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

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 Chi...

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Main Authors: Zhonghua Yang, Qingqing Wang, Fang Yi, Linglin Zhang, Yuting Li, Lilou Rong, Shaoping Wan
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-024-11835-x
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author Zhonghua Yang
Qingqing Wang
Fang Yi
Linglin Zhang
Yuting Li
Lilou Rong
Shaoping Wan
author_facet Zhonghua Yang
Qingqing Wang
Fang Yi
Linglin Zhang
Yuting Li
Lilou Rong
Shaoping Wan
author_sort Zhonghua Yang
collection DOAJ
description 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.
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institution Kabale University
issn 1472-6963
language English
publishDate 2025-01-01
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series BMC Health Services Research
spelling doaj-art-3bfdec5293524f35a6e4bf3a7985c76a2025-01-26T12:21:51ZengBMCBMC Health Services Research1472-69632025-01-0125111210.1186/s12913-024-11835-xWhat are the problems and suggestions related to cancer health education in Sichuan, China? A qualitative study of community health workers (CHWs)Zhonghua Yang0Qingqing Wang1Fang Yi2Linglin Zhang3Yuting Li4Lilou Rong5Shaoping Wan6Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of ChinaSichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of ChinaSichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of ChinaSchool of Public Health, Chengdu University of Traditional Chinese MedicineSchool of Public Health, Chengdu University of Traditional Chinese MedicineSichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of ChinaSichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of ChinaAbstract 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.https://doi.org/10.1186/s12913-024-11835-xCommunity health workersHealth educationCancerProblemsSuggestionsChina
spellingShingle Zhonghua Yang
Qingqing Wang
Fang Yi
Linglin Zhang
Yuting Li
Lilou Rong
Shaoping Wan
What are the problems and suggestions related to cancer health education in Sichuan, China? A qualitative study of community health workers (CHWs)
BMC Health Services Research
Community health workers
Health education
Cancer
Problems
Suggestions
China
title What are the problems and suggestions related to cancer health education in Sichuan, China? A qualitative study of community health workers (CHWs)
title_full What are the problems and suggestions related to cancer health education in Sichuan, China? A qualitative study of community health workers (CHWs)
title_fullStr What are the problems and suggestions related to cancer health education in Sichuan, China? A qualitative study of community health workers (CHWs)
title_full_unstemmed What are the problems and suggestions related to cancer health education in Sichuan, China? A qualitative study of community health workers (CHWs)
title_short What are the problems and suggestions related to cancer health education in Sichuan, China? A qualitative study of community health workers (CHWs)
title_sort what are the problems and suggestions related to cancer health education in sichuan china a qualitative study of community health workers chws
topic Community health workers
Health education
Cancer
Problems
Suggestions
China
url https://doi.org/10.1186/s12913-024-11835-x
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