Jo Angela M, Maxwell Annette E, Wong Weng K, Bastani Roshan
Department of Family Medicine, David Geffen School of Medicine at UCLA, 650 Charles Young Drive, South A2-125 CHS, Box 956900, Los Angeles, CA 90095-6900, USA.
J Immigr Minor Health. 2008 Apr;10(2):119-26. doi: 10.1007/s10903-007-9066-6.
Use of colorectal cancer screening is extremely low among Korean Americans. The objective of this study was to gather information on predictors, facilitators, barriers, and intervention preferences with respect to colorectal cancer screening that may inform the development of future interventions for underserved Korean Americans.
We developed a questionnaire guided by the Health Behavior Framework and administered it to a convenience sample of 151 Korean Americans aged 40-70 recruited through a community based organization in Los Angeles.
In our sample in which 60% of the subjects did not have health insurance, only 17% reported having received a stool blood test within the past year or sigmoidoscopy or colonoscopy within the past 5 years. Having received a physician recommendation was significantly associated and having symptoms of the disease was marginally associated with the outcome variable. Although 64% of respondents reported having a primary care physician, only 29% received a screening recommendation from a physician. Barriers to colorectal cancer screening were lack of health insurance and inability to afford testing, not knowing where to go for testing, language barrier, and fear of being a burden to the family. Intervention preferences included educational seminars, media campaigns, and print materials.
Our findings point to the need for a multi-faceted approach that includes educational seminars at community venues, a media campaign, and physician education to increase colorectal cancer screening in this underinsured Korean American population.
韩裔美国人中结直肠癌筛查的使用率极低。本研究的目的是收集有关结直肠癌筛查的预测因素、促进因素、障碍及干预偏好的信息，这些信息可能为未来针对服务不足的韩裔美国人制定干预措施提供参考。
我们制定了一份以健康行为框架为指导的问卷，并将其发放给通过洛杉矶一个社区组织招募的151名年龄在40至70岁之间的韩裔美国人组成的便利样本。
在我们的样本中，60%的受试者没有医疗保险，只有17%的人报告在过去一年中接受过粪便潜血检测，或在过去5年中接受过乙状结肠镜检查或结肠镜检查。接受医生建议与结果变量显著相关，而患有该疾病的症状与结果变量有微弱关联。尽管64%的受访者报告有初级保健医生，但只有29%的人收到过医生的筛查建议。结直肠癌筛查的障碍包括缺乏医疗保险、无力支付检测费用、不知道去哪里进行检测、语言障碍以及担心给家人带来负担。干预偏好包括教育研讨会、媒体宣传活动和印刷材料。
我们的研究结果表明，需要采取多方面的方法，包括在社区场所举办教育研讨会、开展媒体宣传活动以及对医生进行教育，以提高这个未充分参保的韩裔美国人群体的结直肠癌筛查率。
