J Health Care Poor Underserved. 2022;33(1):332-348. doi: 10.1353/hpu.2022.0024.
Chinese immigrant livery drivers with a smoking history are at high risk for lung cancer. A culturally adapted community health worker (CHW) program may be an effective approach to increase lung cancer screening (LCS) uptake in this underserved group. Five focus groups were conducted with 39 Chinese immigrant male livery drivers with a smoking history in New York City to assess their needs, priorities, and preferences regarding the proposed intervention. Transcripts were qualitatively analyzed using Atlas. ti. Focus group participants were uncertain about whether smoking was associated with cancer, unfamiliar with LCS, and reported numerous barriers to LCS uptake. Most believed a CHW program to facilitate LCS would be acceptable and feasible, if tailored to meet their needs. Our results have implications for improving access to early detection of lung cancer and preventive care (e.g., culturally appropriate smoking cessation and health education programs) for Chinese livery drivers.
有吸烟史的中国移民出租车司机患肺癌的风险很高。文化适应性社区卫生工作者（CHW）计划可能是增加这个服务不足群体接受肺癌筛查（LCS）的有效方法。在纽约市，对 39 名有吸烟史的中国移民男性出租车司机进行了五次焦点小组讨论，以评估他们对拟议干预措施的需求、优先事项和偏好。使用 Atlas.ti 对转录本进行了定性分析。焦点小组参与者不确定吸烟是否与癌症有关，不熟悉 LCS，并报告了许多接受 LCS 的障碍。大多数人认为，如果量身定制以满足他们的需求，那么由 CHW 来促进 LCS 将是可以接受和可行的。我们的研究结果对改善中国出租车司机早期发现肺癌和预防保健（例如，文化上适当的戒烟和健康教育计划）的机会具有重要意义。
