University of Michigan-Dearborn, Dearborn, MI, USA.
Arab American Health Initiative, Dearborn, MI, USA.
J Community Health. 2020 Oct;45(5):900-909. doi: 10.1007/s10900-020-00807-x.
Colorectal cancer (CRC) is the second leading cause of cancer related deaths among men and women in the United States (Haggar and Boushey in Clin Colon Rectal Surg 22:191-197, 2009). Screening tests have shown to be successful at early detection of precancerous polyps. Between 2000 and 2010, there was a 72% growth in the population that identifies having an Arabic-speaking ancestry (Arab American Institute in https://www.aaiusa.org/demographics , 2011). Despite this, little research has been conducted to assess this unique community's knowledge regarding CRC. Given that low screening rates can be attributed to lack of knowledge, this study was designed to address CRC knowledge and screening barriers in an Arab American community. Between February 2016 and June 2017, an anonymous survey was conducted in English or Arabic among 131 patients from cancer programs at the Arab Community Center for Economic and Social Services (ACCESS) in Dearborn, MI. Program participants were expected to have greater insight and awareness about cancer risk than the general population. Knowledge deficiencies surrounding CRC and the screening process were identified. 70% of participants did not know what a colon polyp is and over 89% were not aware of their individual risk for CRC. 45.8% have never had a CRC screening and leading barriers included screening costs, lack of health insurance, and lack of advice by physicians. The goal of this study was to serve as a tool to healthcare providers by identifying evident gaps in medical knowledge surrounding CRC. In order to help better serve and educate patients, healthcare providers and community organizations are encouraged to fight the stigma and help to reduce misunderstandings.
结直肠癌（CRC）是美国男性和女性癌症相关死亡的第二大主要原因（Haggar 和 Boushey 在 Clin Colon Rectal Surg 22:191-197，2009）。筛查测试已被证明可成功早期发现癌前息肉。在 2000 年至 2010 年期间，自称为阿拉伯裔美国人的人口增长了 72%（阿拉伯裔美国人协会在 https://www.aaiusa.org/demographics，2011 年）。尽管如此，几乎没有研究评估过这个独特社区对 CRC 的了解。鉴于低筛查率可能归因于知识缺乏，本研究旨在评估阿拉伯裔美国人社区对 CRC 的知识和筛查障碍。在 2016 年 2 月至 2017 年 6 月期间，在密歇根州迪尔伯恩的阿拉伯社区经济和社会服务中心（ACCESS）的癌症项目中，以英语或阿拉伯语对 131 名患者进行了匿名调查。项目参与者应该比一般人群更了解癌症风险和意识。确定了 CRC 和筛查过程周围的知识缺陷。70%的参与者不知道结肠息肉是什么，超过 89%的人不知道自己患 CRC 的个人风险。45.8%的人从未进行过 CRC 筛查，主要障碍包括筛查费用、缺乏健康保险以及医生缺乏建议。本研究的目的是通过确定 CRC 周围医学知识方面的明显差距，为医疗保健提供者提供工具。为了更好地为患者提供服务和教育，鼓励医疗保健提供者和社区组织消除污名化，帮助减少误解。
