Colorectal Cancer Screening among Underserved Korean Americans in Los Angeles County
Colorectal Cancer Screening among Underserved Korean Americans in Los Angeles County
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DOI：
10.1007/s10903-007-9066-6
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发表时间：
2008-04-01
影响因子：
1.9
通讯作者：
Bastani, Roshan
中科院分区：
文献类型：
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作者：
Jo, Angela M.;Maxwell, Annette E.;Bastani, Roshan
在韩裔美国人中，结直肠癌筛查的使用率极低。本研究的目的是收集关于预测因素、促进因素、障碍因素、和干预偏好方面的结直肠癌筛查，可能会告知未来的干预措施的发展服务不足的韩裔美国人。设计我们制定了一份问卷的指导下，健康行为框架和管理它的便利样本151韩裔美国人40- 70招募通过社区为基础的组织在洛杉矶。结果在我们的样本中，其中60%的受试者没有健康保险，只有17%的人报告说，在过去的一年内接受了大便血检或乙状结肠镜检查或结肠镜检查在过去的5年。接受医生建议与结果变量显著相关，而有疾病症状与结果变量轻微相关。虽然64%的受访者报告有初级保健医生，但只有29%的人收到了医生的筛查建议。结直肠癌筛查的障碍是缺乏健康保险和无力负担检测，不知道去哪里进行检测，语言障碍以及担心成为家庭负担。干预偏好包括教育研讨会，媒体宣传，和印刷materials.Conclusion我们的研究结果指出，需要一个多方面的方法，包括在社区场所，媒体宣传教育研讨会，和医生的教育，以增加结直肠癌筛查在这个保险不足的韩裔美国人。
Objectives Use of colorectal cancer screening is extremely low among Korean Americans. The objective of this study was to gather information on predictors, facilitators, barriers, and intervention preferences with respect to colorectal cancer screening that may inform the development of future interventions for underserved Korean Americans.Design We developed a questionnaire guided by the Health Behavior Framework and administered it to a convenience sample of 151 Korean Americans aged 40-70 recruited through a community based organization in Los Angeles.Results In our sample in which 60% of the subjects did not have health insurance, only 17% reported having received a stool blood test within the past year or sigmoidoscopy or colonoscopy within the past 5 years. Having received a physician recommendation was significantly associated and having symptoms of the disease was marginally associated with the outcome variable. Although 64% of respondents reported having a primary care physician, only 29% received a screening recommendation from a physician. Barriers to colorectal cancer screening were lack of health insurance and inability to afford testing, not knowing where to go for testing, language barrier, and fear of being a burden to the family. Intervention preferences included educational seminars, media campaigns, and print materials.Conclusion Our findings point to the need for a multifaceted approach that includes educational seminars at community venues, a media campaign, and physician education to increase colorectal cancer screening in this underinsured Korean American population.