Colorectal cancer screening in older men and women: Qualitative research findings and implications for intervention
Colorectal cancer screening in older men and women: Qualitative research findings and implications for intervention
复制标题
DOI：
10.1023/a:1005104406934
复制
发表时间：
2000-06-01
影响因子：
5.9
通讯作者：
Jorgensen, CM
中科院分区：
文献类型：
--
作者：
Beeker, C;Kraft, JM;Jorgensen, CM
作为制定干预措施以增加50岁及以上男性和女性结直肠癌筛查的形成性研究的一部分，进行了14个焦点小组，以确定(1)关于结直肠癌和结直肠癌筛查的知识、态度和信念，(2)筛查的障碍，以及(3)激励和支持行为改变的策略。参与者要么有私人保险，要么有医疗保险，并报告了不同程度的结直肠癌筛查经验。总的来说，他们对结直肠癌和筛查可能带来的好处知之甚少，很少或根本没有从医生或大众媒体那里获得信息，对筛查程序持消极态度，对癌症感到恐惧。尽管提到这个话题是令人尴尬或私人的，但在焦点小组允许的背景下，男性和女性，非洲裔美国人和白人，似乎都在坦率和舒适地交谈。这项研究的结果表明，迫切需要公共教育活动、决策辅助和有针对性的干预措施，将结直肠癌筛查纳入公众的“雷达屏幕”，以提高对筛查的预防和早期发现益处的认识，并鼓励50岁及以上的人——以及为他们服务的卫生保健提供者——将筛查列为优先事项。
As part of the formative research for developing interventions to increase colorectal cancer screening in men and women aged 50 and older, 14 focus groups were conducted to identify (1) knowledge, attitudes, and beliefs about colorectal cancer and colorectal cancer screening, (2) barriers to screening, and (3) strategies for motivating and supporting behavior change. Participants had either private insurance or Medicare and reported different levels of experience with colorectal cancer screening. Overall, they were poorly informed about colorectal cancer and the possible benefits of screening, reporting little or no information from physicians or mass media, negative attitudes toward screening procedures, and fear of cancer. Despite references to the subject matter as embarrassing or private, both men and women, African Americans and whites, appeared to talk candidly and comfortably in the permissive context of the focus group. This study's findings suggest that public education campaigns, decision aids, and targeted interventions are urgently needed to put colorectal cancer screening on the public's "radar screen," to increase awareness of the prevention and early detection benefits of screening, and to encourage people 50 and older-and the health care providers who serve them-to make screening a high priority.