1 The City College of New York, New York, NY, USA.
2 Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Health Educ Behav. 2017 Oct;44(5):791-804. doi: 10.1177/1090198117726571. Epub 2017 Sep 6.
African American women have the highest colorectal cancer incidence and mortality rates among women of any race/ethnicity in the United States. Colonoscopy screening is an efficacious procedure for the prevention and early detection of colorectal cancer, making it a promising tool in the effort to eliminate colorectal cancer disparities. Toward that end, the present qualitative study sought to assess acceptability of and preferences for a beauty salon-based intervention to promote colonoscopy screening among African American women. A total of 11 focus groups were conducted: 6 with staff from African American-serving salons ( n = 3 with salon owners, n = 3 with salon stylists) and 5 with African American salon clients. Theory-guided focus group questions were used to explore participants' beliefs, interests, and preferences associated with the proposed intervention. Results indicated that, across all subgroups, participants were highly supportive of the idea of a salon-based intervention to promote colonoscopy screening among African American women, citing reasons such as the commonplace nature of health discussions in salons and the belief that, with proper training, stylists could effectively deliver colorectal cancer-related health information to their clients. The greatest differences between salon staff and clients were found with respect to the specifics of the intervention. Staff focused more heavily on content-related issues, such as the specific information that should be stressed in the intervention, whereas clients focused largely on process-related issues, such as the preferred intervention formats and how stylists should present themselves to clients. The findings from this study offer both encouragement and important groundwork for the development of a salon-based, stylist-delivered intervention to promote colonoscopy screening among African American women.
非裔美国女性的结直肠癌发病率和死亡率在美国所有种族/族裔的女性中最高。结肠镜检查筛查是预防和早期发现结直肠癌的有效方法，因此是消除结直肠癌差异的有前途的工具。为此，本定性研究旨在评估基于美容沙龙的干预措施在促进非裔美国女性结肠镜检查筛查方面的可接受性和偏好。共进行了 11 个焦点小组：6 个与非裔美国服务沙龙的工作人员（3 个沙龙老板，3 个沙龙造型师），5 个与非裔美国沙龙客户。使用理论指导的焦点小组问题来探讨参与者对拟议干预措施的相关信念、兴趣和偏好。结果表明，在所有亚组中，参与者非常支持在美容沙龙中开展促进非裔美国女性结肠镜检查筛查的基于沙龙的干预措施，理由是沙龙中经常进行健康讨论，以及相信经过适当培训，造型师可以有效地向客户传达与结直肠癌相关的健康信息。沙龙工作人员和客户之间最大的差异在于干预措施的具体细节。工作人员更侧重于内容相关的问题，例如干预中应强调的具体信息，而客户则主要关注过程相关的问题，例如首选的干预格式以及造型师应如何向客户展示自己。本研究的结果为开发基于沙龙、造型师提供的干预措施以促进非裔美国女性结肠镜检查筛查提供了鼓励和重要的基础。
