Rutgers University-Camden School of Nursing, 530 Federal Street, Office 448, Camden, NJ, 08102, USA.
Stanford University, Stanford, USA.
J Community Health. 2021 Dec;46(6):1099-1106. doi: 10.1007/s10900-021-00997-y. Epub 2021 May 8.
African American men living with HIV are at high risk of colorectal cancer (CRC). Screening to detect CRC is associated with a reduced risk of CRC mortality. However, little is known about CRC screening predictors in this population. This study examined the relation of self-efficacy, a potential mediator of screening that interventions could target, to CRC screening. It also investigated several variables that might identify subpopulations of African American men non-adherent to CRC screening recommendations. We report a secondary analysis on baseline data from a randomized controlled trial of a health promotion intervention for African American men living with HIV. Before their intervention, they completed measures of CRC screening, self-efficacy, marital status, age, education, and adherence to physical activity guidelines and were assessed for obesity. A total of 270 African American men aged 45 to 88 (Mean = 55.07; SD = 6.46) living with HIV participated. About 30% reported CRC screening in the past six months. Multiple logistic regression revealed greater CRC screening self-efficacy and meeting physical activity guidelines were associated with receiving CRC screening. Obese men and men reporting higher education were less likely to report screening. Age and marital status were unrelated to screening. The results of this study suggest CRC screening rates may be low among African American men living with HIV, and interventions targeting self-efficacy may improve their screening uptake. Moreover, public-health efforts to increase screening should prioritize interventions with subpopulations of African American men living with HIV who are physically inactive and obese.
美国非洲裔男性感染艾滋病毒后，罹患结直肠癌（CRC）的风险很高。筛查以发现 CRC 与降低 CRC 死亡率相关。然而，对于该人群的 CRC 筛查预测因素知之甚少。本研究探讨了自我效能感与 CRC 筛查的关系，自我效能感是干预措施可能针对的筛查的一个潜在中介因素。它还研究了一些变量，这些变量可能可以识别出不符合 CRC 筛查建议的非裔美国男性亚人群。我们报告了一项针对 HIV 感染者健康促进干预随机对照试验基线数据的二次分析。在接受干预之前，他们完成了结直肠癌筛查、自我效能感、婚姻状况、年龄、教育程度以及对体力活动指南的依从性的测量，并评估了肥胖情况。共有 270 名年龄在 45 至 88 岁（平均 55.07；SD=6.46）之间的感染 HIV 的非裔美国男性参与了研究。约 30%的人报告在过去六个月内进行了 CRC 筛查。多变量逻辑回归显示，CRC 筛查自我效能感更高和符合体力活动指南与接受 CRC 筛查有关。肥胖男性和报告受教育程度较高的男性不太可能报告筛查。年龄和婚姻状况与筛查无关。本研究结果表明，感染 HIV 的非裔美国男性的 CRC 筛查率可能较低，针对自我效能感的干预措施可能会提高他们的筛查参与率。此外，为增加筛查率而开展的公共卫生工作应优先考虑针对体力活动较少和肥胖的感染 HIV 的非裔美国男性亚人群的干预措施。
