Increasing colorectal cancer screening among African Americans, linking risk perception to interventions targeting patients, communities and clinicians
Increasing colorectal cancer screening among African Americans, linking risk perception to interventions targeting patients, communities and clinicians
复制标题
DOI：
10.1016/s0027-9684(15)31356-0
复制
发表时间：
2008-06-01
影响因子：
3.3
通讯作者：
Ruzek, Sheryl Burt
中科院分区：
文献类型：
--
作者：
Ward, Stephanie H.;Lin, Karen;Ruzek, Sheryl Burt
结直肠癌（CRC）筛查仍然显着未被非洲裔美国人利用，尽管他们的风险增加相比，白人。本文的目的是审查最近的研究模式的筛选，CRC筛查方法的看法和七个干预试验的结果，专门设计，以增加筛选非洲裔美国人在美国胃肠病学家学会的建议，使结肠镜检查的筛选方法的选择，这一人群。这篇综述表明，在理解非裔美国人中CRC筛查障碍的复杂性方面取得了进展。采用以社区为基础的针对个人的教育和以临床为基础的针对临床医生的教育的干预措施显示，筛查率略有增加。以整个社区为目标并没有显示出显著的结果。然而，由于干预研究不仅使用不同类型的干预措施，而且使用不同的筛查结果指标，因此结果不容易比较。虽然越来越多的证据表明干预措施可以增加粪便潜血试验（FOBT）的使用，但目前尚不清楚类似的干预措施是否可以增加结肠镜检查的筛查率。临床医生、患者和政策制定者还需要考虑与非裔美国人社区CRC筛查相关的一系列社会、文化和经济问题。
Colorectal cancer (CRC) screening remains significantly underutilized by African Americans despite their increased risk compared to whites. The purpose of this article is to review recent research on patterns of screening, perceptions of CRC screening methods and outcomes of seven intervention trials specifically designed to increase screening among African Americans in light of the recommendation of the American College of Gastroenterologists to make colonoscopy the screening method of choice for this population. This review shows that progress has been made in understanding the complexity of perceived barriers to CRC screening among African Americans. Interventions that used community-based education targeting individuals and clinically based education targeting clinicians showed modest increases in screening rates. Targeting entire communities did not show significant results. However, because intervention studies use not only different types of interventions but different screening outcome measures, results are not easily comparable. While there is growing evidence that interventions can increase the use of fecal occult blood test (FOBT), it is not yet known if similar interventions can increase rates of screening colonoscopy. Clinicians, patients and policymakers also need to consider the array of social, cultural and financial issues associated with CRC screening in African-American communities.