Lumpkins Crystal Y, Greiner K Allen, Daley Christine, Berkley-Patton Jannette, Hu Jinxiang, Palla Shana
Department of Family Medicine, University of Kansas Medical Center, Kansas City, USA.
Department of Bioinformatics, University of Missouri-Kansas City, School of Medicine, Kansas City, USA.
J Geriatr Med Gerontol. 2019;5(1). doi: 10.23937/2469-5858/1510058.
Colorectal cancer (CRC) incidence among low income populations is disproportionate when compared to the general population. Cancer screening studies show religion as a potentially influential factor in individual screening. The present study was an exploratory analysis of religious involvement (RI) among older safety-net clinic patients who participated in 90-day follow up calls during an intervention trial. Results show RI among participants (n = 185) did not significantly predict nor was associated with screening for CRC (OR = 1.36, p = 0.35). The percentage of participants that self-identified as being highly religious differed across racial/ethnic groups (25% of Non-Hispanic Whites, 22% of Hispanics were highly religious when compared to 52% of Non-Hispanic Blacks). These findings raise questions about the use of religious appeals as part of health promotion for CRC screening and religious involvement among low-income patient populations. Varied religious beliefs across groups suggest while there may be room for including religion in CRC screening promotion targeted to some patients from low income groups, this appeal would not be suitable for other low-income patient sub-populations.
与普通人群相比，低收入人群的结直肠癌（CRC）发病率不成比例。癌症筛查研究表明，宗教是个体筛查中一个潜在的影响因素。本研究是对参与一项干预试验并在90天随访电话中接受随访的老年安全网诊所患者的宗教参与情况（RI）进行的探索性分析。结果显示，参与者（n = 185）的宗教参与情况并不能显著预测结直肠癌筛查，也与结直肠癌筛查无关（OR = 1.36，p = 0.35）。自我认定为高度虔诚宗教信徒的参与者比例在不同种族/族裔群体中存在差异（非西班牙裔白人中有25%，西班牙裔中有22%为高度虔诚宗教信徒，而非西班牙裔黑人中有52%）。这些发现引发了关于将宗教诉求作为结直肠癌筛查健康促进的一部分以及低收入患者群体宗教参与情况的问题。各群体不同的宗教信仰表明，虽然在针对一些低收入群体患者的结直肠癌筛查推广中可能有将宗教纳入的空间，但这种诉求并不适用于其他低收入患者亚群体。
