Increasing Colonoscopy Screening for Latino Americans Through a Patient Navigation Model: A Randomized Clinical Trial
Increasing Colonoscopy Screening for Latino Americans Through a Patient Navigation Model: A Randomized Clinical Trial
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DOI：
10.1007/s10903-013-9848-y
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发表时间：
2014-10-01
影响因子：
1.9
通讯作者：
Jandorf, Lina
中科院分区：
文献类型：
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作者：
Braschi, Caitlyn D.;Sly, Jamilia R.;Jandorf, Lina
与美国大多数种族相比，拉丁裔的死亡率较高，结直肠癌 (CRC) 筛查率较低。本研究探讨了在患者导航 (PN) 干预中拉丁裔人群结肠镜检查 (SC) 筛查 CRC 的预测因素。参与者被随机分为文化目标 PN 组 (n = 225) 或标准 PN 组 (n = 167)。每个人都完成了评估社会人口统计和个人信息的采访。 PN 组之间 SC 完成率没有差异（80.9% 和 79.0%）。 Logistic 回归显示，语言文化程度低（OR = 2.22）和年收入超过 10,000 美元（OR = 1.97）是完成学业的独立预测因素。标准 PN 和文化目标 PN 均成功地将 SC 完成率提高了近 30%，比最近对医生转诊患者的估计高出近 30%。我们的研究结果表明，需要进一步减少低收入和高度文化化的拉丁裔群体获得 SC 的障碍。
Latinos have a higher rate of mortality and lower rate of colorectal cancer (CRC) screening than most racial groups in the United States. This study examines the predictors of screening colonoscopy (SC) for CRC among Latinos in a patient navigation (PN) intervention. Participants were randomized to either a culturally-targeted PN group (n = 225) or a standard PN group (n = 167). Each completed an interview assessing sociodemographic and intrapersonal information. There was no difference in SC completion between PN groups (80.9 and 79.0 %). Logistic regression revealed that low language acculturation (OR = 2.22) and annual income above $10,000 (OR = 1.97) were independent predictors of completion. Both standard and culturally-targeted PN successfully increased SC completion by nearly 30 % above the recent estimation for physician-referred patients. Our findings suggest a need to further reduce barriers to SC in low income and highly acculturated Latino groups.