Department of Family Medicine & Community Health, University of Minnesota Medical School, Minneapolis, USA.
Office of the Legislative Auditor, Minnesota State Legislature, St Paul, Minnesota, USA.
Ethn Health. 2021 Feb;26(2):168-185. doi: 10.1080/13557858.2018.1493438. Epub 2018 Jul 4.
The rate of cancer screening is generally increasing in the US. In Minnesota, the statewide average rate of screening for colorectal cancer (CRC) is 73%. However, screening completion is relatively low among Somali men; overall, only 27% of Somali immigrants have been screened for CRC. Factors contributing to this disparity have not been well researched. The purpose of this pilot study was to employ focus group methodology to describe and advance understanding of the barriers and enablers associated with CRC screening among Somali men ages 50-74 in Minnesota. Three focus groups were conducted among 27 Somali men in Minnesota. A 9-question, semi-structured interview guide was used. The sessions were audio recorded, transcribed verbatim, and checked for accuracy by research staff prior to data analysis. Three research team members utilized the constant comparative method and NVivo to conduct data analysis. Five barriers to CRC screening emerged from the analyses: (1) lack of knowledge, (2) emotional barriers, (3) acculturation, (4) accountability, and (5) fatalistic beliefs. In addition, two factors enabling CRC screening and prevention emerged: the need for tailored interventions and preventive lifestyle behaviors. The insights gained from this research will assist in developing health promotion and education-focused interventions that encourage Somali immigrants in Minnesota and beyond to seek early detection screening for CRC. CRC: Colorectal Cancer; FIT: Fecal Immunochemical Test; FOBT: Fecal Occult Blood Test; FQHC: Federally Qualified Health Center; PA: Project Assistant; PI: Principal Investigator.
美国的癌症筛查率普遍在上升。在明尼苏达州，全州范围内结直肠癌（CRC）筛查率为 73%。然而，索马里男性的筛查完成率相对较低；总体而言，只有 27%的索马里移民接受了结直肠癌筛查。导致这种差异的因素尚未得到充分研究。本试点研究的目的是采用焦点小组方法来描述和深入了解明尼苏达州 50-74 岁索马里男性进行 CRC 筛查的障碍和促进因素。在明尼苏达州，对 27 名索马里男性进行了三次焦点小组讨论。采用了 9 个问题的半结构化访谈指南。会议进行了录音，逐字转录，并在数据分析之前由研究人员检查准确性。三名研究小组成员使用恒定性比较方法和 NVivo 进行数据分析。从分析中得出了五个 CRC 筛查障碍：（1）缺乏知识，（2）情感障碍，（3）文化适应，（4）责任，和（5）宿命论信念。此外，还出现了两个促进 CRC 筛查和预防的因素：需要量身定制的干预措施和预防性的生活方式行为。本研究获得的见解将有助于制定以健康促进和教育为重点的干预措施，鼓励明尼苏达州乃至更远地区的索马里移民寻求早期发现筛查 CRC。CRC：结直肠癌；FIT：粪便免疫化学试验；FOBT：粪便潜血试验；FQHC：合格的联邦健康中心；PA：项目助理；PI：主要研究者。
