University of New Mexico, Albuquerque, New Mexico 87131-0001, USA.
Qual Health Res. 2012 Apr;22(4):546-59. doi: 10.1177/1049732311424509. Epub 2011 Nov 8.
Although national colorectal cancer (CRC) incidence rates have steadily decreased, the rate for New Mexico Hispanics has been increasing, and screening rates are low. We conducted an exploratory qualitative study to determine barriers to CRC screening for New Mexico Hispanics. We found that machismo served as a dynamic influence on men's health-seeking behaviors; however, it was conceptualized differently by two distinct Hispanic subpopulations, and therefore appeared to play a different role in shaping their screening attitudes and behaviors. Machismo emerged as more of an influence for Mexican men, who expressed concern over colonoscopies being potentially transformative and/or stigmatizing, but was not as salient for Hispanos, who viewed the colonoscopy as "strictly medical," and were more concerned with discomfort and pain. Findings from the study highlight the importance of identifying varying characteristics among subpopulations to better understand screening barriers and provide optimal CRC screening counseling in primary care settings.
尽管全国结直肠癌 (CRC) 的发病率稳步下降，但新墨西哥州西班牙裔的发病率一直在上升，而且筛查率很低。我们进行了一项探索性的定性研究，以确定新墨西哥州西班牙裔人进行 CRC 筛查的障碍。我们发现，大男子主义对男性的健康寻求行为产生了动态影响；然而，它在两个不同的西班牙裔亚群体中有不同的概念化，因此似乎在塑造他们的筛查态度和行为方面发挥了不同的作用。大男子主义对墨西哥男性的影响更大，他们对结肠镜检查可能具有变革性和/或污名化表示担忧，但对西班牙裔人来说并不那么突出，他们认为结肠镜检查是“纯粹的医学”，更关心不适和疼痛。研究结果强调了在初级保健环境中识别亚群体之间不同特征的重要性，以更好地了解筛查障碍并提供最佳的 CRC 筛查咨询。
