Filippi Melissa K, James Aimee S, Brokenleg Sarah, Talawyma Myrietta, Perdue David G, Choi Won S, Greiner K Allen, Daley Christine M
Department of Family Medicine, Center for American Indian Community Health, University of Kansas Medical Center, Kansas City, KS 66160, USA.
J Prim Care Community Health. 2013 Jul 1;4(3):160-6. doi: 10.1177/2150131912457574. Epub 2012 Aug 14.
Although colorectal cancer (CRC) mortality rates in the US population have shown a decline, American Indian (AI) CRC mortality rates appear to be increasing. CRC screening rates of AIs remain low when compared with other ethnic groups. The research team explored women's perceptions toward CRC screening, existing barriers, and suggestions to promote education and screening among AI women in Kansas and Missouri.
Using a community-based participatory research approach, the authors conducted 7 focus groups with AI women older than 50 years (N = 52) to better understand their perceptions of and attitudes toward CRC screening.
Women recognized barriers to screening, such as embarrassment, privacy issues, fear, insurance, and cost. They countered perceived barriers through inventive suggestions for education and awareness via social support systems and intergenerational relationships.
CRC screening interventions for AI must be culturally tailored.
尽管美国人群中结直肠癌（CRC）死亡率呈下降趋势，但美国印第安人（AI）的CRC死亡率似乎在上升。与其他种族群体相比，AI的CRC筛查率仍然较低。该研究团队探讨了堪萨斯州和密苏里州AI女性对CRC筛查的看法、现存障碍以及促进教育和筛查的建议。
作者采用基于社区的参与性研究方法，对50岁以上的AI女性（N = 52）进行了7次焦点小组讨论，以更好地了解她们对CRC筛查的看法和态度。
女性认识到筛查的障碍，如尴尬、隐私问题、恐惧、保险和费用。她们通过社会支持系统和代际关系提出富有创意的教育和提高认识的建议，以应对这些感知到的障碍。
针对AI的CRC筛查干预措施必须根据文化进行调整。
