Perceptions of colorectal cancer screening in urban African American clinic patients: differences by gender and screening status.
Perceptions of colorectal cancer screening in urban African American clinic patients: differences by gender and screening status.
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DOI：
10.1007/s13187-010-0123-9
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发表时间：
2011-03
期刊：
影响因子：
--
通讯作者：
Ruggieri DG
中科院分区：
文献类型：
--
作者：
Bass SB;Gordon TF;Ruzek SB;Wolak C;Ward S;Paranjape A;Lin K;Meyer B;Ruggieri DG
非裔美国人的结直肠癌（CRC）发病率和死亡率高于白人，但CRC筛查率较低。很少有研究探讨了非洲裔美国人自己对CRC筛查障碍的看法，或阐明了筛查状态的性别差异。焦点小组进行了与23名非洲裔美国患者之间的50和70岁的患者在一个大的城市教学医院的普通内科诊所。焦点小组按性别和CRC筛查状态划分。焦点小组成绩单进行了分析，使用一个迭代的编码过程与共识和三角发展的主题类别。结果表明，关键的主题差异的性别和CRC筛查状态的筛查的看法。虽然从未接受过筛查的男性和女性普遍缺乏对CRC和筛查方式的了解，但女性总体上认为需要进行健康筛查，并表示更需要与医生建立积极的关系。女性还报告说，非洲裔美国男性不接受结肠镜检查，因为他们认为这是性暗示。与接受过筛查的男性相比，从未接受过筛查的男性对医生和医疗保健系统的信任程度较低，并表示总体上害怕去看医生。他们还重申了结肠镜检查的性内涵，并担心在检查过程中被镇静剂。总的来说，男性比女性更害怕，更不愿意接受CRC筛查，但在接受CRC筛查，特别是结肠镜检查的人中，男性表示有筛查的优势。还发现所有组对粪便潜血试验的使用持否定态度，并认为结肠镜检查是上级筛查方式。结果表明，关于CRC筛查的信息和教育，特别是结肠镜检查，可能会更加强调准确性，如果针对性别和筛查状态，可能会更有效地提高非裔美国人的筛查率。
African Americans have higher colorectal cancer (CRC) morbidity and mortality than whites, yet have low rates of CRC screening. Few studies have explored African Americans’ own perceptions of barriers to CRC screening or elucidated gender differences in screening status. Focus groups were conducted with 23 African American patients between 50 and 70 years of age who were patients in a general internal medicine clinic in a large urban teaching hospital. Focus groups were delimited by gender and CRC screening status. Focus group transcripts were analyzed using an iterative coding process with consensus and triangulation to develop thematic categories. Results indicated key thematic differences in perceptions of screening by gender and CRC screening status. While both men and women who had never been screened had a general lack of knowledge about CRC and screening modalities, women had an overall sense that health screenings were needed and indicated a stronger need to have a positive relationship with their doctor. Women also reported that African American men do not get colonoscopy because of the perceived sexual connotation. Men who had never been screened, compared to those who had been screened, had less trust of their doctors and the health care system and indicated an overall fear of going to the doctor. They also reiterated the sexual connotation of having a colonoscopy and were apprehensive about being sedated during the procedure. Overall, men expressed more fear and were more reluctant to undergo CRC screening than women, but among those who had undergone CRC screening, particularly colonoscopy, men expressed advantages of having the screening. All groups were also found to have a negative attitude about the use of fecal occult blood testing and felt colonoscopy was the superior screening modality. Results suggest that messages and education about CRC screening, particularly colonoscopy, might place more emphasis on accuracy and might be more effective in increasing screening rates among African Americans if tailored to gender and screening status.
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影响因子：
5.9
作者：
Beeker, C;Kraft, JM;Jorgensen, CM
通讯作者：
Jorgensen, CM
影响因子：
5.1
作者：
O'Malley, AS;Sheppard, VB;Mandelblatt, J
通讯作者：
Mandelblatt, J
影响因子：
5.4
作者：
Green, CA;Pope, CR
通讯作者：
Pope, CR
影响因子：
3.3
作者：
Ward, Stephanie H.;Lin, Karen;Ruzek, Sheryl Burt
通讯作者：
Ruzek, Sheryl Burt
DOI：
10.1046/j.1523-5394.2002.105003.x
发表时间：
2002-09-01
期刊：
CANCER PRACTICE
影响因子：
--
作者：
Holmes-Rovner, M;Williams, GA;Given, CW
通讯作者：
Given, CW