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Title: Can we address cancer disparities in immigrants by improving cancer literacy through English as a second language instruction?
Austin Authors: Hughes, Donna L;Flight, Ingrid;Chapman, Janine;Wilson, Carlene
Affiliation: Flinders Centre for Innovation in Cancer, School of Medicine, Flinders University of South Australia, Adelaide, South Australia, Australia
La Trobe University, School of Psychology and Public Health, Bundoora, Victoria, Australia
Olivia Newton-John Cancer Wellness and Research Centre, Austin Health, Heidelberg, Victoria, Australia
Issue Date: 2019 2018-03-27
Publication information: Translational behavioral medicine 2019; 9(2): 357-367
Abstract: In many Western countries, immigrants exhibit disparities in cancer incidence and mortality, and variable uptake of cancer prevention services. New immigrants may not be aware of cancer risks pertinent to their new country, or prevention resources. Traditional cancer prevention health messaging may not be accessible for cultural, language, or literacy reasons. New methods are needed. In North America, health message delivery via English classes for immigrants is showing potential as an efficacious and a feasible way to reach immigrants at the same time improving language skills. Interventions published to date are promising but limited in their ability to generalize or be adapted to a variety of populations and settings. This concept paper aims to synthesize previous findings and identify ways to improve and advance the translation potential of this approach. We propose that this could be achieved by (i) using a translation framework to guide intervention planning, development, implementation, and evaluation; (ii) encouraging and evaluating health message spread throughout language learners' social networks; and (iii) incorporating cultural sensitivity into the curriculum. A pilot project following these recommendations is planned for Australia and will be discussed. These recommendations could serve as a framework to fit the requirements of immigrant language programs in other countries and other health topics.
DOI: 10.1093/tbm/iby030
ORCID: 0000-0002-1883-4690
PubMed URL: 29596625
Type: Journal Article
Appears in Collections:Journal articles

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