难民人口对癌症的认知水平较低，癌症筛查率低，并且诊断时恶性肿瘤晚期或发生转移的比率较高。在其他国家的难民人口中，教育干预措施改善了癌症认知和筛查率，但从未在阿富汗难民人口中实施过。我们旨在评估阿富汗难民妇女对乳腺癌认知程度，并测试通过远程健康乳腺癌教育干预提高该人群对乳腺癌认知的可行性。在土耳其伊斯坦布尔居住的阿富汗难民妇女进行了横断面调查，被纳入调查的妇女在2022年8月1日至2023年2月10日期间在门诊初级诊所接受护理时没有乳腺癌个人病史。通过远程健康接诊使用经过验证的乳腺癌认知工具，即乳腺癌认知测量工具，评估参与者对乳腺癌的认知情况。在这一基线评估之后，在远程健康接诊中对每位参与者进行了乳腺癌教育干预。在初始评估和教育之后的6个月内，通过远程健康进行了后续乳腺癌认知测量，以确定教育干预的有效性。共有100名参与者纳入了这项研究。年龄中位数为49岁（范围：40-64岁）。所有参与者均没有正式教育背景，已婚并且没有工作。在教育干预之前，乳腺癌的认知程度较低；参与者中没有人能够识别出一些乳腺癌的常见症状和风险因素。在教育干预之前，没有一名参与者进行过乳房X线摄影或因乳房相关问题就医。在教育干预之后的6个月内，最多有99％的参与者（100名参与者中的99名）能够正确识别乳腺癌的常见症状和风险因素。在教育干预之后的6个月内，所有100名参与者都接受了乳房筛查的建议。远程健康乳腺癌教育干预显著提高了阿富汗难民妇女对乳腺癌的认知。这种乳腺癌认知的增加与乳腺癌筛查的显著增加相关。有必要进一步实施教育干预措施，以提高参与者的认知水平并改善筛查率。达娜·法伯癌症研究所杰伊·哈里斯青年教员研究基金。© 2023作者。

Refugee populations have low levels of cancer awareness, low cancer screening rates, and a high rate of advanced or metastatic cancer at diagnosis. Educational interventions to improve cancer awareness and screening have been successful in other nationality refugee populations but have never been implemented in Afghan refugee populations. We aimed to estimate the level of breast cancer awareness among Afghan refugee women and test the feasibility of a telehealth breast cancer educational intervention to increase breast cancer awareness in this population.A cross-sectional survey of Afghan refugee women residing in Istanbul, Türkiye who had no personal history of breast cancer and who presented to outpatient primary clinics for care between August 1, 2022, and February 10, 2023 was performed. Participant awareness of breast cancer (BC) was assessed using the validated BC awareness tool, Breast Cancer Awareness Measure (BCAM), during a telehealth encounter. After this baseline assessment, a BC educational intervention was administered to each participant during the telehealth encounter. Six months after the initial assessment and education, a follow-up BCAM was administered via telehealth in order to determine the effectiveness of the education intervention.One hundred participants were accrued to the study. Median age was 49 years (range: 40-64). All participants had no formal education, were married, and were not employed. Prior to the educational intervention, BC awareness was low; none of the participants were able to identify some common signs/symptoms and risk factors for BC. Prior to the educational intervention, zero participants had ever had a mammogram or seen a physician for a breast-related concern. Six months after the educational intervention, up to 99 percent of participants (99 of 100 participants) were able to correctly identify common signs or symptoms and risk factors for BC. Six months after the educational intervention, all one hundred participants had accepted the offer of a screening mammogram.A telehealth BC education intervention meaningfully increased BC awareness in Afghan refugee women. This increase in BC awareness was associated with a strong increase in completion of BC screening. Further implementation of educational interventions is warranted in order to increase participant awareness and improve screening rates.Dana Farber Cancer Institute Jay Harris Junior Faculty Research Grant.© 2023 The Author(s).