Colorectal Cancer Screening Preferences among Black and Latino Primary Care Patients.

Colorectal Cancer Screening Preferences among Black and Latino Primary Care Patients.
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DOI:
10.1007/s10903-016-0453-8
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发表时间:
2017-10
影响因子:
1.9
通讯作者:
Jandorf L
Jandorf L
中科院分区:
医学4区
文献类型:
--
作者:
Chablani SV;Cohen N;White D;Itzkowitz SH;DuHamel K;Jandorf L

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在美国,黑人和拉丁美洲人的结直肠癌(CRC)筛查率历来低于白人。一种新的基于粪便的检测方法--脑炎检测法的出现,要求进行研究,以确定少数人可能更喜欢哪种CRC筛查试验。90名接受过筛查结肠镜检查的黑人和拉丁美洲患者接受了关于四种CRC筛查测试的个人教育,随后询问了他们的测试偏好,影响偏好的属性和偏好强度。CT结肠造影和粪便免疫组化检查中首选脑炎监护(31.1%)和结肠镜检查(64.4%)。偏好受到不同测试属性的影响。选择脑炎保护而不是结肠镜检查的人更可能> 60岁,并且有更强的检查偏好。在接受过结肠镜检查的黑人和拉丁美洲人中,对脑炎和结肠镜检查有压倒性的偏好。为了进一步改善这些人群的CRC筛查,患者的偏好应指导建议。
Colorectal cancer (CRC) screening rates in the U.S. have historically been lower among blacks and Latinos than whites. The advent of a new stool-based test, Cologuard, calls for research to determine which CRC screening test minority individuals might prefer. Ninety black and Latino patients who had undergone screening colonoscopy were personally educated about four CRC screening tests and subsequently asked about their test preference, attributes that influenced preference, and strength of preference. Cologuard (31.1%) and colonoscopy (64.4%) were preferred over computerized tomographic colonography and fecal immunochemical tests. Preference was influenced by distinct test attributes. Individuals who selected Cologuard over colonoscopy were more likely to be > 60 and have greater strength of test preference. There was an overriding preference for Cologuard and colonoscopy among black and Latino individuals who had undergone screening colonoscopy. To further improve CRC screening in these populations, patient preferences should guide recommendations.
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