黑人男性与牙医就口腔和咽喉癌沟通的态度和经验探索。
An Exploration of Black Men's Attitudes and Experiences Communicating with Dentists about Oral and Pharyngeal Cancer.
机构信息
College of Dentistry, University of Illinois Chicago, 801 S. Paulina St., Chicago, IL 60612, USA.
School of Dentistry, University of Maryland, 650 W. Baltimore St., Baltimore, MD 21201, USA.
出版信息
Int J Environ Res Public Health. 2023 Sep 28;20(19):6859. doi: 10.3390/ijerph20196859.
BACKGROUND
Poor oral and pharyngeal cancer (OPC) survival among Black men is partially due to their limited knowledge about OPCs, which is exacerbated by dentists' limited training and discomfort in discussing OPC risk factors. The purpose of this study was to assess the attitudes and experiences that Black men have communicating with dentists about OPCs.
METHODS
To qualitatively assess these attitudes and experiences, a focus group guide and recruitment strategy were developed using a community engagement approach. Data were analyzed using grounded theory.
RESULTS
Twenty-three self-identified Black men participated in three focus groups through the Zoom platform (mean age of 46.1 years). Four main themes emerged, which identified that participants: (1) had little knowledge of OPCs; (2) felt that addressing OPC risk among Black men was not a priority for dentists; (3) stressed the importance of dentists acknowledging the complexity of how race and gender affects Black men's healthcare experiences; and (4) expressed a benefit to receiving information from multiple social networks.
CONCLUSION
The focus groups provided context for how dentists might engage with Black men in discussions about OPC prevention and treatment.
背景
黑人男性口腔和咽部癌症（OPC）的存活率较低，部分原因是他们对 OPC 的了解有限，而牙医对 OPC 风险因素的培训有限且不愿讨论，这进一步加剧了这一问题。本研究的目的是评估黑人男性与牙医就 OPC 进行沟通时的态度和经验。
方法
为了定性评估这些态度和经验，我们使用社区参与方法制定了焦点小组指南和招募策略。使用扎根理论对数据进行分析。
结果
通过 Zoom 平台，23 名自认为是黑人的男性参加了三个焦点小组（平均年龄为 46.1 岁）。有四个主要主题出现，分别是：（1）参与者对 OPC 的了解甚少；（2）他们认为牙医优先考虑解决黑人男性的 OPC 风险并不是优先事项；（3）强调牙医承认种族和性别如何影响黑人男性的医疗保健经验的复杂性的重要性；（4）他们表示从多个社交网络获得信息会有好处。
结论
焦点小组为牙医如何就 OPC 的预防和治疗与黑人男性进行讨论提供了背景信息。
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