Powe B D
College of Nursing, Medical University of South Carolina, Charleston, USA.
J Natl Black Nurses Assoc. 1994 Fall-Winter;7(2):41-8.
African Americans have greater colorectal cancer mortality rates, yet are less likely to participate in fecal occult blood testing (FOBT). Perceptions of cancer fatalism play a pivotal role in this lack of participation. Cancer fatalism is the belief that death is inevitable when cancer is present. However, predictors of cancer fatalism have not been consistently articulated. The Powe Fatalism Model guided this descriptive, correlational study which reports on the relationship between education, income, knowledge of colorectal cancer, and cancer fatalism. Participants (N = 192) were recruited from randomly selected congregate meal sites. The majority of the sample was African American and female. African Americans had lower education, income, and knowledge of colorectal cancer. These factors were all significantly related to perceptions of cancer fatalism. Specifically, cancer fatalism increased as these factors decreased. Nursing professionals must focus on the prompt identification of fatalistic individuals based on these predictors. In addition, research must identify coping strategies for cancer fatalism.
非裔美国人的结直肠癌死亡率更高，但参与粪便潜血试验（FOBT）的可能性较小。癌症宿命论的观念在这种参与度不足中起着关键作用。癌症宿命论是指认为患癌后死亡不可避免的信念。然而，癌症宿命论的预测因素尚未得到一致阐述。鲍伊宿命论模型指导了这项描述性、相关性研究，该研究报告了教育程度、收入、结直肠癌知识与癌症宿命论之间的关系。参与者（N = 192）从随机选择提供集体用餐的场所招募。样本中的大多数是非裔美国女性。非裔美国人的教育程度、收入和结直肠癌知识较低。这些因素都与癌症宿命论的观念显著相关。具体而言，随着这些因素的降低，癌症宿命论增加。护理专业人员必须基于这些预测因素，专注于迅速识别持宿命论的个体。此外，研究必须确定应对癌症宿命论的策略。
