Awareness of cancer symptoms and anticipated help seeking among ethnic minority groups in England.
Awareness of cancer symptoms and anticipated help seeking among ethnic minority groups in England.
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DOI：
10.1038/sj.bjc.6605387
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发表时间：
2009-12-03
影响因子：
8.8
通讯作者：
Wardle, J.
中科院分区：
文献类型：
--
作者：
Waller, J.;Robb, K.;Stubbings, S.;Ramirez, A.;Macleod, U.;Austoker, J.;Hiom, S.;Wardle, J.
在英国，人们对癌症警告信号或求助行为的认知差异知之甚少。作为国家意识和早期诊断倡议（NAEDI）的一部分，本研究旨在探索这些可能导致癌症诊断延迟的因素。我们采用配额抽样的方法，从英国六个最大的少数民族（印度人、巴基斯坦人、孟加拉国人、加勒比人、非洲人和中国人）中招募了1500名男性和女性。在面对面的访谈中，参与者完成了新开发的癌症意识测量（CAM），其中包括关于癌症的警告信号，可能的癌症症状的咨询速度和寻求帮助的障碍的问题。所有种族群体对警告信号的意识都很低，尤其是在使用开放式（回忆）问题格式时，非洲群体的意识最低。在寻求帮助时，女性认为有更多的情感障碍，而男性认为有更多的实际障碍，而且种族差异很大。在那些识别出更少的警告信号和更多障碍的个体中，寻求帮助的预期延迟更高。该研究表明，需要对文化敏感，以社区为基础的干预措施来提高认识并鼓励早期表现。
Little is known about ethnic differences in awareness of cancer-warning signs or help-seeking behaviour in Britain. As part of the National Awareness and Early Diagnosis Initiative (NAEDI), this study aimed to explore these factors as possible contributors to delay in cancer diagnosis. We used quota sampling to recruit 1500 men and women from the six largest minority ethnic groups in England (Indian, Pakistani, Bangladeshi, Caribbean, African and Chinese). In face-to-face interviews, participants completed the newly developed cancer awareness measure (CAM), which includes questions about warning signs for cancer, speed of consultation for possible cancer symptoms and barriers to help seeking. Awareness of warning signs was low across all ethnic groups, especially using the open-ended (recall) question format, with lowest awareness in the African group. Women identified more emotional barriers and men more practical barriers to help seeking, with considerable ethnic variation. Anticipated delay in help seeking was higher in individuals who identified fewer warning signs and more barriers. The study suggests the need for culturally sensitive, community-based interventions to raise awareness and encourage early presentation.
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影响因子：
3
作者：
Lannin, DR;Mathews, HF;Swanson, MS
通讯作者：
Swanson, MS
影响因子：
1.1
作者：
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通讯作者：
Frisby, CM
影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
8.8
作者：
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通讯作者：
Moller, H.