A Trial of 3 Interventions to Promote Colorectal Cancer Screening in African Americans
A Trial of 3 Interventions to Promote Colorectal Cancer Screening in African Americans
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DOI：
10.1002/cncr.24842
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发表时间：
2010-02-15
期刊：
影响因子：
6.2
通讯作者：
Alema-Mensah, Ernest
中科院分区：
文献类型：
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作者：
Blumenthal, Daniel S.;Smith, Selina A.;Alema-Mensah, Ernest
结直肠癌（CRC）是美国癌症死亡的第二大原因。黑人的CRC发病率和死亡率高于白人，黑人的筛查率低于白人。在目前的研究中，作者测试了3种旨在提高非裔美国人CRC筛查率的干预措施。方法：选择以下干预措施来解决疾病控制和预防中心社区预防服务指南中的证据差距：一对一教育，小组教育和减少自付费用。369名年龄≥ 50岁的非裔美国男性和女性参加了这项随机对照社区干预试验。主要结果指标是干预后CRC知识的增加和6个月内获得筛查试验。研究结果：有大量人员流失：257名参与者完成了干预，并可在3个月至6个月后进行随访。在完成者中，两个教育队列的知识都有显著增加，但其他两个队列都没有。在6个月的随访中，对照组有17.7%（62名参与者中的11名）报告接受了筛查，而小组教育组有33.9%（65名参与者中的22名）（P = 0.039）。其他2个队列的筛选率增加不具有统计学显著性。结论：目前的结果表明，团体教育可以提高非裔美国人的CRC癌症筛查率。筛查率
Colorectal cancer (CRC) is the second leading cause of cancer death in the United States. CRC incidence and mortality rates are higher among blacks than among whites, and screening rates are lower in blacks than in whites. For the current study, the authors tested 3 interventions that were intended to increase the rate of CRC screening among African Americans. METHODS: The following interventions were chosen to address evidence gaps in the Centers for Disease Control and Prevention's Guide to Community Preventive Services: one-on-one education, group education, and reducing out-of-pocket costs. Three hundred sixty-nine African-American men and women aged >= 50 years were enrolled in this randomized, controlled community intervention trial. The main outcome measures were postintervention increase in CRC knowledge and obtaining a screening test within 6 months. RESULTS: There was substantial attrition: Two hundred fifty-seven participants completed the intervention and were available for follow-up 3 months to 6 months later. Among completers, there were significant increases in knowledge in both educational cohorts but in neither of the other 2 cohorts. By the 6-month follow-up, 17.7% (11 of 62 participants) of the Control cohort reported having undergone screening compared with 33.9% (22 of 65 participants) of the Group Education cohort (P = .039). Screening rate increases in the other 2 cohorts were not statistically significant. CONCLUSIONS: The current results indicated that group education could increase CRC cancer screening rates among African Americans. The screening rate of