Halbert Chanita Hughes, Briggs Vanessa, Bowman Marjorie, Bryant Brenda, Bryant Debbie Chatman, Delmoor Ernestine, Ferguson Monica, Ford Marvella E, Johnson Jerry C, Purnell Joseph, Rogers Rodney, Weathers Benita
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, 68 President Street, Suite BE103, Charleston, SC 29425, USA, Hollings Cancer Center, Medical University of South Carolina, 68 President Street, Suite BE103, Charleston, SC 29425, USA, Health Promotion Council of Southeastern Pennsylvania, 260 Broad Street, Philadelphia, PA 19102, USA, Department of Family Medicine and Community Health, University of Pennsylvania, 3400 Spruce Street, 2 Gates, Philadelphia, PA 19104, USA, Department of Psychiatry, Center for Community-Based Research and Health Disparities, University of Pennsylvania, 3535 Market Street, Suite 4100, Philadelphia, PA 19104, USA, Philadelphia Chapter, National Black Leadership Initiative on Cancer, Leon Sullivan Human Resources Building, 1415 N Broad Street, Suite 221B, Philadelphia, PA 19122, USA, Division of General Internal Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA, Department of Public Health Sciences, Medical University of South Carolina, 68 President Street, Suite BE103, Charleston, SC 29425, USA, Division of Geriatrics, Department of Medicine, University of Pennsylvania, 3615 Chestnut Street, Philadelphia, PA 19104, USA, Southwest Action Coalition, 5214 Woodland Avenue, Philadelphia, PA 19143, USA and Christ of Calvary Community Development Corporation, 500 S 61st Street, Philadelphia, PA 19143, USA.
Health Educ Res. 2014 Feb;29(1):97-108. doi: 10.1093/her/cyt098. Epub 2013 Oct 29.
Patient navigation is now a standard component of cancer care in many oncology facilities, but a fundamental question for navigator programs, especially in medically underserved populations, is whether or not individuals will use this service. In this study, we evaluated acceptance of a community-based navigator program for cancer control and identified factors having significant independent associations with navigation acceptance in an urban sample of African Americans. Participants were African American men and women ages 50-75 who were residents in an urban metropolitan city who were referred for navigation. Of 240 participants, 76% completed navigation. Age and perceived risk of developing cancer had a significant independent association with navigation acceptance. Participants who believed that they were at high risk for developing cancer had a lower likelihood of completing navigation compared with those who believed that they had a low risk for developing this disease. The likelihood of completing navigation increased with increases in age. None of the socioeconomic factors or health care variables had a significant association with navigation acceptance. There are few barriers to using community-based navigation for cancer control among urban African Americans. Continued efforts are needed to develop and implement community-based programs for cancer control that are easy to use and address the needs of medically underserved populations.
患者导航现已成为许多肿瘤治疗机构癌症护理的标准组成部分，但对于导航项目而言，尤其是在医疗服务不足的人群中，一个基本问题是人们是否会使用这项服务。在本研究中，我们评估了一个基于社区的癌症控制导航项目的接受情况，并在一个城市非裔美国人样本中确定了与导航接受度有显著独立关联的因素。参与者为年龄在50至75岁之间、居住在一个大城市的非裔美国男性和女性，他们被转介接受导航服务。在240名参与者中，76%完成了导航。年龄和患癌感知风险与导航接受度有显著独立关联。与那些认为自己患癌风险低的参与者相比，认为自己患癌风险高的参与者完成导航的可能性较低。完成导航的可能性随着年龄的增长而增加。社会经济因素或医疗保健变量均与导航接受度无显著关联。城市非裔美国人在使用基于社区的癌症控制导航方面几乎没有障碍。需要持续努力来开发和实施易于使用且能满足医疗服务不足人群需求的基于社区的癌症控制项目。
