'It don't make sense to worry too much': the experience of prostate cancer in African-Caribbean men in the UK
'It don't make sense to worry too much': the experience of prostate cancer in African-Caribbean men in the UK
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DOI：
10.1111/j.1365-2354.2009.01155.x
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发表时间：
2011-01-01
影响因子：
2.1
通讯作者：
Dale, J.
中科院分区：
文献类型：
--
作者：
Nanton, V.;Dale, J.
在英国，非裔加勒比男性的前列腺癌发病率是多数人口男性的三倍。然而，很少有人关注来自这些社区的前列腺癌患者的治疗和护理的看法和经验。这项定性研究是第一次这样的调查，将男性的叙述置于他们的个人历史和社会环境的背景下。采用以社区为基础的滚雪球抽样方法，招募了16名居住在英格兰中部的第一代非洲裔加勒比人。通过对访谈记录的专题分析，确定了男性经历的相似性和差异性。男子对其处境的反应受到移徙、历史背景和文化等方面的影响。虽然医疗受到高度重视，但保健专业人员与病人之间的沟通、某些工作人员的陈规定型观念和不敏感等问题加剧了共同的困难。各服务部门和机构之间缺乏协调对体弱男子和鳏夫的福利产生不利影响。研究结果表明，需要一种更积极主动的方法来提供和获取信息，并结合文化多样性培训。建议在患有前列腺癌的非裔加勒比男子与其全科医生、医院、社会护理和志愿机构、教会和社区组织之间采取更系统的转诊程序和信息交流。
The incidence of prostate cancer among African-Caribbean men in the UK is three times that among men from the majority population. Little attention, however, has been given to the perceptions and experiences of treatment and care of men from these communities with prostate cancer. This qualitative study is the first such investigation, situating men's accounts within the context of their personal history and social environment. Using a community-based, snowball sampling method, 16 first generation African-Caribbean men living in Central England were recruited. Similarities and divergence in men's experience were identified through thematic analysis of interview transcripts. Men's responses to their situation were influenced by aspects of migration and historical context as well as culture. While medical treatment was highly valued, common difficulties were compounded by problems of health professional-patient communication, stereotyping and insensitivity of some staff. Lack of coordination between services and agencies adversely affected the well-being of frail men and widowers.Findings suggest the need for a more proactive approach to giving and eliciting information combined with cultural diversity training. More systematic referral procedures and information exchange between African-Caribbean men with prostate cancer and their general practitioner, hospital, social care and voluntary agencies, churches and community organisations are indicated.