Psychosocial risk profiles among black male Veterans Administration patients non-adherent with colorectal cancer screening.
Psychosocial risk profiles among black male Veterans Administration patients non-adherent with colorectal cancer screening.
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黑人男性退伍军人管理患者的心理社会风险概况非遵守结直肠癌筛查。
DOI：
10.1002/pon.1838
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发表时间：
2011-11
期刊：
影响因子：
3.6
通讯作者：
Szalacha, Laura A.
中科院分区：
文献类型：
--
作者：
BeLue, Rhonda;Menon, Usha;Kinney, Anita Y.;Szalacha, Laura A.
这项研究确定了非洲裔美国男性独特的心理社会特征，这些特征使男性面临不遵守结直肠癌（CRC）筛查（结肠镜检查，乙状结肠镜检查和FOBT）的风险。可针对具有类似心理社会特征的亚群体采取具体的干预战略，以提高筛查的参与率，从而提高早期发现率，降低发病率和死亡率。我们样本中的男性非裔美国退伍军人（n=260）的平均年龄= 57.3（SD=7.3）。我们的研究采用潜在类别分析（LCA），一种基于定量的受众细分方法，以确定具有与CRC筛查相关的相似心理社会特征的非裔美国男性的同质亚组，可能需要不同的健康信息和干预策略。潜类回归被用来检验潜在类结构和人口统计学特征之间的关系。在三个筛选测试中有四个心理社会风险等级。一个重要的男性子集具有心理社会特征，表明愿意接受每项检查（结肠镜检查= 21.8%，乙状结肠镜检查= 31.5%，FOBT=10.8%），尽管他们目前不依从。接受过筛查测试、高中以上学历或已婚的男性更有可能出现在一个潜在的类别中，表明他们准备接受结肠镜检查或乙状结肠镜检查。社会人口学变量与FOBT潜在的阶级结构无关。根据心理社会风险特征对我们的非裔美国男性退伍军人样本进行分割，可以为非CRC筛查的非裔美国男性制定更精确的针对性干预措施。
This study identifies unique psychosocial characteristics among African American men that put the men at risk for non-adherence to colorectal cancer (CRC) screening (colonoscopy, sigmoidoscopy and FOBT). Subgroups sharing similar psychosocial characteristics may be targeted with specific intervention strategies aimed at increasing participation in screening, which could lead to increased early detection and decreased morbidity and mortality. The male, African American veterans in our sample (n=260) had a mean age = 57.3 (SD=7.3). Our study employs latent class analysis (LCA), a quantitative-based, audience segmentation method to identify homogeneous subgroups of African American men with similar psychosocial characteristics related to CRC screening, potentially in need of different health information and intervention strategies. Latent class regression was used to examine the relationships among latent class structure and demographic characteristics. There were four psychosocial risk classes across the three screening tests. A significant subset of men had psychosocial characteristics indicative of willingness to be screened for each test (Colonscopy=21.8%, Sigmoidoscopy=31.5%, FOBT=10.8%), although they were currently non-adherent. Men who received a past screening test, had greater than a high school education, or were married were more likely to be represented in a latent class indicative of being prepared for getting colonoscopy or sigmoidoscopy. Socio-demographic variables were unrelated to FOBT latent class structure. Segmenting our sample of male African American veterans based on psychosocial risk characteristics can inform the development of more precisely targeted interventions for African American men who are non-adherent for CRC screening.
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影响因子：
254.7
作者：
Jemal, Ahmedin;Siegel, Rebecca;Thun, Michael J.
通讯作者：
Thun, Michael J.
影响因子：
3
作者：
Hawley, Sarah T.;Volk, Robert J.;Kneuper, Suzanne
通讯作者：
Kneuper, Suzanne
影响因子：
5.1
作者：
Janz, NK;Wren, PA;Guire, KE
通讯作者：
Guire, KE
DOI：
10.1007/s11524-006-9126-6
发表时间：
2007-01-01
影响因子：
6.6
作者：
Lawsin, Catalina;DuHamel, Katherine;Jandorf, Lina
通讯作者：
Jandorf, Lina
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