Department of Family Medicine, University of Wisconsin School of Medicine and Public Health, Madison, 53705, USA.
Cancer Causes Control. 2011 Feb;22(2):199-206. doi: 10.1007/s10552-010-9687-2. Epub 2010 Dec 5.
Native Americans are disproportionately affected by cancer morbidity and mortality. This study examined intention to receive cancer screening in a large sample of Native Americans from the Northern Plains, a region with high cancer mortality rates.
A survey was administered orally to 975 individuals in 2004-2006 from three reservations and among the urban Native American community in the service region of the Rapid City Regional Hospital. Data analysis was conducted in 2009.
About 63% of the sample planned to receive cancer screening. In multivariate analyses, individuals who planned to receive cancer screening were women, responsible for four or more people, received physical examinations at least yearly and had received prior cancer screening. They also were more likely to hold the belief that most people would go through cancer treatment even though these treatments can be emotionally or physically uncomfortable. About 90% of those who did not plan to receive cancer screening would be more likely to intend to receive cancer screening if additional resources were available.
In an area of high cancer morbidity and mortality, over one-third of screening eligible individuals did not plan to receive cancer screening. Future research should evaluate the potential for improving cancer screening rates through interventions that seek to facilitate increased knowledge about cancer screening and access to cancer screening services in the community.
美洲原住民在癌症发病率和死亡率方面受到不成比例的影响。本研究在北平原地区对大量美洲原住民进行了调查，该地区癌症死亡率很高，考察了他们接受癌症筛查的意愿。
2004-2006 年间，在三个保留地和拉皮德城地区医院服务区域的城市美洲原住民社区，对 975 名个体进行了口头调查。2009 年进行数据分析。
约 63%的样本计划接受癌症筛查。在多变量分析中，计划接受癌症筛查的个体是女性、负责照顾 4 人或以上的人、至少每年接受一次体检且曾接受过癌症筛查的人。他们也更倾向于相信，尽管癌症治疗可能会带来身心不适，但大多数人都会接受癌症治疗。约 90%的不打算接受癌症筛查的人，如果有更多的资源，他们更有可能打算接受癌症筛查。
在癌症发病率和死亡率较高的地区，超过三分之一的符合筛查条件的个体不打算接受癌症筛查。未来的研究应该通过干预措施来评估提高癌症筛查率的潜力，这些干预措施旨在促进对癌症筛查的了解，并增加社区中癌症筛查服务的可及性。
