College of Doctoral Studies, University of Phoenix, AZ, USA.
Int Q Community Health Educ. 2020 Jul;40(4):273-279. doi: 10.1177/0272684X19885515. Epub 2019 Nov 9.
In the United States, colorectal cancer (CRC) screening rates have steadily increased. The state of Louisiana has persistent lower screening rates compared to the United States and other states, and with African Americans experiencing the highest CRC incidence rates. Aggregate national and state data can be problematic in isolating key health issues and data in rural areas. : At the Louisiana parish-level, which is comparable to county municipalities in other U.S. states, the research study examined endoscopy CRC screening among African American Medicare beneficiaries.
Using cluster sampling, survey-based data from two neighboring parishes in northwest Louisiana were collected. The survey instrument was adapted from the Medicare Current Beneficiary Survey.
The key study variables were CRC screening compliance, residence location, self-reported CRC knowledge, and physician recommendation. The findings showed significant differences in CRC screening compliance between the two parishes. Participants with CRC knowledge score of at least 3 out of 5 were more likely to be compliant with CRC screening. The findings demonstrated the importance of isolating geo-specific data, especially in rural areas, to plan effective health education or intervention strategies.
在美国，结直肠癌（CRC）筛查率稳步上升。与美国和其他州相比，路易斯安那州的筛查率一直较低，非裔美国人的 CRC 发病率最高。总体的国家和州数据在隔离农村地区的关键健康问题和数据方面可能存在问题。在路易斯安那州的教区一级（与美国其他州的县直辖市相当），本研究调查了非裔美国医疗保险受益人的结肠镜 CRC 筛查情况。
使用聚类抽样，收集了路易斯安那州西北部两个邻近教区的基于调查的数据。调查工具改编自医疗保险当前受益人调查。
主要研究变量为 CRC 筛查依从性、居住地点、自我报告的 CRC 知识和医生建议。研究结果显示，两个教区的 CRC 筛查依从性存在显著差异。CRC 知识得分至少为 5 分中的 3 分的参与者更有可能符合 CRC 筛查要求。研究结果表明，需要隔离特定地区（尤其是农村地区）的地理数据，以制定有效的健康教育或干预策略。
