Knowledge and perceptions of colorectal cancer screening among urban African Americans
Knowledge and perceptions of colorectal cancer screening among urban African Americans
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DOI：
10.1007/s11606-005-0244-8
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发表时间：
2005-11-01
影响因子：
5.7
通讯作者：
Ahluwalia, JS
中科院分区：
文献类型：
--
作者：
Greiner, KA;Born, W;Ahluwalia, JS
探索城市非裔美国人的结直肠癌 (CRC) 筛查知识、态度、障碍和偏好，作为制定文化上适当的干预措施以改善该群体筛查的前奏。评估 CRC 筛查偏好的定性焦点小组研究。社区卫生中心为低收入非裔美国人提供服务。55 名自我认定的 40 岁以上非裔美国人。使用迭代编码过程对成绩单进行分析，并对最终主题结果达成共识和三角测量。确定了六个主要主题：(1) 希望 - 对筛查的积极态度，(2) 不信任 - 不信任系统或提供者将患者放在第一位，(3) 恐惧 - 对癌症、系统和 CRC 筛查程序的恐惧，(4) 宿命论 - 认为筛查和治疗可能是徒劳的，手术会导致癌症扩散，(5) 准确性 - 偏好最彻底和准确的 CRC 检测，以及 (6) 知识 - 缺乏 CRC 知识并渴望了解更多信息。恐惧和知识主题在成绩单主题计数中最常见。希望和准确性主题是所有障碍影响的关键调节因素。最多的参与者选择结肠镜检查 (33%) 或家庭粪便潜血检测 (26%)。低收入非裔美国人对早期 CRC 检测持乐观和希望，并认为彻底、准确的 CRC 筛查很有价值。缺乏CRC知识和恐惧以及不信任和宿命论是对这一人群进行筛查的主要障碍。
To explore colorectal cancer (CRC) screening knowledge, attitudes, barriers, and preferences among urban African Americans as a prelude to the development of culturally appropriate interventions to improve screening for this group.Qualitative focus group study with assessment of CRC screening preferences.Community health center serving low-income African Americans.Fifty-five self-identified African Americans over 40 years of age.Transcripts were analyzed using an iterative coding process with consensus and triangulation on final thematic findings. Six major themes were identified: (1) Hope-a positive attitude toward screening, (2) Mistrust-distrust that the system or providers put patients first, (3) Fear-fear of cancer, the system, and of CRC screening procedures, (4) Fatalism-the belief that screening and treatment may be futile and surgery causes spread of cancer, (5) Accuracy-a preference for the most thorough and accurate test for CRC, and (6) Knowledge-lack of CRC knowledge and a desire for more information. The Fear and Knowledge themes were most frequently noted in transcript theme counts. The Hope and Accuracy themes were crucial moderators of the influence of all barriers. The largest number of participants preferred either colonoscopy (33%) or home fecal occult blood testing (26%).Low-income African Americans are optimistic and hopeful about early CRC detection and believe that thorough and accurate CRC screening is valuable. Lack of CRC knowledge and fear are major barriers to screening for this population along with mistrust, and fatalism.