Cameron Kenzie A, Francis Lee, Wolf Michael S, Baker David W, Makoul Gregory
Center for Communication and Medicine, Northwestern University Feinberg School of Medicine, Chicago, USA.
Patient Educ Couns. 2007 Oct;68(2):145-52. doi: 10.1016/j.pec.2007.04.004. Epub 2007 May 22.
The Hispanic/Latino population has been documented as having the lowest colorectal cancer (CRC) screening rates in the United States, putting this group at-risk for late-stage presentation of disease. We assessed knowledge, attitudes, and behavior regarding CRC screening to inform the development of messages that promote screening among Hispanic/Latino patients.
In-person structured interviews with Spanish-speaking adults age 50-80 at two clinics and a senior center in a Hispanic/Latino community (N=234).
Most (67.1%) participants had no more than an eighth-grade education and 63.3% reported their reading ability as less than "very good." Only 18.4% of participants correctly identified the colon on a diagram; 19.2% correctly described at least one aspect of a polyp. Less than half of the participants perceived themselves as at-risk for CRC, and less than one-third knew about any of the standard screening tests. After hearing descriptions of the screening tests, participants perceived stool cards as easier, safer, less painful, less embarrassing, and less scary than endoscopy (p<.001). Approximately two-thirds of unscreened patients said that screening had never been mentioned or suggested to them; about one-quarter said they did not get screened because they felt fine or were not worried. Over 96% of participants said they would get screened if a doctor suggested it.
Assessing knowledge, attitudes, beliefs, and experiences in the community of interest is a promising approach for developing effective targeted health messages.
Messages to increase CRC screening knowledge and behavior in the Hispanic/Latino community should address risk factors, identify relevant anatomy, explain polyps and their asymptomatic presentation, and clearly describe options.
有记录表明，西班牙裔/拉丁裔人群在美国的结直肠癌（CRC）筛查率最低，这使该群体面临疾病晚期出现的风险。我们评估了关于CRC筛查的知识、态度和行为，以为制定促进西班牙裔/拉丁裔患者进行筛查的信息提供依据。
在一个西班牙裔/拉丁裔社区的两家诊所和一个老年中心，对50 - 80岁讲西班牙语的成年人进行面对面的结构化访谈（N = 234）。
大多数（67.1%）参与者的教育程度不超过八年级，63.3%的人表示他们的阅读能力低于“非常好”。只有18.4%的参与者能在图上正确识别结肠；19.2%的人能正确描述息肉的至少一个方面。不到一半的参与者认为自己有患CRC的风险，不到三分之一的人了解任何一种标准筛查测试。在听取了筛查测试的描述后，参与者认为粪便检测卡比内窥镜检查更容易、更安全、痛苦更少、不那么尴尬且不那么可怕（p <.001）。约三分之二未接受筛查的患者表示从未有人向他们提及或建议过筛查；约四分之一的人表示他们未接受筛查是因为感觉良好或不担心。超过96%的参与者表示如果医生建议，他们会接受筛查。
在目标社区评估知识、态度、信念和经历是制定有效的针对性健康信息的一种有前景的方法。
在西班牙裔/拉丁裔社区增加CRC筛查知识和行为的信息应涉及风险因素、识别相关解剖结构、解释息肉及其无症状表现，并清晰描述筛查选项。
