San Diego State University, 6363 Alvarado Court, Suite 103, San Diego, CA, 92120-4913, USA.
UC San Diego Moores Cancer Center, San Diego, CA, USA.
J Cancer Educ. 2022 Dec;37(6):1645-1653. doi: 10.1007/s13187-021-02007-0. Epub 2021 Apr 23.
Latinos in the United States have low rates of colorectal cancer (CRC) screening even though CRC is the third leading cause of cancer death among Latinos. This qualitative study aimed to understand and compare the perspectives of clinical staff (CS) and Latino community members (LCMs) in an urban Southern California community regarding barriers and facilitators of CRC screening. Through purposive sampling, 39 LCMs (mean age: 59.4 years, 79.5% female) were recruited to participate in one of five focus groups, and 17 CS (mean age: 38.8 years, 64.7% female) were recruited to participate in semi-structured in-depth interviews, along with a demographic survey. Interviews and focus group recordings were transcribed verbatim, translated, and analyzed using direct content analysis. Demographic data were summarized using descriptive statistics. Findings suggest that CS and LCMs have both similar and opposing perspectives with regard to barriers and facilitators of CRC screening. Themes discussed included attitudes towards CRC screening, CRC knowledge, access to resources, commitments and responsibilities, social support, vicarious learning, patient-provider communication, trust, and social relationships. Study findings can be used to guide interventions and policies to improve access to CRC screening among LCMs.
美国的拉丁裔人群进行结直肠癌（CRC）筛查的比例较低，尽管 CRC 是拉丁裔人群癌症死亡的第三大主要原因。本定性研究旨在了解和比较南加州一个城市社区的临床工作人员（CS）和拉丁裔社区成员（LCM）对 CRC 筛查障碍和促进因素的观点。通过目的性抽样，招募了 39 名 LCM（平均年龄：59.4 岁，79.5%为女性）参加五个焦点小组之一，招募了 17 名 CS（平均年龄：38.8 岁，64.7%为女性）参加半结构式深入访谈，并进行了人口统计学调查。访谈和焦点小组的录音被逐字转录、翻译，并使用直接内容分析进行分析。人口统计学数据使用描述性统计进行总结。研究结果表明，CS 和 LCM 在 CRC 筛查的障碍和促进因素方面既有相似的观点，也有相反的观点。讨论的主题包括对 CRC 筛查的态度、CRC 知识、获取资源的途径、承诺和责任、社会支持、间接学习、医患沟通、信任和社会关系。研究结果可用于指导干预措施和政策，以提高 LCM 人群接受 CRC 筛查的机会。
