Brittain Kelly, Loveland-Cherry Carol, Northouse Laurel, Caldwell Cleopatra H, Taylor Jacquelyn Y
College of Nursing, Michigan State University, East Lansing, USA.
Oncol Nurs Forum. 2012 Jan;39(1):100-7. doi: 10.1188/12.ONF.100-107.
PURPOSE/OBJECTIVES: To examine sociocultural factors that influence an informed decision about colorectal cancer (CRC) screening among African American men and women.
Descriptive, cross-sectional.
A medical center, a National Cancer Institute-designated comprehensive cancer center, and various social organizations and barbershops in a midwestern city of the United States.
A purposive sample of African American women (n = 65) and African American men (n = 64) aged 50 years and older.
Participants completed a self-administered survey.
Cultural identity, CRC beliefs, family support, and informed decision.
Family support was positively related to CRC beliefs among participants, and CRC beliefs were positively related to an informed decision. However, among men, family support positively related to an informed decision about CRC screening. In addition, t-test results indicated that the men and women were significantly different. Family support predicted CRC beliefs among men (p < 0.01) and women (p < 0.01). CRC beliefs predicted CRC screening informed decisions among men (p < 0.01) and women (p < 0.05). However, the accounted variance was dissimilar, suggesting a difference in the impact of the predictors among the men and women.
Family support has a significant impact on CRC beliefs about CRC screening among African Americans. However, how men and women relate to the variables differs.
To improve CRC screening rates, informed decision-making interventions for African Americans should differ for men and women and address family support, CRC beliefs, and elements of cultural identity.
目的/目标：研究影响非裔美国男性和女性做出有关结直肠癌（CRC）筛查明智决策的社会文化因素。
描述性横断面研究。
美国中西部一个城市的医疗中心、一家国家癌症研究所指定的综合癌症中心以及各种社会组织和理发店。
50岁及以上的非裔美国女性（n = 65）和非裔美国男性（n = 64）的目的性样本。
参与者完成一份自我管理的调查问卷。
文化认同、对结直肠癌的信念、家庭支持和明智决策。
家庭支持与参与者对结直肠癌的信念呈正相关，且对结直肠癌的信念与明智决策呈正相关。然而，在男性中，家庭支持与关于结直肠癌筛查的明智决策呈正相关。此外，t检验结果表明男性和女性存在显著差异。家庭支持在男性（p < 0.01）和女性（p < 0.01）中均能预测对结直肠癌的信念。对结直肠癌的信念在男性（p < 0.01）和女性（p < 0.05）中均能预测结直肠癌筛查的明智决策。然而，解释的方差不同，表明预测因素对男性和女性的影响存在差异。
家庭支持对非裔美国人关于结直肠癌筛查的信念有显著影响。然而，男性和女性与这些变量的关联方式有所不同。
为提高结直肠癌筛查率，针对非裔美国人的明智决策干预措施应因性别而异，并涉及家庭支持、对结直肠癌的信念和文化认同要素。
