Department of Surgery, University California, Los Angeles, Los Angeles, California.
Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, Minnesota.
Am J Prev Med. 2018 Nov;55(5 Suppl 1):S95-S102. doi: 10.1016/j.amepre.2018.05.008.
Screening for colorectal cancer has been demonstrated to reduce colorectal cancer mortality. Blacks have a higher mortality from this malignancy, particularly men, yet screening rates in this population are often found to be lower than in whites. A modest literature demonstrates effective interventions that can increase screening rates in blacks; however, results are not consistent and ongoing work is required. Most work has not addressed specific barriers to screening in black men. Given the lack of studies on black men only, this study evaluated the state of research in the black population using a PubMed search. The authors provide commentary that proposes increased (1) state and local government support for collaborative programs with healthcare organizations, including patient navigation; (2) augmented community-organizing efforts to generate more attention to the need for colorectal cancer screening in the black community, with a focus on black men; and (3) federal research funding to promote investigation into new interventions and evaluation of existing ones. Specific recommendations for black men include lowering the screening age to 45years, increasing access to health care, the use of patient navigators, and improved reporting and monitoring of colorectal cancer screening rates. SUPPLEMENT INFORMATION: This article is part of a supplement entitled African American Men's Health: Research, Practice, and Policy Implications, which is sponsored by the National Institutes of Health.
筛查结直肠癌已被证明可降低结直肠癌死亡率。黑人的这种恶性肿瘤死亡率较高，尤其是男性，但该人群的筛查率往往低于白人。有少量文献证明了可以提高黑人筛查率的有效干预措施；然而，结果并不一致，需要持续努力。大多数工作都没有解决黑人男性筛查的具体障碍。鉴于针对黑人男性的研究很少，本研究使用 PubMed 搜索评估了黑人人群中的研究现状。作者提供了评论，提出了增加（1）州和地方政府对与医疗保健组织合作计划的支持，包括患者导航；（2）加强社区组织工作，引起更多关注黑人社区结直肠癌筛查的必要性，重点关注黑人男性；（3）联邦研究资金，以促进新干预措施的研究和对现有干预措施的评估。针对黑人男性的具体建议包括将筛查年龄降低到 45 岁，增加获得医疗保健的机会，使用患者导航员，以及改进结直肠癌筛查率的报告和监测。补充资料：本文是由美国国立卫生研究院赞助的题为“非裔美国男性健康：研究、实践和政策影响”的增刊的一部分。
