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简单易懂:提供者和拉丁裔对粪便免疫化学测试(FIT)用于结直肠癌筛查的看法。

'Simple and easy:' providers' and latinos' perceptions of the fecal immunochemical test (FIT) for colorectal cancer screening.

机构信息

Department of Health Science and Human Performance, College of Natural and Health Sciences, University of Tampa, Tampa, USA.

Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, USA.

出版信息

Ethn Health. 2020 Feb;25(2):206-221. doi: 10.1080/13557858.2017.1418298. Epub 2018 Jan 10.

Abstract

: Colorectal cancer (CRC) screening efforts have effectively reduced CRC morbidity and mortality, yet screening remains relatively low among Latinos. The study's purpose was to document the awareness/knowledge of Fecal Immunochemical Test (FIT) among Latinos, gain better understanding of patient and health care provider perceptions about FIT, and explore the feasibility of adoption/uptake.: The study was guided by qualitative, ethnography design and methods. Eight focus groups (FG) with patients who self-identified as Hispanic/Latino between 50-75 years of age and key informant interviews with providers ( = 10) were conducted followed by a brief demographic questionnaire.: Awareness levels varied based on prior screening experiences among patients and providers. Both patients and providers believed the FIT is simple and easy to use; although, a minority of patients expressed doubts about the efficacy of the FIT when compared to colonoscopy.: Despite the increasing acceptance of the FIT among the health care community, a significant lag time still exists among our study's populations. Study findings speak to novelty of the FIT test among underserved populations and the health disparity gap between health innovations/discoveries. Increased awareness and education efforts about the efficacy coupled with information about its accessibility, ease, and user instructions may increase the adoption of FIT.

摘要

结直肠癌(CRC)筛查工作已有效降低了 CRC 的发病率和死亡率,但拉丁裔人群的筛查率仍相对较低。本研究旨在记录拉丁裔人群对粪便免疫化学检测(FIT)的认知/了解情况,更深入地了解患者和医疗服务提供者对 FIT 的看法,并探讨其采用/接受的可行性。

本研究采用定性、人种学设计和方法进行。共进行了 8 次以年龄在 50-75 岁之间、自认为是西班牙裔/拉丁裔的患者为对象的焦点小组(FG)访谈和 10 次与提供者的重点访谈,随后进行了简短的人口统计学问卷调查。

患者和提供者的认知水平因既往筛查经历而异。患者和提供者均认为 FIT 简单易用;尽管少数患者对 FIT 的疗效持怀疑态度,认为其不如结肠镜检查。

尽管 FIT 在医疗保健界越来越被接受,但在我们的研究人群中仍然存在显著的滞后。研究结果表明,FIT 测试在服务不足的人群中具有新颖性,以及健康创新/发现之间存在健康差距。增加对 FIT 疗效的认识和教育,并提供其可及性、易用性和使用说明方面的信息,可能会增加 FIT 的采用率。

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