Lei Fang, Zheng Ying
University of California Los Angeles, Los Angeles, United States.
Shenzhen Nanshan Medical Group Headquarter, Shenzhen, China.
Tob Induc Dis. 2021 Apr 16;19:30. doi: 10.18332/tid/133579. eCollection 2021.
Lung cancer is the leading cause of cancer death among Chinese immigrants in the US. Smoking cessation and lung cancer screening are effective ways to decrease lung cancer mortality. This study aims to investigate Chinese immigrants' perceptions of lung cancer screening and to explore the factors/barriers associated with their smoking behavior/cessation.
A systematic review design with narrative methods was used. Electronic literature databases, including PubMed, CINAHL and Google Scholar were searched.
A total of 11 articles met the search criteria. Methodological rigor of the studies was evaluated by Bowling's checklist and Critical Appraisal Skills Program checklist. Data search revealed that a limited amount of research has been done on Chinese immigrants' perceptions of lung cancer screening. Factors influencing their smoking behavior included personal characteristics, psychological status, acculturation, and cues from external environment. Barriers to their smoking cessation behavior included language barriers, individual's unwillingness to use smoking cessation assistance methods, healthcare environment's insufficiency to counter pro-smoking norms, lack of social support, and wrong personal beliefs.
Findings from this study could help healthcare providers to design culturally tailored lung cancer screening programs and smoking cessation projects to decrease morbidity and mortality rates of lung cancer among Chinese immigrants.
肺癌是美国华裔移民中癌症死亡的主要原因。戒烟和肺癌筛查是降低肺癌死亡率的有效方法。本研究旨在调查华裔移民对肺癌筛查的看法，并探讨与其吸烟行为/戒烟相关的因素/障碍。
采用系统综述设计和叙述性方法。检索了包括PubMed、CINAHL和谷歌学术在内的电子文献数据库。
共有11篇文章符合检索标准。通过鲍林清单和批判性评估技能计划清单对研究的方法严谨性进行了评估。数据检索显示，关于华裔移民对肺癌筛查看法的研究有限。影响其吸烟行为的因素包括个人特征、心理状态、文化适应以及外部环境的提示。其戒烟行为的障碍包括语言障碍、个人不愿意使用戒烟辅助方法、医疗保健环境不足以对抗支持吸烟的规范、缺乏社会支持以及错误的个人信念。
本研究的结果有助于医疗保健提供者设计符合文化特点的肺癌筛查计划和戒烟项目，以降低华裔移民中肺癌的发病率和死亡率。
