PO.ADV02 · 患者倡导
看不见的部分（Lo que no se ve）：以原住民为中心的加利福尼亚州癌症预防与生存公平
Lo que no se ve: Indigenous-centered cancer prevention and survivorship equity in California
作者与单位 Authors & Affiliations
摘要 Abstract
中文摘要
本海报探讨了以文化为根基的癌症预防和筛查项目如何为原住民拉丁裔社区的癌症生存研究提供参考——以有充分记录的加利福尼亚州为案例。加利福尼亚州拥有美国最大的原住民墨西哥人群之一，估计有数十万人，然而在癌症预防、筛查或生存研究中却很少记录原住民身份。虽然在癌症研究中拉丁裔人群常被视为文化同质的整体，但原住民社区经历着独特的语言、文化和结构性障碍，这些障碍塑造了他们对癌症预防服务的参与以及长期生存结局。本项目基于对在加利福尼亚州原住民墨西哥社区中实施的癌症预防和筛查干预措施的结构化综述——并借鉴墨西哥境内以原住民为重点的干预措施的比较性见解，以及更广泛的国际证据（这些证据表明以文化为根基的癌症预防方法的重要性）——综合了关于原住民语言可及性、社区信任和文化特异性健康教育等因素如何影响癌症预防和筛查参与的证据。本海报强调，通常被归因于"拉丁裔文化"的生存结局，可能取决于原住民身份是否在干预设计中被明确承认并置于中心地位。通过将加利福尼亚州的原住民癌症预防研究与癌症生存框架直接对话，本工作识别出当前拉丁裔癌症研究中在如何概念化保护性因素与公平方面的空白。研究结果强调，生存研究和预防策略需要考虑拉丁裔人群内部的异质性，并为制定具有文化响应性的干预措施提供了启示，这些干预措施能够支持改善加利福尼亚州以及美国其他拥有原住民拉丁裔社区地区的生存公平。
查看英文原文 English abstract
This poster examines how culturally grounded cancerprevention and screening programs in Indigenous Latino communities informcancer survivorship research - using California as a well-documented caseexample. California is home to one of the largest Indigenous Mexicanpopulations in the United States, estimated in the hundreds of thousands, yetIndigenous identity is rarely captured in cancer prevention, screening, orsurvivorship research. While Latino populations are often treated as culturallyhomogeneous in cancer research, Indigenous communities experience distinctlinguistic, cultural, and structural barriers that shape engagement with cancerprevention services and long-term survivorship outcomes. Drawing on astructured review of cancer prevention and screening interventions implementedamong Indigenous Mexican communities in California - with comparative insightsfrom Indigenous-focused interventions in Mexico and broader internationalevidence that demonstrate the importance of culturally grounded cancerprevention approaches - this project synthesizes evidence on how factors suchas Indigenous language access, community trust, and culturally specific healtheducation influence participation in cancer prevention and screening. Theposter highlights how survivorship outcomes commonly attributed to “Latinoculture” may depend on whether Indigenous identity is explicitly acknowledgedand centered in intervention design. By placing California-based Indigenouscancer prevention research in direct conversation with cancer survivorshipframeworks, this work identifies gaps in how protective factors and equity arecurrently conceptualized in Latino cancer research. The findings underscore theneed for survivorship research and prevention strategies that account forheterogeneity within Latino populations and offer implications for developingculturally responsive interventions that can support improved survivorshipequity both within California and in other regions with Indigenous Latinocommunities in the U.S..