Correlates of Colorectal Cancer Screening Among South Asian Immigrants in the United States
Correlates of Colorectal Cancer Screening Among South Asian Immigrants in the United States
复制标题
DOI：
10.1097/ncc.0b013e31828db95e
复制
发表时间：
2014-01-01
期刊：
影响因子：
2.6
通讯作者：
Kue, Jennifer
中科院分区：
文献类型：
--
作者：
Menon, Usha;Szalacha, Laura;Kue, Jennifer
背景：南亚人在美国是一个快速增长的人口。对他们的癌症筛查行为的影响知之甚少，这是设计适合文化的教育的重要前提。目的：本研究的目的是评估南亚人的结直肠癌（CRC）筛查率和相关因素、知识和信念。方法：从南亚健康描述研究中抽取50岁或以上的子样本（n = 275），该研究是在伊利诺伊州芝加哥进行的一项对多种健康指标的评估。结果：印度人占样本的87%；2.2%的参与者认为他们有患CRC的风险；8%报告了过去的粪便血液检查（SBT）；13.6%做过乙状结肠镜或结肠镜检查。语言适应（调整优势比[AOR]， 1.93；置信区间[CI]， 1.1-3.5）和医疗不信任（AOR, 0.243； CI, 0.091-0.650）与SBT完成度显著相关。语言适应（AOR, 3.30； CI, 1.8-5.5）、收入（AOR, 2.70； CI, 1.0-7.1）、在美国居住超过5年（AOR, 8.6； CI, 1.9-14.5）、对结直肠癌风险的认知（AOR, 8.9； CI, 1.1-17.7）和既往SBT （AOR, 5.0； CI, 1.8-14.0）与内镜下癌症筛查显著相关。结论：不同CRC检测的促进因素和障碍因素各不相同。增加结直肠癌筛查的教育可能需要针对每种筛查测试的文化和特定障碍，而不是针对所有筛查测试的通用信息。实践意义：因为基于推荐的特定筛查试验，结直肠癌筛查的障碍可能因人而异。初级保健医生应该认识到这一事实，并确定不同的障碍，以加强对筛查建议的依从性。
Background: South Asians are a rapidly increasing population in the United States. Little is known about influences on their cancer screening behaviors, an important prerequisite to designing culturally appropriate education.Objective: The purpose of this study was to evaluate rates and correlates of colorectal cancer (CRC) screening, knowledge, and beliefs among South Asians.Methods: A subsample of those 50 years or older (n = 275) was drawn from the South Asian Health Descriptor Study, an assessment of multiple health indicators conducted in Chicago, Illinois.Results: Indians represented 87% of the sample; 2.2% of participants believed that they were at risk for CRC; 8% reported a past stool blood test (SBT); and 13.6% had had a sigmoidoscopy or colonoscopy. Language acculturation (adjusted odds ratio [AOR], 1.93; confidence interval [CI], 1.1-3.5) and medical mistrust (AOR, 0.243; CI, 0.091-0.650) were significantly related to SBT completion. Language acculturation (AOR, 3.30; CI, 1.8-5.5), income (AOR, 2.70; CI, 1.0-7.1), living in the United States for more than 5 years (AOR, 8.6; CI, 1.9-14.5), perception of CRC risk (AOR, 8.9; CI, 1.1-17.7), and past SBT (AOR, 5.0; CI, 1.8-14.0) were significantly related to endoscopic cancer screening.Conclusions: Facilitators and barriers to different CRC tests vary. Education to increase CRC screening may need to be targeted to culture and specific barriers to each screening test rather than generic messages for all screening tests.Implications for Practice: Because barriers to CRC screening may differ among people based on the specific screening test being recommended. Primary care practitioners should recognize this fact and identify different barriers to enhance adherence to screening recommendations.