The influence of sociocultural factors on colonoscopy and FOBT screening adherence among low-income Hispanics.
The influence of sociocultural factors on colonoscopy and FOBT screening adherence among low-income Hispanics.
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DOI：
10.1353/hpu.2011.0074
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发表时间：
2011-08
影响因子：
1.4
通讯作者：
DuHamel KN
中科院分区：
文献类型：
--
作者：
Shelton RC;Jandorf L;Ellison J;Villagra C;DuHamel KN
很少有研究调查了西班牙裔结直肠癌（CRC）筛查的障碍和促进因素，特别是可能相关的社会文化因素。本文探讨社会文化因素对粪便隐血检查（FOBT）和结肠镜检查依从性的影响。一项调查是在纽约东哈莱姆区400名低收入西班牙裔人中进行的。在双变量模型中，宿命论和健康素养都与结肠镜检查依从性显著相关，尽管在多变量模型中，宿命论变得不显著，健康素养变得不那么显著。关于结肠镜检查或FOBT的依从性，在双变量模型中宿命论和健康素养都相关，但在多变量模型中只有宿命论仍然显著（p= 0.03; or: 0.94; 95% CI: 0.881 - 0.992）。这些发现表明，宿命论和健康素养可能在塑造低收入西班牙裔人群的CRC筛查依从性方面发挥作用。研究人员应该继续研究社会文化因素如何影响西班牙裔人的筛查依从性，使用更大、更地理上不同的样本。
Few studies have examined barriers and facilitators to colorectal cancer (CRC) screening among Hispanics, particularly sociocultural factors that may be relevant. This paper examines the influence of sociocultural factors on adherence to fecal occult blood testing (FOBT) and colonoscopy. A survey was conducted among a sample of 400 low-income Hispanics in East Harlem, New York. Fatalism and health literacy were both significantly associated with colonoscopy screening adherence in bivariate models, though fatalism became non-significant and health literacy became less significant in multivariable models. With respect to adherence to colonoscopy or FOBT, both fatalism and health literacy were associated in bivariate models, though only fatalism remained significant in multivariable models (p=.03; OR: .94; 95% CI: .881–.992). These findings suggest fatalism and health literacy may play a role in shaping CRC screening adherence among low-income Hispanics. Researchers should continue investigating how sociocultural factors influence screening adherence among Hispanics, using larger and more geographically diverse samples.
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