Molokwu Jennifer C, Shokar Navkiran, Dwivedi Alok
Departments of Family and Community Medicine (Drs Molokwu and Shokar) and Biomedical Sciences (Dr Dwivedi), Texas Tech University Health Sciences Center El Paso, El Paso, Texas.
Fam Community Health. 2017 Oct/Dec;40(4):298-305. doi: 10.1097/FCH.0000000000000165.
Colorectal cancer remains a leading cause of cancer-related morbidity and mortality, with screening behavior found to be influenced by knowledge and other psychosocial attitudes. We recruited 784 participants 50 to 70 years of age. The intervention arm received a culturally sensitive, literacy-appropriate educational intervention by a promotora. Surveys were completed at baseline and 6 months post. Our intervention significantly increased knowledge at 6 months when compared with control (0.74 vs 0.18, P < .0001). We also report increase in perceived susceptibility to colorectal cancer and perceived benefits of colorectal cancer screening while decreasing sense of fatalism. Perceived barriers to screening did significantly increase.
结直肠癌仍然是癌症相关发病和死亡的主要原因，研究发现筛查行为会受到知识及其他社会心理态度的影响。我们招募了784名年龄在50至70岁之间的参与者。干预组接受了由健康促进员提供的具有文化敏感性、适合读写能力的教育干预。在基线和干预后6个月完成了调查。与对照组相比，我们的干预在6个月时显著增加了知识（0.74对0.18，P <.0001）。我们还报告称，对结直肠癌的易感性认知增加，对结直肠癌筛查的益处认知增加，同时宿命论观念有所减少。筛查的感知障碍确实有所增加。
