Racial Disparities and Barriers to Colorectal Cancer Screening in Rural Areas
Racial Disparities and Barriers to Colorectal Cancer Screening in Rural Areas
复制标题
DOI：
10.3122/jabfm.2012.03.100307
复制
发表时间：
2012-05-01
影响因子：
2.9
通讯作者：
Schade, Robert R.
中科院分区：
文献类型：
--
作者：
Wilkins, Thad;Gillies, Ralph A.;Schade, Robert R.
本研究调查了生活在农村地区的人们进行结直肠癌（CRC）筛查的障碍。方法：我们确定了2个高CRC发生率的农村县，并使用公布的名单通过电话随机联系了该县的居民。结果：在1839名符合条件的受访者中，有635人（34.5%）同意完成调查，年龄在50岁至79岁之间，居住在佐治亚州的麦克杜菲和斯克雷文县。平均年龄62.2岁（SD±7.5岁）；72.4%为女性，79.4%为白人，19.5%为非洲裔美国人。非裔美国人的CRC筛查率（50.4%）低于白人（63.4%;P = 0.009）。与白人相比，非洲裔美国人报告的CRC筛查障碍明显更多。基于logistic回归分析，不论种族，有医生推荐的CRC筛查与当前的CRC筛查相关性最强。结论：非洲裔美国人和白人在CRC筛查障碍和影响筛查的因素方面存在重要的种族差异。然而，对一小部分问卷项目的认可——而不是种族——与当前的筛查有最强烈的联系。医师推荐的结直肠癌筛查与当前的结直肠癌筛查密切相关。[J] .中华医学杂志，2012;25:308-317。]
Introduction: This study examined barriers to colorectal cancer (CRC) screening in people living in rural areas.Methods: We identified 2 rural counties with high rates of CRC and randomly contacted county residents by telephone using a published listing.Results: Six hundred thirty-five of the 1839 eligible respondents (34.5%) between the ages of 50 and 79 years living in McDuffie and Screven counties, Georgia, agreed to complete the survey. The mean age was 62.2 years (SD, +/- 7.5 years); 72.4% were women, 79.4% were white, and 19.5% were African American. African-American respondents had lower CRC screening rates (50.4%) than whites (63.4%; P = .009). Significantly more African Americans compared with whites reported barriers to CRC screening. Based on logistic regression analyses, having a physician recommend CRC screening had the strongest association with having a current CRC screening, regardless of race.Conclusions: Important racial differences existed between African Americans and whites regarding the barriers to CRC screening and factors impacting current screening. However, endorsement of a small set of questionnaire items-not race-had the strongest association with being current with screening. Physician recommendation for CRC screening had the strongest association with being current with CRC screening. (J Am Board Fam Med 2012;25:308-317.)