Department of Internal Medicine, Oakwood Hospital and Medical Center, 18101 Oakwood Blvd, Dearborn, MI 48124, USA.
J Community Health. 2013 Aug;38(4):619-25. doi: 10.1007/s10900-013-9688-7.
To explore compliance of Arab-Americans to colorectal cancer (CRC) screening and identify the barriers for non-compliance. An observational community based study. Arab-American Friday prayer attendees' ≥50 years in three mosques in Dearborn, MI volunteered. Demographics, health insurance status, screening history, availability of a primary care physician (PCP) and the ability to communicate in Arabic were inquired. The responses were compared using a student t test between respondents who have had CRC screening with colonoscopy and those who have not had any screening tests. A p value of 0.05 or lower was considered statistically significant. Total number surveyed was 130. Average age is 64 years. Males were 76 % (99) and females 24 % (31). More than 50 % were Lebanese and 28 % were from Yemen. Majority had health insurance (89 %), and 86 % had a primary care physician of which 79 % of them spoke Arabic. Half of the participants had colonoscopy mostly for screening purposes. Fifty-eight (45 %) participants did not have CRC screening. Majority of the females (72.4 %) had colonoscopy compared to 46.8 % of the males (p value = 0.016). The mean length of stay in the U.S was 39.16 years in the colonoscopy group compared to 30.77 years in the non-screening group (p value = 0.006). Participants without a PCP did not have CRC screening (77.8 %) (p value = 0.005). Participants with a non-Arabic speaking PCP had more colonoscopy rates (77.3 %) compared to those with an Arabic speaking PCP (50 %) (p value = 0.027). More Lebanese had colonoscopy (71.9 %) compared to 25.7 % of the surveyed Yemenis (p value = 0.00). Discomfort, unawareness about CRC screening, and nonrecommendation by PCP were reported barriers. Arab-Americans have lower screening colonoscopy rates. Unfamiliarity of the importance of screening is a principal issue. Having a non-arabic speaking PCP is beneficial. Better education to this population about the benefits and ease of screening could increase adherence to screening for this population.
为了探索阿拉伯裔美国人对结直肠癌（CRC）筛查的依从性，并确定不依从的原因。一项基于社区的观察性研究。在密歇根州迪尔伯恩的三座清真寺中，参加阿拉伯裔美国人周五祈祷的年龄在 50 岁以上的人自愿参与。询问了他们的人口统计学信息、健康保险状况、筛查史、是否有初级保健医生（PCP）以及是否能够用阿拉伯语交流。对接受过结肠镜检查和未接受过任何筛查的受访者的回答使用学生 t 检验进行比较。p 值为 0.05 或更低被认为具有统计学意义。共调查了 130 人。平均年龄为 64 岁。男性占 76%（99 人），女性占 24%（31 人）。超过 50%的人是黎巴嫩人，28%的人来自也门。大多数人都有健康保险（89%），86%的人有初级保健医生，其中 79%的人会说阿拉伯语。一半的参与者接受了结肠镜检查，主要是为了筛查目的。58 名（45%）参与者没有接受 CRC 筛查。与男性（46.8%）相比，更多的女性（72.4%）接受了结肠镜检查（p 值=0.016）。在结肠镜检查组中，参与者在美国的平均居住时间为 39.16 年，而在未筛查组中为 30.77 年（p 值=0.006）。没有 PCP 的参与者没有接受 CRC 筛查（77.8%）（p 值=0.005）。不会说阿拉伯语的 PCP 的参与者接受结肠镜检查的比例（77.3%）高于会说阿拉伯语的 PCP（50%）（p 值=0.027）。更多的黎巴嫩人接受了结肠镜检查（71.9%），而接受调查的也门人的比例为 25.7%（p 值=0.00）。报告的障碍包括不适、对 CRC 筛查缺乏认识以及 PCP 不推荐。阿拉伯裔美国人的结肠镜检查率较低。对筛查重要性的不熟悉是一个主要问题。有一个不会说阿拉伯语的 PCP 是有益的。对这一人群进行更多关于筛查益处和简便性的教育，可以提高这一人群对筛查的依从性。
