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非裔美国人对结肠癌筛查的认知与态度。

Knowledge and attitudes about colon cancer screening among African Americans.

作者信息

James Aimee S, Daley Christine M, Greiner K Allen

机构信息

Department of Surgery, Washington University in St. Louis, Saint Louis, MO, USA.

出版信息

Am J Health Behav. 2011 Jul;35(4):393-401. doi: 10.5993/ajhb.35.4.2.

DOI:10.5993/ajhb.35.4.2
PMID:22040586
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3724401/
Abstract

OBJECTIVES

To explore knowledge and attitudes about colorectal cancer (CRC) screening among African American patients age 45 and older at a community health center serving low-income and uninsured patients.

METHODS

We conducted 7 focus groups and 17 additional semistructured interviews. Sessions were audio-recorded, transcribed, and analyzed using standard text analysis.

RESULTS

Most participants who were age eligible for CRC screening were nonadherent according to national guidelines. Themes included low CRC knowledge, low perceived norms, high barriers, and other screening beliefs.

CONCLUSION

Lack of knowledge, low perceived risk, and attitudes about CRC screening may be important targets for interventions in low-income African American patients.

摘要

目的

在一家为低收入和未参保患者服务的社区健康中心,探索45岁及以上非裔美国患者对结直肠癌(CRC)筛查的知识和态度。

方法

我们开展了7个焦点小组讨论和另外17次半结构式访谈。会议进行了录音、转录,并使用标准文本分析方法进行分析。

结果

根据国家指南,大多数符合CRC筛查年龄条件的参与者未坚持筛查。主题包括CRC知识水平低、感知规范低、障碍高以及其他筛查观念。

结论

知识缺乏、感知风险低以及对CRC筛查的态度可能是低收入非裔美国患者干预措施的重要目标。

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本文引用的文献

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The impact of socioeconomic status on perceived barriers to colorectal cancer testing.社会经济地位对结直肠癌检测中感知到的障碍的影响。
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Trends in colorectal cancer screening disparities in people aged 50-64 years, 2000-2005.2000 - 2005年50 - 64岁人群结直肠癌筛查差异趋势
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Use of colorectal cancer tests--United States, 2002, 2004, and 2006.2002年、2004年及2006年美国结直肠癌检测的使用情况
MMWR Morb Mortal Wkly Rep. 2008 Mar 14;57(10):253-8.
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Barriers to colorectal cancer screening in community health centers: a qualitative study.社区卫生中心结直肠癌筛查的障碍:一项定性研究
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Predictors of colorectal cancer screening behaviors among average-risk older adults in the United States.美国一般风险老年成年人结直肠癌筛查行为的预测因素。
Cancer Causes Control. 2008 May;19(4):339-59. doi: 10.1007/s10552-007-9100-y. Epub 2007 Dec 18.
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Racial differences in colorectal cancer screening practices and knowledge within a low-income population.低收入人群中结直肠癌筛查行为与知识的种族差异。
Cancer. 2008 Jan 15;112(2):391-8. doi: 10.1002/cncr.23156.
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How much can current interventions reduce colorectal cancer mortality in the U.S.? Mortality projections for scenarios of risk-factor modification, screening, and treatment.目前的干预措施能在多大程度上降低美国结直肠癌的死亡率?风险因素调整、筛查和治疗情景下的死亡率预测。
Cancer. 2006 Oct 1;107(7):1624-33. doi: 10.1002/cncr.22115.
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Knowledge and perceptions of colorectal cancer screening among urban African Americans.城市非裔美国人对结直肠癌筛查的认知与看法。
J Gen Intern Med. 2005 Nov;20(11):977-83. doi: 10.1111/j.1525-1497.2005.00165.x.
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Differences in colorectal carcinoma stage and survival by race and ethnicity.结直肠癌分期及生存率在种族和族裔方面的差异。
Cancer. 2005 Aug 1;104(3):629-39. doi: 10.1002/cncr.21204.
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Patient and provider barriers to colorectal cancer screening in the primary care safety-net.基层医疗安全网中结直肠癌筛查的患者及医疗服务提供者障碍
Prev Med. 2004 Jul;39(1):56-63. doi: 10.1016/j.ypmed.2004.02.022.