Understanding immigrant Chinese Americans' participation in cancer screening and clinical trials
Understanding immigrant Chinese Americans' participation in cancer screening and clinical trials
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DOI：
10.1007/s10900-005-7280-5
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发表时间：
2005-12-01
影响因子：
5.9
通讯作者：
Gany, FM
中科院分区：
文献类型：
--
作者：
Lin, JS;Finlay, A;Gany, FM
本研究的目的是确定中国移民参与癌症筛查和临床试验的潜在障碍和促进因素。一系列的焦点小组，用英语，广东话和普通话，与医生，社区领袖，和曼哈顿唐人街社区的第一代成员进行了。参与者被要求讨论他们对癌症的信念，癌症筛查，临床试验和癌症健康教育材料。焦点小组数据按受访者群体分层，并分析专题内容。11名医生、15名社区领导人和38名社区成员参加了会议。一些社区成员不熟悉作为预防措施的癌症筛查，也没有接受过宫颈涂片或乳房X光检查等常见筛查。他们描述了对癌症的广泛误解，这些误解是筛查的障碍，例如癌症检测可能导致癌症。社区成员不熟悉临床试验，除非“生病”，否则不会参加临床试验，而且只有在医生的建议下才能参加。医生们没有看到临床试验对他们的病人的相关性或价值。在第一代中国移民中，癌症筛查和临床试验招募存在许多感知障碍。有必要就这些健康主题开展有效的文化适应性健康教育，以解决对癌症的持续误解，并增加对癌症筛查和临床试验的了解。健康教育工作和临床试验招募在这个社区必须涉及社区医生。
The purpose of this study was to identify potential barriers and facilitators to Chinese immigrant participation in cancer screening and clinical trials. A series of focus groups, in English, Cantonese, and Mandarin, were conducted with physicians, community leaders, and first generation members of the Manhattan Chinatown community. Participants were asked to discuss their beliefs about cancer, cancer screening, clinical trials, and cancer health education materials. Focus group data were stratified by respondent group and analyzed for thematic content. Eleven physicians, 15 community leaders, and 38 community members participated. Some community members were not familiar with cancer screening as a preventive measure and had not received common screens such as PAP smears or mammograms. They described widespread misconceptions about cancer that act as screening deterrents, e.g. testing for cancer can cause cancer. Community members were unfamiliar with clinical trials and would not participate in a clinical trial unless "sick," and only on the recommendation of their physicians. Physicians did not see the relevance or value of clinical trials for their patients. Among first generation Chinese immigrants, there are many perceptual barriers to cancer screening and clinical trials recruitment. There is a need for effective culturally tailored health education on these health topics to address persistent misconceptions about cancer and to increase knowledge about cancer screening and clinical trials. Health education efforts and clinical trial recruitment in this community must involve community physicians.