Perspectives of Colorectal Cancer Risk and Screening Among Dominicans and Puerto Ricans: Stigma and Misperceptions
Perspectives of Colorectal Cancer Risk and Screening Among Dominicans and Puerto Ricans: Stigma and Misperceptions
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DOI：
10.1177/1049732309349359
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发表时间：
2009-11-01
影响因子：
3.2
通讯作者：
Kim, Ivone
中科院分区：
文献类型：
--
作者：
Goldman, Roberta E.;Diaz, Joseph A.;Kim, Ivone
结直肠癌是拉丁裔中第二常见的癌症，但拉丁裔接受筛查的比例低于白人和黑人。除了公认的经济障碍之外，知识和观念的差异可能会阻碍拉丁裔的结直肠筛查。我们对美国东北部的多米尼加人和波多黎各人进行了 147 次个人定性访谈，探讨他们对结直肠癌和筛查障碍的解释模型。许多参与者以前从未听说过结直肠癌。最常提到的结直肠癌原因是肛交。还被考虑的风险包括“坏食物”、消化导致便秘和排便紧张。筛选障碍包括耻辱、误解、尴尬和大男子主义。增加结直肠癌筛查的进展需要拉丁裔筛查的正常化。更高的患者熟悉度以及改善的医生咨询和转诊可能有助于减少耻辱和其他障碍，并增强拉丁裔社区对结直肠癌筛查的了解和支持。
Colorectal cancer is the second most common cancer among Latinos, but a lower percentage of Latinos are screened than Whites and Blacks. Along with recognized economic barriers, differences in knowledge and perceptions might impede colorectal screening among Latinos. We conducted 147 individual, qualitative interviews with Dominicans and Puerto Ricans in the northeastern United States to explore their explanatory models for colorectal cancer and screening barriers. Many participants had not previously heard of colorectal cancer. The most commonly mentioned cause of colorectal cancer was anal sex. Also considered risks were "bad food," digestion leading to constipation, and strained bowel movements. Screening barriers included stigma, misperceptions, embarrassment, and machismo. Progress toward increasing colorectal cancer screening requires normalization of this screening among Latinos. Higher patient familiarity, along with improved physician counseling and referral, might contribute to reducing stigma and other barriers, and to enhancing knowledge and Latino community support of colorectal cancer screening.