Exploring beliefs about prostate cancer and early detection in men and women of three ethnic groups
Exploring beliefs about prostate cancer and early detection in men and women of three ethnic groups
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DOI：
10.1016/j.pec.2005.02.016
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发表时间：
2006-04-01
影响因子：
3.5
通讯作者：
Volk, RJ
中科院分区：
文献类型：
--
作者：
McFall, SL;Hamm, RM;Volk, RJ
目的：实践指南支持关于前列腺癌筛查的知情或共享决策。为了比较关于前列腺癌病因和风险、筛查程序和共同决策的三个种族/民族类别的信念，我们进行了12个焦点小组。方法：参与者在初级保健环境中招募，包括33名非洲裔美国人，35名西班牙裔美国人和22名非西班牙裔白人。在90名参与者中，53%是男性。结果：人群认为遗传、年龄、种族、性活动和其他生活方式影响是危险因素。很少有人意识到前列腺癌在早期是无症状的。对筛查常规知识的信心很高，但包括支持在比专业建议更早的年龄和更短的间隔开始筛查的误解。女性鼓励对男性亲属进行筛查，以保护自己的健康。讨论和结论：虽然种族/民族群体对筛查有相似的看法和知识，但非裔美国人希望组织起来，解决他们社区中前列腺癌的威胁。拉美裔美国人已经意识到前列腺癌的健康风险。非西班牙裔白人意识到前列腺癌对健康的威胁，但与非裔美国人相比，他们的健康保护方法更个人化，更不注重社区。参与者没有意识到关于筛查的争议。实践意义：支持知情或共享决策的教育材料的开发者应该意识到，前列腺癌筛查的初步观点是积极的。(C)2005爱思唯尔爱尔兰有限公司。保留所有权利。
Objectives: Practice guidelines support informed or shared decision-making about prostate cancer screening. To compare beliefs across three racial/ethnic categories concerning prostate cancer etiology and risk, screening routines, and shared decision-making, we conducted 12 focus groups.Methods: Participants were recruited in primary care settings and included 33 African Americans, 35 Hispanics, and 22 non-Hispanic Whites. Of the 90 participants, 53% were male.Results: Groups identified heredity, age, race, sexual activity, and other lifestyle influences as risk factors. Few were aware that prostate cancer is asymptomatic in early stages. Confidence in knowledge of screening routines was high, but included misconceptions supporting initiation of screening at earlier ages and at shorter intervals than professional recommendations. Females encouraged screening of male relatives to protect their health.Discussion and conclusion: While racial/ethnic groups had similar views and knowledge about screening, African Americans wanted to organize to address the threat of prostate cancer in their communities. Hispanics had awakening awareness of the health risks of prostate cancer. Non-Hispanic Whites were aware of the health threat of prostate cancer, but their approach to health protection was more individual and less community focused than that of African Americans. Participants were not aware of controversy about screening.Practice implications: Developers of educational materials to support informed or shared decision-making should be aware that initial views of prostate cancer screening are positive. (c) 2005 Elsevier Ireland Ltd. All rights reserved.