Filipinos' attitudes, barriers, and enablers on colorectal cancer screening: Insights from a qualitative research study.
Filipinos' attitudes, barriers, and enablers on colorectal cancer screening: Insights from a qualitative research study.
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DOI：
10.1016/j.ctarc.2022.100657
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发表时间：
2022
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与非西班牙裔白人相比，菲律宾人的结直肠癌 (CRC) 筛查率较低，结果也较差。由于菲律宾人对结直肠癌筛查的看法尚未得到充分研究，我们开展了焦点小组研究，研究他们的态度、推动因素和筛查障碍。 2021 年 8 月和 9 月，我们招募了 40-75 岁的菲律宾人参加在线焦点小组。在学术医疗中心接受护理或作为加利福尼亚州洛杉矶菲律宾社区组织成员的菲律宾人会收到邀请他们参加的电子邮件。我们对焦点小组使用了半结构化访谈指南，并使用归纳编码方法对录音进行了转录和分析。代码是根据定性数据生成的，经过排序、分类为主题和子主题，并用逐字引用进行说明。我们与 16 名菲律宾人进行了四次在线焦点小组讨论。至于结直肠癌筛查的推动因素，参与者提到了医生建议的重要性。参与者报告了以下障碍：潜在的自付费用（菲律宾的医疗保健系统主要以现金为基础）；宿命论的信念；被动的健康方法；社区对结直肠癌筛查缺乏认识。提高社区 CRC 筛查采用率的建议解决方案包括：提供有关筛查益处、每次测试的预期结果（例如涉及的步骤、准确性）和财务考虑因素的信息；菲律宾名人和医生参与媒体宣传活动。我们的研究强调了菲律宾人对结直肠癌筛查的看法。这些数据可以支持研究人员、卫生系统、公共卫生机构和社区组织制定适合文化的可持续干预措施，以解决菲律宾人之间的结直肠癌筛查差异。
Filipinos have lower colorectal cancer (CRC) screening rates and worse outcomes versus non-Hispanic Whites. As Filipinos are understudied on how they perceive CRC screening, we conducted focus groups examining their attitudes, enablers, and barriers to screening. In August and September 2021, we recruited Filipinos aged 40–75 years to participate in an online focus group. Filipinos who received care at an academic medical center or were members of Filipino community organizations in Los Angeles, CA, were sent emails inviting them to participate. We used a semi-structured interview guide for the focus groups and audio recordings were transcribed and analyzed using an inductive coding approach. Codes were generated from the qualitative data, sorted, classified into themes and subthemes, and illustrated with verbatim quotes. We conducted four online focus groups with 16 Filipinos. As for enablers for CRC screening, participants mentioned the importance having a doctor’s recommendation. Participants reported the following barriers: potential out-of-pocket costs (the Philippines healthcare system is largely cash-based); fatalistic beliefs; reactive approach to health; lack of awareness in the community on CRC screening. Suggested solutions for improving CRC screening uptake in the community included: providing information on screening benefits, what to expect from each test (e.g., steps involved, accuracy), and financial considerations; participation by Filipino celebrities and doctors in media campaigns. Our study highlights Filipinos’ perceptions on CRC screening. These data can support investigators, health systems, public health agencies, and community organizations in developing culturally tailored, sustainable interventions to address CRC screening disparities among Filipinos.