Primary care cancer control interventions including Latinos: a review.
Primary care cancer control interventions including Latinos: a review.
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包括拉丁裔在内的初级保健癌症控制干预措施：综述。
DOI：
10.1016/s0749-3797(03)00190-9
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发表时间：
2003
影响因子：
5.5
通讯作者：
Mandelblatt,Jeanne
中科院分区：
文献类型：
--
作者：
O'Malley,AnnS;Gonzalez,RosaM;Sheppard,VanessaB;Huerta,Elmer;Mandelblatt,Jeanne
尽管86%的拉丁美洲成年人有一个通常的护理来源，但缺乏关于以初级保健为基础的干预措施的文献，以促进这一人群的癌症预防和控制。这篇系统性综述分析了已发表的以初级保健为基础的癌症控制干预措施，包括拉丁美洲人。METHODS SMEDLINE、科克伦注册中心和EMBASE检索了1985年1月至2003年1月。如果至少5%的样本是拉丁裔，则包括任何基于初级护理的干预，使用对照试验，准实验或前后设计，针对乳腺癌，宫颈癌或结直肠癌。14项研究中有7项描述了患者或提供者的提醒干预措施。在初级保健环境中纳入的其他干预措施包括：社区卫生教育工作者、文化敏感的录像、反馈审计、“将预防付诸实践”运动的材料以及免费筛查代金券。设计和结果变量的异质性和拉丁美洲人的数量少，结合数据来估计这一人群的初级保健干预措施的总体有效性提出了障碍。质量，病人和医生的提醒和管理系统的战略，包括审计与反馈的供应商出现在提高筛选utilization.CONCLUSIONSTere的有效性的数据缺乏针对拉丁美洲人的初级保健癌症控制干预措施。在非拉丁美洲人中有效的基于初级保健的干预措施可以纳入文化上适当的因素和社区研究的经验教训，并可以适用于拉丁美洲人，以便在这一群体中评估其有效性。
BACKGROUNDEven though 86% of adult Latinos have a usual source of care, there is a paucity of literature on primary care–based interventions to promote cancer prevention and control in this population. This systematic review examines published primary care–based cancer control interventions that included Latinos.METHODSMEDLINE, the Cochrane Registry, and EMBASE were searched from January 1985 to January 2003. Any primary care–based intervention using a controlled trial, quasi-experimental, or pre–post design that targeted breast, cervical, or colorectal cancer was included if at least 5% of the sample was Latino.RESULTSA total of 14 intervention studies met inclusion criteria. Seven of the 14 studies described patient or provider reminder interventions. Other interventions incorporated into the primary care setting one of the following: community health educators, culturally sensitive videos, audit with feedback, materials from the “Put Prevention Into Practice” campaign, and vouchers for free screenings. The heterogeneity of designs and outcome variables and the low number of Latinos presented obstacles to combining data to estimate the overall effectiveness of primary care interventions for this population. Qualitatively, patient and physician reminders and management systems strategies including audit with feedback for providers appear to result in improved screening utilization.CONCLUSIONSThere is a paucity of data on the effectiveness of primary care cancer control interventions directed at Latinos. Primary care–based interventions that have been effective in non-Latinos could incorporate culturally appropriate elements and lessons from community-based research and could be applied to Latinos so that their effectiveness can be assessed in this group.