J Cancer Educ [JOURNAL]
Sun
200 papers
Correction: Culturally Adapting a Video-Based Self-acupressure Intervention to Manage Symptoms for Black and Latina Breast Cancer Survivors.
AuBuchon KE, Bonthu A, Inbar-Albo L … +10 more , Jones TD, Beale J, Campos-Galván C, Logie LA, Arieta C, Liu GH, Hurtado-de-Mendoza A, Danhauer SC, Graves KD, Wang JH
J Cancer Educ · 2025 Oct · PMID 41129078 · Publisher ↗
Abstract loading — click title to view on PubMed.
China's Integration of HPV Vaccine into National Immunization Program: Current Challenges and Future Path.
Wang J, Song L
J Cancer Educ · 2025 Oct · PMID 41129077 · Publisher ↗
Cervical cancer, predominantly caused by persistent human papillomavirus (HPV) infection, remains a major global health burden, with approximately 660,000 new cases and 350,000 deaths reported in 2022. The introduction o...
Cervical cancer, predominantly caused by persistent human papillomavirus (HPV) infection, remains a major global health burden, with approximately 660,000 new cases and 350,000 deaths reported in 2022. The introduction of prophylactic HPV vaccines since 2006 has significantly advanced primary prevention. In China, the national HPV immunization strategy has progressed from regional pilot programs to the recent announcement that HPV vaccination will be incorporated into the National Immunization Program, representing a milestone in cervical cancer control. Nevertheless, substantial challenges persist. Vaccine coverage among girls aged 9-14 years remains extremely low, with first-dose uptake estimated at only 4% in 2022. Barriers include preferences for higher-valency vaccines, public concerns over vaccine safety, misinformation on social media, and insufficient knowledge among non-specialist healthcare providers. Logistical obstacles, such as the lack of school-based mass vaccination, further reduce program efficiency. In addition, debates continue regarding optimal dosing schedules, with the World Health Organization recommending single-dose regimens, as well as the potential expansion of vaccination to older women and males. Strengthening health education, addressing vaccine hesitancy, and optimizing delivery strategies are essential for improving coverage and achieving cervical cancer elimination in China.
The CAIRO Journal Club: A Decade of Impact.
Kassem L, Shash E, Mokhtar M … +12 more , Rashad N, Saad SST, Rabea AM, Refky B, Lasheen S, Medhat D, Abdelaziz AH, Mansy HE, Shohdy KS, Eid S, Kamal KA, Shafik A
J Cancer Educ · 2025 Oct · PMID 41116007 · Publisher ↗
Over the past decade, the CAIRO Journal Club (CJC) has evolved into a cornerstone of oncology education and multidisciplinary collaboration across Egypt and the broader Middle East and North Africa (MENA) region. This na...
Over the past decade, the CAIRO Journal Club (CJC) has evolved into a cornerstone of oncology education and multidisciplinary collaboration across Egypt and the broader Middle East and North Africa (MENA) region. This narrative review charts CJC's formative journey, analyzes its educational impact, and outlines forward-looking strategies to further democratize high-quality cancer care. Since 2013, CJC has convened more than 120 interactive events under the Egyptian Foundation of Medical Sciences (EFMS) umbrella, supplemented by masterclasses, simulation-based forums, and hands-on workshops that prioritize breast, thoracic, gastrointestinal, and genitourinary malignancies. A deliberate emphasis on evidence-based, resource-adapted protocols underpins these activities, fostering context-appropriate decision-making through case-linked learning and live audience polling. Independent assessments and post-event surveys demonstrate significant gains in participants' knowledge retention, clinical confidence, and treatment-planning skills, particularly among practitioners in peripheral or resource-constrained settings. Moreover, CJC's digital extensions (including livestreamed symposia and moderated social-media discussion boards) have expanded its national footprint, yielding > 30,000 cumulative virtual attendances (unique live logins and on-demand viewers from 2019-2024) and markedly lowering geographic access barriers. Building on this momentum, CJC will launch international virtual tumor boards with partners in Egypt, North Africa, the Levant, the Gulf, and globally; establish structured mentoring for early-career oncologists and allied professionals across the region; introduce AI-enabled adaptive learning modules; and develop accredited postgraduate certificate programs aligned with WHO competency frameworks. Future evaluation will also examine educational and practice impact, with a focus on expanding training, mentoring, and scholarly outputs. CJC's experience illustrates how a regional, volunteer-driven initiative can bridge oncology-education disparities through blended, scalable learning models. Its planned innovations offer a replicable blueprint for other LMIC contexts seeking to strengthen cancer-care capacity through sustained professional development and digital inclusion.
Bridging the Gap: Addressing the Disparity Between Expectations and Practical Training in Oncology During Medical School.
Ferreira LL, Hirsch AE, Rodrigues PLA … +2 more , Miranda MES, Drummond-Lage AP
J Cancer Educ · 2025 Oct · PMID 41111078 · Publisher ↗
Cancer is a major cause of morbidity and mortality globally, leading to significant healthcare and socioeconomic burdens. Medical education is crucial in preparing future healthcare professionals to manage cancer care ef...
Cancer is a major cause of morbidity and mortality globally, leading to significant healthcare and socioeconomic burdens. Medical education is crucial in preparing future healthcare professionals to manage cancer care effectively. To compare the expectations of first-year medical students about oncology training with the actual knowledge and experiences of more advanced students. A cross-sectional, quantitative study was conducted with 373 medical students (152 first-year, 121 fourth-year, and 100 sixth-year) using structured questionnaires. Data was analyzed using SPSS version 25.0, with a 5% significance level. Most students considered oncology knowledge and training highly relevant, particularly in diagnostic methods, clinical examination, and palliative care (≥ 93%). However, significant differences emerged across years. Fourth-year students reported greater uncertainty about the relevance of diagnostic tools such as colonoscopy (p = 0.025), upper gastrointestinal endoscopy (p = 0.005), and mammography (p = 0.025), as well as hereditary syndromes (p = 0.016). Sixth-year students showed reduced endorsement of molecular testing, with 21.3% reporting neutrality. A striking gap was observed between the importance attributed to oncology internships by first-year students (≥ 84%) and the limited opportunities reported by advanced students, particularly in pathology, genetics, and radiotherapy (≤ 10% completion). Among those who completed internships, nearly all acknowledged their significant contribution to learning, especially in palliative care and clinical oncology. Despite strong recognition of oncology's importance, gaps remain between students' expectations and their actual educational experiences, particularly in genetics, molecular testing, and access to internships. Expanding structured, longitudinal, and practice-oriented oncology training is essential to prepare future physicians to meet the demands of cancer care and precision medicine.
Enhancing Radiation Oncology Education Through Artificial Intelligence: A Review of Applications, Limitations, and Future Directions.
Ng ZX, Ng IW, Tan TH
J Cancer Educ · 2025 Oct · PMID 41108512 · Publisher ↗
Artificial intelligence [AI] is increasingly integrated into radiation oncology practice, from auto-contouring and treatment planning to decision support. However, formal residency training has not kept pace with these a...
Artificial intelligence [AI] is increasingly integrated into radiation oncology practice, from auto-contouring and treatment planning to decision support. However, formal residency training has not kept pace with these advances, leaving educational gaps in preparing future radiation oncologists for AI-informed clinical practice. This review aims to review current applications of AI in radiation oncology and evaluate how AI-driven tools can enhance resident education in clinical, procedural, and research domains. A narrative literature review was conducted across major databases [MEDLINE, EMBASE, CENTRAL, CINAHL] using keywords including "artificial intelligence," "medical education," "radiation oncology," and "auto-contouring." Expert commentary and selected studies on educational implementation of AI were included. AI enhanced learning tools span auto-segmentation feedback systems, plan optimization simulators and clinical decision support engines. AI improves access to complex cases, supports real-time feedback, and reduces dependence on faculty availability. However, risks include overreliance, algorithmic bias, and misinterpretation of AI generated outputs. Residents must develop the skills to critically appraise AI tools, review outputs, and integrate patient-centered decision making. AI offers significant potential to transform resident education in radiation oncology. Structured curriculum integration can enhance training while preserving core clinical judgment. Faculty development and institutional support are critical to successful implementation.
Chicago Cancer Health Equity Collaborative: Outcomes from an Intensive and Mixed Curricular Summer Program on Cancer and Health Disparities.
Kahouadji N, Alairys SJ, Chen E … +3 more , Diaz-Flores LH, Ngwe JE, Brinkman JA
J Cancer Educ · 2025 Oct · PMID 41107672 · Full text
Despite an overall decline in cancer incidence and mortality in the USA, cancer health disparities are on the rise, and the demographic profile of the healthcare workforce remains unreflective of the population at large....
Despite an overall decline in cancer incidence and mortality in the USA, cancer health disparities are on the rise, and the demographic profile of the healthcare workforce remains unreflective of the population at large. One way to reduce such disparities is to increase diversity in the cancer and healthcare workforce. The Chicago Cancer Health Equity Collaborative (ChicagoCHEC), through its summer research fellows program, embodies this goal by intentionally recruiting, retaining, and advancing a pipeline of diverse students in cancer research careers. During summers 2016 to 2024, nine cohorts, for a total of 178 undergraduate and post-baccalaureate students at Northeastern Illinois University, University of Illinois Chicago, Northwestern University, and Chicago community colleges, enrolled in an 8-week didactic and mixed curricular program focused on the development of academic, technical, and professional skills in preparation for careers in social, behavioral, and biomedical research in healthcare. We describe the recruitment and selection processes of the summer cohorts and provide an overview of the program activities and overall structure. We report on the resulting changes in students' performance, academic and professional abilities, cancer and equity awareness, interests, and confidence in careers related to cancer and health disparities research. We also report on the educational transitions and career outcomes of the ChicagoCHEC fellows from the program's inception in 2016 to the most recent cohort in 2024. The evaluation of the program and the lessons learned during the pandemic serve as a model for future replication and implementation at other institutions.
Understanding Health Information Needs: An Evaluation of Co-Design Video-Assisted Education.
Coyne E, Winter N, Carlini J … +3 more , Robertson J, Halkett G, Dieperink K
J Cancer Educ · 2025 Oct · PMID 41091369 · Publisher ↗
People with cancer and their families are often provided with a range of complex written and verbal information to help them manage treatment and side effects at home. This study explored the health information needs of...
People with cancer and their families are often provided with a range of complex written and verbal information to help them manage treatment and side effects at home. This study explored the health information needs of patients and family members and investigated the influence of video-assisted health education on their understanding of the information. A co-design framework with health consumers and clinicians was used to identify concepts and create videos. Qualitative interviews with a thematic analysis explored their health information needs and the influence of the videos. The sample was persons affected by brain, head and neck and gastrointestinal cancer. Eleven interviews were conducted with patients and family members, aged between 39 and 82 years. The health literacy levels reported by participants highlighted the need for help with medical information and forms. Four themes were developed: sorting through information, acceptability of videos, information presentation and balance of caring. Providing health information in multiple formats and tailoring it to individuals' health literacy levels can reinforce key messages from health professionals and contribute to improved health outcomes. Video-assisted health education enhances patients' and families' understanding and supports informed decision-making about cancer treatment and self-care at home. While digital resources offer a promising avenue for improving comprehension, access and usability are influenced by varying levels of digital literacy, an area that warrants further investigation.
Moving Beyond Awareness: Advancing Evidence for Social Marketing in Cholangiocarcinoma Prevention.
Rattanapitoon NK, Padchasuwan NH, Eaksanti T … +1 more , Rattanapitoon SK
J Cancer Educ · 2025 Oct · PMID 41082078 · Publisher ↗
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Communicating With Children With Cancer: Development of a Chatbot-Based Educational Support Tool.
Silva E, Pinto P, Reis LP
J Cancer Educ · 2025 Oct · PMID 41076500 · Publisher ↗
Effective communication between parents and children is crucial in reducing distress when a child has cancer. Technology, particularly chatbots, can facilitate this communication and provide parents with support. We have...
Effective communication between parents and children is crucial in reducing distress when a child has cancer. Technology, particularly chatbots, can facilitate this communication and provide parents with support. We have developed a chatbot to support parents of children with cancer. Using advanced natural language processing, it provides empathetic, age-appropriate, and informative responses. We created the chatbot using the Dialogflow platform and integrated it into a mobile app and website to ensure broad accessibility. This multi-platform integration provides consistent support, regardless of the device or location used. We conducted a qualitative comparative analysis of our chatbot against other chatbots, such as ChatGPT-4 and Microsoft Copilot. This analysis was based on five standard criteria for the human evaluation of chatbots. In general, our chatbot offered more personalized and targeted support for childhood cancer. Unlike other systems that provide generic responses, our chatbot uses a friendlier tone and tailors its responses based on factors such as the child's age. This project represents a significant advancement in the use of technology to address the complex communication needs associated with childhood cancer. To our knowledge, it is the first chatbot designed specifically for Portuguese-speaking parents. It offers parents personalized, accessible support and provides a scalable, cost-effective solution that complements the efforts of healthcare professionals. In settings with limited resources, the chatbot is an invaluable tool for bridging the gap between medical consultations.
Engaging Interprofessional Students to Develop and Evaluate an Educational Booklet for Cancer Caregivers.
Samala RV, Rhoades E, Amerio M … +4 more , Bunker C, Alpert J, Wei W, Mullan PB
J Cancer Educ · 2025 Oct · PMID 41073647 · Publisher ↗
Spouses, adult children, or friends who provide uncompensated, comprehensive care to people living with a serious illness are often referred to as caregivers. Caregivers for patients with cancer spend considerable time a...
Spouses, adult children, or friends who provide uncompensated, comprehensive care to people living with a serious illness are often referred to as caregivers. Caregivers for patients with cancer spend considerable time and effort providing intense care and dealing with numerous challenges. The project aimed to engage learners from various health professions to develop and evaluate printed educational material addressing the multidimensional needs of cancer caregivers. Nine students from nursing, social work, and pharmacy attended weekly sessions from September 2023 to July 2024, developing content focused on their specialty in the context of interprofessional education. Twenty-five active cancer caregivers also guided the development of a 20-page booklet through their responses to a structured questionnaire. The booklet, titled "Tips for Caregivers Navigating the Cancer Journey," was evaluated by caregivers, who found that it was easily understandable and useful. Caregivers cited areas for improvement, such as including to-do lists, concrete examples, and relevant visual aids. The students rated their experience highly in terms of content, working collaboratively, and developing greater respect for people in other healthcare professions. In addition to giving cancer caregivers information to fill gaps in caring for their loved ones, the process of involving students provided an opportunity to identify real-life concerns and address these challenges using an interprofessional team-based approach. Armed with a prototype co-designed by students and actual caregivers, plus a wealth of feedback for improving its content and structure, our next steps include carefully revising the booklet and further testing its effectiveness.
Evaluating the Suitability of the Master of Social Work Program in Improving Cancer Education in Vietnamese Hospitals.
Nam PT, Thuc NT, Huu NC … +6 more , Thien NT, Ly TT, Phuong NT, Huong TTM, Vui LT, Van Minh H
J Cancer Educ · 2025 Oct · PMID 41071481 · Publisher ↗
In-depth research on cancer education within social work postgraduate programs remains limited. Therefore, this qualitative study was conducted to evaluate the suitability of the Master of Social Work program at the Hano...
In-depth research on cancer education within social work postgraduate programs remains limited. Therefore, this qualitative study was conducted to evaluate the suitability of the Master of Social Work program at the Hanoi University of Public Health in improving cancer education in Vietnamese hospitals. Through six in-depth interviews and five focus group discussions, the findings indicate that the program demonstrated its suitability in improving cancer education in Vietnamese hospitals, particularly in terms of duration, content, and clinically focused teaching methods. The study also identified certain limitations. The program did not sufficiently emphasize the content and skills of indirect cancer education, nor the application of artificial intelligence (AI) in cancer education. Furthermore, reference materials in this area were still limited. Based on these findings, the study proposed a few improvements aimed at deepening cancer education within the Master of Social Work program. The study results offer valuable lessons for social work training institutions worldwide seeking to integrate cancer education into their master's programs. Additionally, the findings are applicable to other graduate programs in Vietnam and other countries in the region.
Uncovering Relationships Between Demoralization, Attachment, and Social Support in Oncology Patients.
Nikoloudi M, Chatzigeorgiou E, Galanis P … +2 more , Tsatsou I, Mystakidou K
J Cancer Educ · 2025 Oct · PMID 41062908 · Publisher ↗
Demoralization is a syndrome of existential distress characterized by helplessness, hopelessness, loss of meaning, personal failure, and difficulty coping. This study explored the correlation between demoralization, soci...
Demoralization is a syndrome of existential distress characterized by helplessness, hopelessness, loss of meaning, personal failure, and difficulty coping. This study explored the correlation between demoralization, social support, and attachment to health care providers in cancer patients. We conducted an observational, cross-sectional study with 150 inpatients and outpatients (≥ 18 years) from two hospitals. Personal and medical data were collected; patients completed psychometric instruments: Demoralization Scale II (DS-II), Experiences in Close Relationship Scale-Modified Short Form (ECR-M16), and Medical Outcomes Study (MOS) Social Support Survey. Participants' mean age was 62 years (range 20-85); 59.3% were women. Diagnoses included breast (33%), gastrointestinal (24%), and lung cancer (15%). Women had significantly higher DS-II factor 2 scores (p = 0.058). DS-II factor 2 correlated positively with age (p = 0.016). Multiple linear regression indicated that ECR-Discomfort significantly impacted DS-II factor 1 (p = 0.011, R2 = 9.3%) and factor 2 (p < 0.001, R2 = 12.1%). ECR-Anxiety also influenced DS-II factor 1 (p = 0.055, R2 = 2.7%) and factor 2 (p = 0.054, R2 = 2.4%). No significant correlation was found between demoralization and social support. Anxious and discomfort attachment patterns to health care providers exacerbate demoralization in cancer patients. Early identification of attachment styles may help reduce existential distress. These findings underscore the importance of incorporating psychological training into oncology education to better equip professionals in recognizing and addressing emotional vulnerability.
Palliative Treatment and Traditional Medicine Among Patients with Cancer in Kumasi, Ghana: Needs for Patient Education.
Zhang L, Amamoo R, Soliman AA … +3 more , Addai J, Ehiri JE, Osei-Bonsu E
J Cancer Educ · 2026 Jun · PMID 41062907 · Publisher ↗
Late-stage cancers are common in Ghana. Therefore, palliative care is essential to support advanced cancer patients. Little is known about patients' knowledge and attitudes towards palliative treatment and traditional he...
Late-stage cancers are common in Ghana. Therefore, palliative care is essential to support advanced cancer patients. Little is known about patients' knowledge and attitudes towards palliative treatment and traditional healing. Therefore, we compared patients' knowledge and attitudes about palliative treatment and traditional medicine among cancer patients in Kumasi, Ghana. The study included two groups of patients treated with palliative (94 patients) and radical treatment (100 patients). Questionnaires elicited information about patients' knowledge and attitudes towards treatment, level of satisfaction of treatment, and whether patients combined traditional medicine with treatment. Compared to radical treatment patients, a lower proportion of palliative treatment patients believed that their treatment was intended for cure (palliative vs. radical: 38.3% vs. 64%, p = 0.0005). A larger proportion of palliative treatment patients used traditional medicine before their hospital visits (palliative vs. radical: 36.2% vs. 21%, p = 0.0191) and were dissatisfied with pain management (11% vs. 4%, p = 0.0447). A significantly higher proportion of patients with treatment length ≥ 6 months used more than one type of traditional medicine (37.8%), as compared to patients with treatment length < 6 months (7.1%). Patients lacked sufficient knowledge about their treatment intent, regardless of treatment mode. Patients receiving palliative treatment may require more medical attention to address pain management, and they may rely more on traditional medicine to cope with cancer. More educational efforts and medical support are needed collectively to improve patient knowledge about the intent and needs for palliative care in Ghana and other Sub-Saharan African countries.
HPV Workshop for Underserved High School Students.
Delavary D, Evans L, Tamamian C … +8 more , Nicolas L, Wooten C, Liu C, Agarwal N, Townson M, Rhymer A, Ashendouek M, John MS
J Cancer Educ · 2025 Oct · PMID 41051417 · Publisher ↗
The increasing incidence of human papillomavirus (HPV)-related oropharyngeal cancer and the lag in vaccination rates demonstrate the necessity of interventions that focus on HPV education. Disparities in HPV vaccination...
The increasing incidence of human papillomavirus (HPV)-related oropharyngeal cancer and the lag in vaccination rates demonstrate the necessity of interventions that focus on HPV education. Disparities in HPV vaccination rates and vaccine series completion are interrelated and persist across racial and socioeconomic lines. Early education regarding HPV serves as an opportunity to increase adolescent vaccination rates. High school students from educationally disadvantaged and underserved areas, who have historically had limited representation in higher academia, participated in an interactive HPV workshop led by otolaryngology residents and research fellows. The lectures detailed HPV transmission, diseases, and vaccination, focusing on the role of HPV in oropharyngeal cancer. Surveys were administered to students before and two weeks after the workshop to assess impact. Sixty-seven students completed the workshop (53.8% female, 41.5% male, 4.6% nonbinary/not disclosed), with a pre-survey response rate of 100% and a post-survey response rate of 89.5%. Seven participants received the HPV vaccine between surveys. Post-intervention, 93.3% of participants gained new knowledge that HPV causes oropharyngeal cancer (15.7% increase from pre-survey, p = 0.0058), while 96.7% learned the vaccine protected against nine strains of HPV (14.7% increase from pre-survey, p = 0.0058). Participants reported an increased likelihood to recommend the HPV vaccine, greater confidence in discussing it, and stronger support for vaccination upon school entry (all p < 0.001). Interactive HPV workshops for underserved high school students increased knowledge regarding HPV and oropharyngeal cancer and led to higher vaccination rates among attendees in our cohort.
Association Between Spanish-Language Patient Navigation and Adherence to Multi-Target Stool DNA Testing Among Spanish-Speaking Patients at Sanitas Medical Center.
Greene M, Pew T, Gohil S … +4 more , Ozbay AB, López JVR, Limburg P, Duarte M
J Cancer Educ · 2025 Oct · PMID 41047449 · Publisher ↗
Colorectal cancer (CRC) screening rates remain low among Spanish-speaking populations, in part due to language barriers. This study examined the association between Spanish-language patient navigation on adherence to mul...
Colorectal cancer (CRC) screening rates remain low among Spanish-speaking populations, in part due to language barriers. This study examined the association between Spanish-language patient navigation on adherence to multi-target stool DNA (mt-sDNA) testing among Spanish-speaking patients at Sanitas Medical Center (SMC). This retrospective analysis utilized data from Exact Sciences Laboratories LLC. It included Spanish-speaking individuals aged 45 to 75 years who received an mt-sDNA test kit between October 1, 2021, and August 1, 2022. Patients were categorized based on Spanish-language outreach (SLO) or English-language outreach (ELO). Adherence was defined as the percentage of kits that were returned with completed tests and successful results within 365 days of the initial shipment date. Chi-square tests and multivariable logistic regression were used to compare adherence between groups and identify factors associated with adherence. The final sample included 3,101 patients in the SLO group and 1,331 in the ELO group. The SLO group showed a 4.4% absolute increase in adherence compared to the ELO group (64.3% vs. 59.9%, p = 0.006). At 30 days, adherence was already higher among SLO patients (45.1% vs. 41.5%), and this difference persisted throughout the 12-month follow-up period. The increase in adherence was consistent across subgroups, including patients aged 50-64 years (64.4% vs. 58.5%, p = 0.002), males (62.2% vs. 55.5%, p = 0.008), and those seen by primary care providers (64.9% vs. 59.8%, p = 0.029). In adjusted logistic regression, SLO was associated with 20% higher odds of adherence compared to ELO (OR = 1.20, 95% CI 1.05-1.37, p = 0.007). Spanish-language patient navigation was associated with a 4.4% higher adherence to mt-sDNA CRC screening among Spanish-speaking patients. These findings suggest that culturally and linguistically tailored communication may support improved screening participation in underserved populations.
Knowledge, Attitudes, and Behaviors Regarding HPV Vaccination and Self-Sampling Among US Young Adults.
Hargis A, Berg CJ, Le D
J Cancer Educ · 2026 Jun · PMID 41044442 · Publisher ↗
Given the high HPV and cervical cancer rates and related disparities, this study assessed correlates of HPV-prevention behaviors among US adults. Using the 2022 online survey data from 880 US adults (M = 27.62; 66.0% fem...
Given the high HPV and cervical cancer rates and related disparities, this study assessed correlates of HPV-prevention behaviors among US adults. Using the 2022 online survey data from 880 US adults (M = 27.62; 66.0% female, 43.8% sexual minority, 8.7% Hispanic, 73.9% White, 4.5% Black, 11.9% Asian, 9.7% other race), multivariable regression analyses assessed sociodemographic and HPV knowledge in relation to HPV vaccination, willingness to vaccinate one's child, and willingness to engage in HPV self-sampling (among individuals with a cervix). The most common reason for HPV vaccination (58.0%) was doctor recommendation (84.2%), while the main reason for not being vaccinated (42.0%) was the lack of doctor recommendation (51.6%). HPV vaccination was associated with being younger (aOR = 0.88, CI = 0.84-0.93), female (aOR = 2.70, CI = 1.92-3.85), bachelor's (vs. < bachelor's; aOR = 1.82, CI = 1.16-2.86) or > bachelor's degree educated (aOR = 1.85, CI = 1.01-3.12), not having children (aOR = 0.44, CI = 0.27-0.72), and greater HPV knowledge (aOR = 1.20, CI = 1.10-1.30). Willingness to vaccinate one's child was associated with identifying as a sexual minority (vs. heterosexual; B = 0.16, CI = 0.05-0.27), Asian race (vs. White; B = 0.20, CI = 0.04-0.36), not having children (B = - 0.23, CI = [- 0.38, - 0.08]), greater HPV knowledge (B = 0.06, CI = 0.03-0.08), and HPV vaccination (B = 0.39, CI = 0.28-0.50). Among participants with a cervix (n = 501), willingness to try HPV self-sampling was associated with identifying as another race (vs. White; B = 0.44, CI = 0.09-0.79), not having children (B = - 0.30, CI = [- 0.61, - 0.01]), greater HPV knowledge (B = 0.11, CI = 0.05-0.17), and fewer concerns about self-sampling (B = - 0.33, CI = [- 0.42, - 0.24]). Interventions involving healthcare providers and parental education are essential for promoting HPV prevention behaviors and reducing disparities.
Bridging the Knowledge Gap: Assessment of Breast Cancer Awareness and Early Detection Practices among Venezuelan Women.
Fermín BAN, Aponte-Rueda ME, Shah D … +2 more , Nieves M, Rebolledo TM
J Cancer Educ · 2025 Oct · PMID 41042483 · Publisher ↗
Breast cancer (BC) is the leading cause of cancer-related death among women worldwide, with higher mortality rates in low- and middle-income countries (LMICs). In Venezuela, late-stage diagnosis remains common due to lim...
Breast cancer (BC) is the leading cause of cancer-related death among women worldwide, with higher mortality rates in low- and middle-income countries (LMICs). In Venezuela, late-stage diagnosis remains common due to limited awareness, delayed health-seeking behaviors, and restricted access to early detection. This study aimed to assess Venezuelan women's knowledge of BC signs, symptoms, risk factors, and early detection methods, and explore associations between sociodemographic factors and knowledge levels. We conducted a cross-sectional study of 197 women attending outpatient services at Caracas University Hospital between April and August 2023. Data were collected using a structured, interviewer-administered questionnaire that assessed knowledge across three domains: signs and symptoms, risk factors, and early detection methods. Correct responses were scored and categorized as high or low based on predefined thresholds. Awareness of BC symptoms was high, with 89.3% of participants recognizing breast lumps as a warning sign. However, only 9% demonstrated a high level of knowledge about risk factors, with obesity (54.8%) being the most commonly identified. Higher education levels were significantly associated with better knowledge of risk factors (p 0.04), and attendance at a breast clinic was correlated with higher knowledge of early detection. (p 0.04). Although awareness of BC symptoms and positive attitudes toward early detection were common, significant gaps remain in knowledge about risk factors and screening practices. These findings highlight the need for targeted educational interventions that extend beyond raising awareness to promote health literacy and empower women with practical, actionable information.
Evaluation of Spiritual Care among Oncologists and Nurses at the Oncology Departments, Marrakech, Morocco.
Belhaj Haddou M, El Mouaddib H, Belhaj Haddou Z … +2 more , Khouchani M, Elkhoudri N
J Cancer Educ · 2025 Oct · PMID 41042482 · Publisher ↗
Spiritual care is crucial in cancer care and plays an essential role in improving the quality of life of patients facing a cancer diagnosis. However, more data on healthcare professionals' perceptions and practices regar...
Spiritual care is crucial in cancer care and plays an essential role in improving the quality of life of patients facing a cancer diagnosis. However, more data on healthcare professionals' perceptions and practices regarding spiritual care in the Moroccan context are needed. The present study aims to fill this gap by assessing the knowledge and practices of spiritual care among cancer nurses and physicians to provide valuable information to improve training and the integration of this dimension into oncology care. This study involved the participation of 131 professionals in the oncology departments at Marrakech University Hospital. The questionnaire used included a sociodemographic section and another dedicated to the Spiritual Care Intervention and Provision Scale (SCIPS), which aims to evaluate spiritual interventions in healthcare settings. The results revealed variations in the perception of spiritual care among professional groups. Nurses reported higher mean scores than oncologists did (47.56 ± 4.56 vs. 40.13 ± 3.98; p < 0.001). A significant association was established between clinical experience and SCIPS (p = 0.002). In addition, the overall score and subscale scores were significantly related to age and level of education (p < 0.001). The religious, spiritual care intervention-provision (RSCIPS) score was significantly higher in women than in men (p = 0.041). Linear regression analysis confirmed that young age, professional profile, and department were significantly correlated with SCIPS scores. In addition, gender showed a significant negative correlation (β = -0.188, p = 0.004), indicating that female participants tended to report higher scores than male participants did. The results show that nurses are more aware of their role in providing spiritual care to cancer patients than are oncologists. This care seems to focus mainly on existential aspects. A targeted training program could increase oncologists' awareness of their role in spiritual care and help nurses strengthen their commitment and fill any gaps.
Patients' Right to Know and Family Influence in Cancer Diagnosis Disclosure in Pakistan.
Khan WA
J Cancer Educ · 2025 Oct · PMID 41034354 · Publisher ↗
Non-disclosure of cancer diagnosis is a common practice in Pakistan, with families asking for it to shield loved ones from despair. While meant to protect, this can take away a patient's autonomy to make decisions, prepa...
Non-disclosure of cancer diagnosis is a common practice in Pakistan, with families asking for it to shield loved ones from despair. While meant to protect, this can take away a patient's autonomy to make decisions, prepare for what lies ahead, and spend their time as they wish. Without knowing the truth, patients may undergo difficult treatments without understanding their purpose, leading to confusion and loss of trust. Honest communication, given with care, can preserve dignity and allow people to face illness on their own terms. In many collectivist cultures worldwide, similar practices exist, showing that this is a global issue, and not just limited to Pakistan. Adequate support for families and clear guidance for doctors can help truth be shared in a way that is gentle, respectful, and humane.
Comment on "Development and Implementation of a Digital Skills E-Learning Program for Healthcare Professionals in Cancer: DigiCanTrain: Challenges and Solutions".
Mishra TK, Roy K, Kanade TM
J Cancer Educ · 2025 Oct · PMID 41034353 · Publisher ↗
Abstract loading — click title to view on PubMed.
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