Coughlin Steven S, Lubetkin Erica I, Hay Jennifer L, Raphael Renald, Smith Selina A
Department of Community Health and Sustainability, Division of Public Health, University of Massachusetts, Lowell, MA; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA.
Sophie Davis School of Biomedical Education at The City College of New York, Department of Community Health and Social Medicine, New York, NY.
J Ga Public Health Assoc. 2015;5(2):149-152.
Few studies have examined colorectal cancer screening among Haitian Americans, although striking disparities in colorectal cancer screening and mortality are well-documented among U.S. Blacks. Race, socioeconomic status, and place of birth are factors associated with colorectal cancer incidence and mortality patterns.
In this article, we summarize published studies on colorectal cancer screening among Haitian Americans, identified through bibliographic searches in PubMed and CINAHL through August 2015, and offer recommendations for further research.
Only one qualitative study and three quantitative surveys have examined colorectal cancer screening among Haitian Americans. A qualitative study found important differences in perceptions of the curability of colorectal cancer, preventive practices, and preferred sources of information among Haitian Americans and other ethnic subgroups of U.S. Blacks. Awareness of colorectal cancer screening tests, risk perception, healthcare provider recommendation, and self-reported use of screening are suboptimal among Haitian Americans and other subgroups. In preliminary quantitative studies, Haitian immigrants have been found to have lower colorectal cancer screening rates than other groups such as African Americans.
Culturally appropriate educational interventions are needed to encourage Haitian American adults aged ≥ 50 years to undergo screening for colorectal cancer and to ensure that they are well informed about the value of healthy eating and physical activity.
尽管美国黑人在结直肠癌筛查和死亡率方面存在显著差异已有充分记录，但针对海地裔美国人的结直肠癌筛查研究较少。种族、社会经济地位和出生地是与结直肠癌发病率和死亡率模式相关的因素。
在本文中，我们总结了截至2015年8月通过在PubMed和CINAHL中进行文献检索所确定的关于海地裔美国人结直肠癌筛查的已发表研究，并为进一步研究提供建议。
仅有一项定性研究和三项定量调查对海地裔美国人的结直肠癌筛查进行了研究。一项定性研究发现，海地裔美国人和美国黑人的其他族裔亚组在对结直肠癌可治愈性的认知、预防措施以及偏好的信息来源方面存在重要差异。海地裔美国人和其他亚组对结直肠癌筛查测试的知晓度、风险认知、医疗保健提供者的建议以及自我报告的筛查使用率都不理想。在初步的定量研究中，发现海地移民的结直肠癌筛查率低于非裔美国人等其他群体。
需要开展符合文化背景的教育干预措施，以鼓励50岁及以上的海地裔美国成年人接受结直肠癌筛查，并确保他们充分了解健康饮食和体育活动的价值。
