Ethnic differences in cancer symptom awareness and barriers to seeking medical help in England.
Ethnic differences in cancer symptom awareness and barriers to seeking medical help in England.
复制标题
癌症症状意识和在英国寻求医疗帮助的障碍的种族差异。
DOI：
10.1038/bjc.2016.158
复制
发表时间：
2016-06-28
影响因子：
8.8
通讯作者：
Forbes LJ
中科院分区：
文献类型：
--
作者：
Niksic M;Rachet B;Warburton FG;Forbes LJ
在英国人群中，癌症症状意识的种族差异和寻求医疗帮助的障碍尚未完全了解。我们的目标是量化这些差异，以帮助制定更有效的健康运动，针对不同种族群体的需求。使用一个大型的国家数据集（n=38 492）的横断面调查，使用英国癌症研究癌症意识的措施，我们研究了癌症症状的意识和障碍如何不同的种族，控制社会经济地位，年龄和性别。使用多变量logistic回归分析数据。少数民族对癌症症状的认识低于白色参与者，孟加拉国人和非洲黑人的认识最低。少数民族比白色英国人更有可能报告寻求帮助的障碍。南亚人报告说，情感障碍最高，例如缺乏信心与医生交谈，以及实际障碍，例如担心许多其他事情。爱尔兰人比白色英国人更有可能报告实际障碍，比如太忙碌而不能去看医生。英国白色参与者比任何其他族裔群体都更有可能报告他们担心浪费医生的时间。总体而言，非洲黑人的障碍最低。在控制混杂因素后，所有差异均具有统计学意义（P<0.01水平）。我们的研究结果表明，需要开展具有文化敏感性和针对性的健康运动，重点是提高少数族裔对癌症症状的认识。这些运动应解决每个族裔群体普遍存在的具体障碍。
Ethnic differences in cancer symptom awareness and barriers to seeking medical help in the English population are not fully understood. We aimed to quantify these differences, to help develop more effective health campaigns, tailored to the needs of different ethnic groups. Using a large national data set (n=38 492) of cross-sectional surveys that used the Cancer Research UK Cancer Awareness Measure, we examined how cancer symptom awareness and barriers varied by ethnicity, controlling for socio-economic position, age and gender. Data were analysed using multivariable logistic regression. Awareness of cancer symptoms was lower in minority ethnic groups than White participants, with the lowest awareness observed among Bangladeshis and Black Africans. Ethnic minorities were more likely than White British to report barriers to help-seeking. South Asians reported the highest emotional barriers, such as lack of confidence to talk to the doctor, and practical barriers, such as worry about many other things. The Irish were more likely than the White British to report practical barriers, such as being too busy to visit a doctor. White British participants were more likely than any other ethnic group to report that they would feel worried about wasting the doctor's time. Overall, Black Africans had the lowest barriers. All differences were statistically significant (P<0.01 level), after controlling for confounders. Our findings suggest the need for culturally sensitive and targeted health campaigns, focused on improving recognition of cancer symptoms among ethnic minorities. Campaigns should tackle the specific barriers prevalent in each ethnic group.