Community-based colorectal cancer intervention in underserved Korean Americans
Community-based colorectal cancer intervention in underserved Korean Americans
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DOI：
10.1016/j.canep.2009.10.001
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发表时间：
2009-11-01
影响因子：
2.6
通讯作者：
Toubbeh, Jamil I.
中科院分区：
文献类型：
--
作者：
Ma, Grace X.;Shive, Steve;Toubbeh, Jamil I.
背景：尽管有证据表明全国结直肠癌的发病率和患病率都有所下降，但在包括韩裔美国人在内的亚裔美国人中，结直肠癌仍然是第二常见的癌症和第三大死亡原因。这项基于社区和理论指导的研究评估了一项文化上合适的干预计划，其中包括在韩裔美国人中开展的双语癌症教育计划，其中包括关于结直肠癌风险的信息，解决心理社会和接触障碍的咨询，以及患者导航帮助。方法：采用两组准实验设计，包括基线和干预后评估，并对筛查进行12个月的随访。韩裔美国人(N=167)来自六个韩国教会。干预组接受了针对无障碍和心理社会障碍的文化上适当的干预计划，以及用于筛查的导航帮助。对照组接受一般健康教育，包括与癌症相关的健康问题和筛查。结果：干预组与对照组对结直肠癌危险因素的知晓率差异有统计学意义(P<；0.05)。干预组在干预前的家庭健康管理措施中也有显著的改善，包括感知的易感性(p<；0.001)以及筛查的益处和障碍(p<；005)。在基线时，干预组13%的参与者和对照组10%的参与者报告在前一年进行过结直肠癌筛查测试。在干预后12个月的随访中，干预组77.4%的参与者接受了筛查，而对照组的这一比例为10.8%。结论：虽然健康差距是由许多因素造成的，但在服务不足的韩国人中，文化上适当的、以教会为基础的干预措施可以非常有效地增加对结直肠癌筛查的了解和获得机会，并减少筛查的障碍。(C)2009爱思唯尔有限公司。保留所有权利。
Background: Despite evidence of a decline in both incidence and prevalence of colorectal cancer nationwide, it remains the second most commonly diagnosed cancer and the third highest cause of mortality among Asian Americans, including Korean Americans. This community-based and theoretically guided study evaluated a culturally appropriate intervention program that included a bilingual cancer educational program among Korean Americans including information on CRC risks, counseling to address psychosocial and access barriers, and patient navigation assistance. Methods: A two-group quasi-experimental design with baseline and post-intervention assessment and a 12-month follow-up on screening was used in the Study. Korean Americans (N = 167) were enrolled from six Korean churches. The intervention group received culturally appropriate intervention program addressing accessibility and psychosocial barriers, and navigation assistance for screening. The control group received general health education that included cancer-related health issues and screening. Results: There was a significant difference (p < 0.05) between the post-intervention and control groups in awareness of CRC risk factors. There was also a significant improvement in the pre-post across HBM measures in the intervention group for perceived susceptibility (p < 0.05) and benefits and barriers to screening (p < 0.001). At baseline, 13% of participants in the intervention group and 10% in control group reported having had a CRC cancer screening test in the previous year. At the 12-month post-intervention follow-up, 77.4% of participants in the intervention group had obtained screening compared to 10.8% in the control group. Conclusion: While health disparities result from numerous factors, a culturally appropriate and church-based intervention can be highly effective in increasing knowledge of and access to, and in reducing barriers to CRC screening among underserved Koreans. (C) 2009 Elsevier Ltd. All rights reserved.