredtotal60interviewedtranscribedverbatimimportedNvivo120ThematicanalysisusingconstantcomparativemethodusedanalyzedataRESULTS:Uncooperativeinhabitantspoororganizationlow-frequencyprovisioninadequatetrainingprovidedproposedaccessibilityacceptabilityincludingcombiningonlineofflineplusothersworkplacevolunteerrecruitmentCONCLUSIONS:describedmayprovideevidencepolicy-makingcontrolChina?CancerCommunityProblemsSuggestions

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