Colorectal cancer screening among low-income African Americans in East Harlem: A theoretical approach to understanding barriers and promoters to screening
Colorectal cancer screening among low-income African Americans in East Harlem: A theoretical approach to understanding barriers and promoters to screening
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DOI：
10.1007/s11524-006-9126-6
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发表时间：
2007-01-01
影响因子：
6.6
通讯作者：
Jandorf, Lina
中科院分区：
文献类型：
--
作者：
Lawsin, Catalina;DuHamel, Katherine;Jandorf, Lina
在美国所有种族中，非裔美国人（AA）的结直肠癌（CRC）发病率最高。这些差异可能是由于对CRC预防和控制活动的参与程度较低[例如，软式乙状结肠镜检查（FS）、粪便潜血试验（FOBT）]。这是东哈莱姆目前的一个问题，该地区不到一半的居民参加CRC筛查，CRC死亡率高于全国平均水平。基于行为改变的跨理论模型（TTM），我们研究了AA中FS和FOBT筛查的相关性。在东哈莱姆的一家门诊护理中心招募了111名AA男性和女性，年龄在50岁及以上（51-92岁），低收入，CRC平均风险。评估侧重于社会人口、医疗、心理社会和TTM变量。第一个logistic回归模型显示，较高的教育水平（p
African Americans (AAs) have the highest incidence rates of colorectal cancer (CRC) among all races in the US. These disparities may be attributed to lower participation in CRC prevention and control activities [e.g., flexible sigmoidoscopy (FS), fecal occult blood testing (FOBT)]. This is a current issue in East Harlem where less than half the residents in this area participate in CRC screening and mortality rates due to CRC are higher than the national average. We examined correlates of FS and FOBT screening among AAs based on the transtheoretical model (TTM) of behavior change. One hundred and eleven AA men and women, SO years and older (51-92), low-income, and at average risk for CRC were recruited at an ambulatory care center in East Harlem. Assessments focused on sociodemographic, medical, psychosocial and TTM variables. The first logistic regression model showed that higher levels of education (p