医生建议在美籍华裔移民接受结直肠癌筛查中的作用
The Role of Physician Recommendation in Colorectal Cancer Screening Receipt Among Immigrant Chinese Americans.
作者信息
Jih Jane, Nguyen Minh P, Ly Irene, Tsoh Janice Y, Le Gem M, Woo Kent, Chan Elaine, Gildengorin Ginny, Stewart Susan L, Burke Adam, Pasick Rena, McPhee Stephen J, Nguyen Tung T
机构信息
Asian American Research Center on Health, San Francisco, CA, USA.
Division of General Internal Medicine, University of California, San Francisco, San Francisco, CA, USA.
出版信息
J Immigr Minor Health. 2018 Dec;20(6):1483-1489. doi: 10.1007/s10903-017-0679-0.
Chinese Americans have low colorectal cancer (CRC) screening rates. It is unclear whether physicians should offer all CRC screening modalities (fecal occult blood test [FOBT], sigmoidoscopy, colonoscopy) to Chinese Americans to increase screening. Seven hundred and twenty-five Chinese Americans were asked in a survey if their physician had ever recommended CRC screening and to self-report receipt and type of CRC screening. Participants whose physician had recommended all CRC screening modalities were significantly more likely to report ever having screening (adjusted odds ratio 4.29, 95% CI 1.26-14.68) and being up-to-date (4.06, 95% CI 2.13-7.74) than those who reported that their physician only recommended FOBT. Participants who received a recommendation of only one type of screening did not report a significant difference in ever having or being up-to-date for screening. A potential strategy to increase CRC screening among Chinese Americans is for clinicians to recommend all available CRC screening modalities to each patient.
美籍华人的结直肠癌（CRC）筛查率较低。尚不清楚医生是否应向美籍华人提供所有结直肠癌筛查方式（粪便潜血试验[FOBT]、乙状结肠镜检查、结肠镜检查）以提高筛查率。在一项调查中，询问了725名美籍华人他们的医生是否曾推荐过结直肠癌筛查，并让他们自行报告结直肠癌筛查的接受情况和类型。与那些报告医生仅推荐粪便潜血试验的参与者相比，其医生推荐了所有结直肠癌筛查方式的参与者报告曾经进行过筛查（调整优势比4.29，95%置信区间1.26 - 14.68）和筛查最新的可能性显著更高（4.06，95%置信区间2.13 - 7.74）。仅接受一种筛查类型推荐的参与者在曾经进行过筛查或筛查最新方面未报告有显著差异。一种提高美籍华人结直肠癌筛查率的潜在策略是临床医生向每位患者推荐所有可用的结直肠癌筛查方式。
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