Morgan Phyllis D, Fogel Joshua, Tyler Indira D, Jones John R
Department of Nursing, Fayetteville State University, Fayetteville, North Carolina, USA.
J Health Care Poor Underserved. 2010 Aug;21(3 Suppl):132-47. doi: 10.1353/hpu.0.0357.
BACKGROUND/OBJECTIVES: Colorectal cancer (CRC) is the third cause of cancer deaths for African Americans.
Churches and community-based organizations were randomized into intervention and control groups. The intervention group received a 90-minute culturally targeted educational program on colorectal health. Pre-test and post-test questionnaires were completed by both groups.
A total of 539 African American men and women 50 years of age and older participated in this study. The intervention group had a significantly greater proportion of those receiving a colonoscopy within three months after the educational session than the control group. In the intervention group, CRC knowledge significantly increased and cancer fatalism attitudes significantly decreased.
A culturally targeted faith/community-based educational intervention can increase CRC knowledge, decrease cancer fatalism, and increase screening for CRC among African Americans.
背景/目标：结直肠癌（CRC）是非洲裔美国人癌症死亡的第三大原因。
1）增加结直肠癌知识，2）减少癌症宿命论，3）提高北卡罗来纳州非洲裔美国人的结直肠癌结肠镜筛查率。
教会和社区组织被随机分为干预组和对照组。干预组接受了为期90分钟的针对结直肠健康的文化针对性教育项目。两组均完成了预测试和后测试问卷。
共有539名50岁及以上的非洲裔美国男性和女性参与了本研究。干预组在教育课程后三个月内接受结肠镜检查的比例明显高于对照组。在干预组中，结直肠癌知识显著增加，癌症宿命论态度显著降低。
针对文化的基于信仰/社区的教育干预可以增加非洲裔美国人的结直肠癌知识，减少癌症宿命论，并增加结直肠癌筛查。
