Abstract
Problem Identification
Colorectal cancer (CRC) poses a significant challenge to cancer mortality globally, in the U.S. and California, despite its high survivability when detected early. However, less than half of CRC cases are identified early due to low screening rates, with men experiencing a 30% higher incidence compared to women. Moreover, there's a troubling increase in cases among those aged 20-49. Hispanics and Latinos face disparities in screening and are more likely to receive late-stage diagnoses due to socioeconomic barriers and systemic racism, exacerbating the challenges in accessing proper care and treatment utilization.
Analysis
The BARHII model highlights how social and institutional inequities, living conditions, and factors like policies and poverty rates influence behaviors, diseases, and mortality, including CRC development. The Precede-Proceed Model shows direct links between factors like lack of CRC awareness, alcohol cessation advice, healthcare access, and screening rates, and CRC incidence.
Intervention Proposal
The ¡Unidos Contra el Cancer! (United Against Cancer!) intervention aims to mitigate CRC risk in Yuba County through a multifaceted approach. This includes health education workshops, exercise classes, mass media campaigns, coalition building, and advocacy efforts. Participants will engage in workshops to adopt healthier behaviors, while media platforms will raise awareness. Community coalitions will advocate for increased resources through meetings with local and state representatives.
Implementation and Evaluation
Program leaders will use Gantt charts, checklists, and meetings for implementation. Expert reviews, focus groups, and interviews will align materials with community needs. Evaluation will involve quasi-experimental methods, pre-and post-tests, and t-tests/chi-square tests for effectiveness analysis.