Salas-Lopez Debbie, Mouzon Dawne, Marks Jonnie, Kothari Neil, Natale-Pereira Ana
University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, NJ, USA.
Prog Community Health Partnersh. 2007 Fall;1(3):241-8. doi: 10.1353/cpr.2007.0029.
Latinos have lower rates of cancer screening, partially because of cultural beliefs that conflict with those of health care professionals. Moreover, established programs for training physicians in cultural competency often fail to incorporate input from the community.
To explore beliefs about cancer and cancer screening among Latino community members and internal medicine residents. Three focus groups of Latino community members (n = 31) and one focus group of internal medicine residents (n = 9) were conducted to compare ideas regarding cancer and cancer screening.
We identified clear disconnects between residents and Latino community members regarding their understandings of cancer, ideas about risk and etiological factors, and barriers to screening. Notably, residents more often spoke of cancer in terms of risk factors, whereas Latinos attributed cancer to life circumstances and experiences.
The results from these focus groups will inform development of a community-minded cultural competency cancer education training program for medical residents designed to increase screening rates and improve satisfaction with care among Latinos.
拉丁裔人群的癌症筛查率较低，部分原因是其文化观念与医疗保健专业人员的观念存在冲突。此外，现有的针对医生进行文化能力培训的项目往往未能纳入社区的意见。
为了探究拉丁裔社区成员和内科住院医师对癌症及癌症筛查的看法。开展了三个拉丁裔社区成员焦点小组（n = 31）和一个内科住院医师焦点小组（n = 9），以比较关于癌症和癌症筛查的观点。
我们发现住院医师与拉丁裔社区成员在对癌症的理解、风险和病因因素的看法以及筛查障碍方面存在明显脱节。值得注意的是，住院医师更多地从风险因素角度谈论癌症，而拉丁裔将癌症归因于生活状况和经历。
这些焦点小组的结果将为制定一个面向社区的、针对医学住院医师的文化能力癌症教育培训项目提供参考，该项目旨在提高拉丁裔人群的筛查率并改善他们对医疗服务的满意度。
