Byrd Theresa L, Calderón-Mora Jessica, Salaiz Rebekah, Shokar Navkiran K
1 Texas Tech University Health Sciences Center, Lubbock, TX, USA.
2 Texas Tech University Health Sciences Center, El Paso, TX, USA.
Hisp Health Care Int. 2019 Mar;17(1):23-29. doi: 10.1177/1540415318818982. Epub 2018 Dec 21.
Colorectal cancer (CRC) is the third leading cancer cause of death among US Hispanics. CRC screening among the Hispanic population is lower compared with non-Hispanic Whites.
The purpose of this qualitative, exploratory study was to better understand the barriers and facilitators of CRC screening and preference for stool-based testing collection methods among the predominantly Hispanic population of El Paso, Texas. Nine focus groups were conducted by a trained bilingual facilitator with a moderator guide informed by the literature. Transcripts of the focus groups were entered into qualitative analysis software and a thematic network was developed.
Fifty-six participants were recruited: average age was 68.5 years, 58.9% were female, 98.2% were Hispanic, 87.5% had an annual income of less than $20,000, 58.9% had 9th grade education or less, 12.5% had a discount program, and 5.4% had no insurance. Barriers to CRC screening included cost, fear, and embarrassment. Facilitators to screening included in-person health education and physician recommendation. Participants preferred the hygienic nature of a stool test collected with a brush and bottle.
Overall, there was a lack of knowledge regarding CRC and significant barriers to CRC screening. A community-based CRC screening program was subsequently developed from our findings.
结直肠癌（CRC）是美国西班牙裔中第三大癌症死亡原因。与非西班牙裔白人相比，西班牙裔人群的结直肠癌筛查率较低。
本定性探索性研究的目的是更好地了解德克萨斯州埃尔帕索市以西班牙裔为主的人群中结直肠癌筛查的障碍和促进因素，以及对基于粪便检测收集方法的偏好。由一名训练有素的双语主持人按照文献提供的主持人指南主持了9个焦点小组讨论。焦点小组讨论的文字记录被录入定性分析软件，并建立了一个主题网络。
招募了56名参与者：平均年龄为68.5岁，女性占58.9%，西班牙裔占98.2%，87.5%的人年收入低于2万美元，58.9%的人接受过九年级或以下教育，12.5%的人有折扣计划，5.4%的人没有保险。结直肠癌筛查的障碍包括成本、恐惧和尴尬。筛查的促进因素包括面对面的健康教育和医生推荐。参与者更喜欢用刷子和瓶子收集的粪便检测的卫生特性。
总体而言，对结直肠癌缺乏了解，结直肠癌筛查存在重大障碍。随后根据我们的研究结果制定了一项基于社区的结直肠癌筛查计划。
