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拉丁裔女性的结直肠癌筛查知识、接受筛查的障碍以及居家粪便免疫化学检测的可行性

Latinas' Colorectal Cancer Screening Knowledge, Barriers to Receipt, and Feasibility of Home-Based Fecal Immunochemical Testing.

作者信息

Warner Echo L, Bodson Julia, Mooney Ryan, Lai Djin, Samadder N Jewel, Kepka Deanna

机构信息

Huntsman Cancer Institute, Cancer Control and Population Sciences, University of Utah, 2000 Circle of Hope, Rm 4125, Salt Lake City, UT, 84112, USA.

College of Nursing, University of Utah, 10 S 2000 E, Salt Lake City, UT, 84112, USA.

出版信息

J Immigr Minor Health. 2018 Aug;20(4):981-990. doi: 10.1007/s10903-017-0615-3.

Abstract

Latinas' high colorectal cancer (CRC) mortality makes them a priority population for CRC screening. CRC screening knowledge, perceived barriers, and feasibility of using the Fecal Immunochemical Test (FIT) was assessed among Latinas in Utah. Participants aged ≥50 (n = 95) were surveyed about knowledge and barriers to CRC screening. 27 participants completed a FIT and evaluation survey. Fisher's exact tests assessed sociodemographic correlates of CRC screening outcomes. Most participants were overdue for CRC screening (n = 81, 85%). Age, acculturation, education, and employment were significantly associated with CRC screening status and/or reasons for being overdue (e.g., not knowing about the test, cost). All participants who received a FIT completed it, felt it was easy to use, and reported they would use it again. Latinas had limited awareness of CRC, CRC screenings, and experienced barriers to CRC screening (e.g., limited access, cost), but were willing to utilize a low-cost home-based FIT.

摘要

拉丁裔较高的结直肠癌(CRC)死亡率使她们成为CRC筛查的重点人群。在犹他州的拉丁裔女性中评估了CRC筛查知识、感知到的障碍以及使用粪便免疫化学检测(FIT)的可行性。对年龄≥50岁的参与者(n = 95)进行了关于CRC筛查知识和障碍的调查。27名参与者完成了FIT及评估调查。Fisher精确检验评估了CRC筛查结果的社会人口统计学相关性。大多数参与者CRC筛查逾期未做(n = 81,85%)。年龄、文化适应程度、教育程度和就业情况与CRC筛查状态和/或逾期原因(如不了解检测、费用)显著相关。所有接受FIT检测的参与者都完成了检测,觉得检测易于使用,并表示会再次使用。拉丁裔女性对CRC、CRC筛查的认识有限,在CRC筛查方面存在障碍(如获取途径有限、费用问题),但愿意使用低成本的居家FIT检测。

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