Severino Giovanina, Wilson Carlene, Turnbull Deborah, Duncan Amy, Gregory Tess
CSIRO P-Health Flagship, SA, Australia.
Asian Pac J Cancer Prev. 2009 Jul-Sep;10(3):387-94.
Studies with minority ethnic communities worldwide reveal important differences in the content of beliefs about cancer and attitudes towards screening. Current initiatives in colorectal cancer (CRC) screening highlight the importance of identifying any illness-specific beliefs that might influence participation rates within the targeted age-range. We conducted semi-structured interviews with 20 Italian-Australians aged between 50 and 78 years, living in Adelaide, South Australia. Qualitative data from the interviews were analysed using framework analysis. Participants articulated specific beliefs about the nature of cancer, risk factors, prevention possibilities, and variety of potential barriers and benefits to faecal occult blood testing (FOBT). Although participants'beliefs overlapped with conventional medical models of cancer, the results also demonstrated the presence of specific cultural perceptions that might influence FOBT participation. Our results suggest that models used to inform communication about cancer need to be sensitive to culture specific concerns. Within the context of the older Italian-Australian community, there is a suggestion that self and response efficacy may be serious barriers to screening behavior and that bi-lingual, verbal delivery of information may be the most effective mode of communication to increase screening participation.
全球针对少数族裔社区的研究揭示了关于癌症的信念内容以及对筛查态度方面的重要差异。当前结直肠癌（CRC）筛查倡议强调识别任何可能影响目标年龄范围内参与率的特定疾病信念的重要性。我们对居住在南澳大利亚阿德莱德的20名年龄在50至78岁之间的意大利裔澳大利亚人进行了半结构化访谈。使用框架分析法对访谈中的定性数据进行了分析。参与者阐述了关于癌症本质、风险因素、预防可能性以及粪便潜血试验（FOBT）的各种潜在障碍和益处的特定信念。尽管参与者的信念与传统癌症医学模型有重叠，但结果也表明存在可能影响FOBT参与的特定文化认知。我们的结果表明，用于指导癌症相关沟通的模型需要对特定文化问题保持敏感。在年长的意大利裔澳大利亚社区背景下，有迹象表明自我效能感和反应效能感可能是筛查行为的严重障碍，并且双语、口头传递信息可能是提高筛查参与度的最有效沟通方式。
