Kim K, Yu E S, Chen E H, Kim J, Brintnall R A
Grand Valley State University, Allendale, MI 49401, USA.
Cancer Pract. 1998 May-Jun;6(3):167-75. doi: 10.1046/j.1523-5394.1998.006003167.x.
The purpose of this study was to examine knowledge and practices of colorectal cancer screening among Korean Americans.
The sample consisted of 104 Korean American men and 159 women, 40 to 69 years of age, living in the Chicago area. The National Health Interview Survey (NHIS) Cancer Control Supplement Questionnaire, prepared by the National Center for Health Statistics, was used to collect data regarding colorectal cancer screening knowledge and practices. The NHIS questionnaire was translated into Korean with minor modification.
The percentage of male respondents ever having had a digital rectal exam (DRE) and fecal occult blood test (FOBT) were 13.5% and 10.6%, respectively. Only 11.3% of women reported DRE and 8.8% FOBT. Multiple logistic regression analysis results indicate that gender, education, knowledge of the seven cancer warning signals, and length of residence in the United States were significantly related to having heard of DRE. For those having had DRE, knowledge of the seven cancer warning signals, and length of residence in the United States were the only significant variables. Gender and education were significantly related to having heard of FOBT. None of the variables were found to be significantly related to having had FOBT. The findings indicate that a majority of respondents were unaware of these cancer screening examinations and forego these tests due to an underestimation of their importance.
The findings of this study underscore the importance of cancer education and further research addressing the cancer screening needs of Korean Americans. Currently, Korean Americans do not see healthcare providers or health brochures as valuable sources of health information. Therefore, healthcare professionals need to target this population by 1) coordinating their efforts with church and other community leaders and 2) developing health brochures that are in the Korean language and sensitive to the Korean culture.
本研究旨在调查韩裔美国人对结直肠癌筛查的认知和行为。
样本包括104名年龄在40至69岁之间、居住在芝加哥地区的韩裔美国男性和159名女性。使用了由国家卫生统计中心编制的《国家健康访谈调查（NHIS）癌症控制补充问卷》来收集有关结直肠癌筛查知识和行为的数据。NHIS问卷被稍作修改后翻译成韩语。
曾接受过直肠指检（DRE）和粪便潜血试验（FOBT）的男性受访者比例分别为13.5%和10.6%。只有11.3%的女性报告接受过DRE，8.8%的女性报告接受过FOBT。多元逻辑回归分析结果表明，性别、教育程度、对七种癌症警示信号的认知以及在美国的居住时长与听说过DRE显著相关。对于那些接受过DRE的人来说，对七种癌症警示信号的认知以及在美国的居住时长是仅有的显著变量。性别和教育程度与听说过FOBT显著相关。未发现任何变量与接受过FOBT显著相关。研究结果表明，大多数受访者未意识到这些癌症筛查检查，并且由于低估其重要性而放弃这些检查。
本研究结果强调了癌症教育以及针对韩裔美国人癌症筛查需求进行进一步研究的重要性。目前，韩裔美国人并不认为医疗服务提供者或健康宣传册是有价值的健康信息来源。因此，医疗专业人员需要通过以下方式针对这一人群：1）与教会和其他社区领袖协调工作；2）开发韩语且符合韩国文化的健康宣传册。
