Investigating Hispanic/Latino perceptions about colorectal cancer screening: A community-based approach to effective message design

Investigating Hispanic/Latino perceptions about colorectal cancer screening: A community-based approach to effective message design
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DOI:
10.1016/j.pec.2007.04.004
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发表时间:
2007-10-01
影响因子:
3.5
通讯作者:
Makoul, Gregory
Makoul, Gregory
中科院分区:
医学2区
文献类型:
--
作者:
Cameron, Kenzie A.;FranciS, Lee;Makoul, Gregory

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目的:据记录,西班牙裔/拉丁裔人群的结直肠癌 (CRC) 筛查率是美国最低的,使该群体面临疾病晚期的风险。我们评估了有关 CRC 筛查的知识、态度和行为,为制定促进西班牙裔/拉丁裔患者筛查的信息提供信息。方法:对西班牙裔/拉丁裔社区的两家诊所和一个老年中心 (N = 234) 的 50-80 岁西班牙语成年人进行面对面结构化访谈。结果:大多数 (67.1%) 参与者的教育程度不超过八年级,63.3% 的受访者表示他们的阅读能力较低比“非常好”。只有 18.4% 的参与者在图表上正确识别了结肠; 19.2% 的人正确描述了息肉的至少一个方面。不到一半的参与者认为自己有患结直肠癌的风险,不到三分之一的人了解任何标准筛查测试。在听到筛查测试的描述后,参与者认为粪便卡比内窥镜检查更容易、更安全、更少痛苦、更少尴尬和更少可怕(p
Objective: The Hispanic/Latino population has been documented as having the lowest colorectal cancer (CRC) screening rates in the United States, putting this group at-risk for late-stage presentation of disease. We assessed knowledge, attitudes, and behavior regarding CRC screening to inform the development of messages that promote screening among Hispanic/Latino patients.Methods: ln-person structured interviews with Spanish-speaking adults age 50-80 at two clinics and a senior center in a Hispanic/Latino community (N = 234).Results: Most (67.1%) participants had no more than an eighth-grade education and 63.3% reported their reading ability as less than "very good." Only 18.4% of participants correctly identified the colon on a diagram; 19.2% correctly described at least one aspect of a polyp. Less than half of the participants perceived themselves as at-risk for CRC, and less than one-third knew about any of the standard screening tests. After hearing descriptions of the screening tests, participants perceived stool cards as easier, safer, less painful, less embarrassing, and less scary than endoscopy (p