Barriers and facilitators to digital rectal examination screening among African-American and African-Caribbean men.
Barriers and facilitators to digital rectal examination screening among African-American and African-Caribbean men.
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DOI：
10.1016/j.urology.2010.11.056
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发表时间：
2011-04
期刊：
影响因子：
2.1
通讯作者：
Spencer BA
中科院分区：
文献类型：
--
作者：
Lee DJ;Consedine NS;Spencer BA
研究种族/民族和恐惧特征对启动和维持DRE筛查的影响。来自纽约布鲁克林的533名男性，年龄在45-70岁之间，被分为四个种族/民族：美国出生的白人、美国出生的非裔美国人、牙买加人和特里尼迪亚人/托巴尼安人。参与者记录了过去10年中DRE的数量。人口统计学和结构变量，以及前列腺癌担忧和筛查恐惧是用经过验证的工具衡量的。总体而言，30%的受试者报告从未患过DRE，24%的受试者报告每年患有DRE。非裔美国人、牙买加人和特立尼达人/托巴尼亚人的男性比白人男性有更高的前列腺癌担忧和筛查恐惧分数(均P<；0.05)。与白人男性相比，非裔美国人、牙买加人和特立尼达人/托巴尼亚人男性保持每年DRE的可能性较小(OR分别为0.17、0.26和0.16，均为P<；0.05)。低筛查恐惧症的男性更有可能首次出现DRE(OR=2.3，p<；0.05与高筛查恐惧症相比)，但每年发生DRE的可能性不会更高或更低。定期看医生、全面的医生讨论和年度就诊也与接受DRE有关。我们确定了DRE筛查的几个不同种族的障碍和促进者。非裔美国人和非加勒比裔男性患DRE的频率较低，前列腺癌担忧和筛查恐惧得分高于白人男性。筛查恐惧症预测了接受初步但不是每年一次的DRE筛查的可能性。与医生的接触和每年的访问有助于进行DRE筛查。包括文化敏感教育和患者导航在内的干预措施，以及考虑患者是否应该启动或维持筛查，可能会促进指南的一致性筛查。
To examine the effect of race/ethnicity and fear characteristics on the initiation and maintenance of DRE screening. 533 men from Brooklyn, NY, aged 45–70, were classified into four race/ethnic groups: US-born whites, US-born African-American, Jamaican, and Trinidadian/Tobagonian. Participants recorded the number of DRE’s in the past 10 years. Demographics and structural variables, as well as prostate cancer worry and screening fear were measured with validated tools. Overall, 30% of subjects reported never having a DRE and 24% reported annual DRE’s. African-American, Jamaican, and Trinidadian/Tobagonian men have higher prostate cancer worry and screening fear scores than white men (all p<0.05). African-American, Jamaican, and Trinidadian/Tobagonian men were less likely to maintain annual DRE’s than white males (ORs = 0.17, 0.26, and 0.16, respectively, all p<0.05). Men with low screening fear were more likely to have an initial DRE (OR=2.3, p<0.05 vs. high screening fear), but no more or less likely to have annual DRE’s. Having a regular physician, comprehensive physician discussion, and annual visits were also associated with undergoing DRE. We identified several ethnically-varying barriers and facilitators to DRE screening. African-American and Afro-Caribbean men undergo DRE less often and have higher prostate cancer worry and screening fear scores than white men. Screening fear predicts the likelihood of undergoing an initial, but not annual, DRE screen. Access to a physician and annual visits facilitate DRE screening. Interventions that include both culturally-sensitive education and patient navigation, and consider whether patients should be initiating or maintaining screening, may facilitate guideline-consistent screening.
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影响因子：
254.7
作者：
Jemal, Ahmedin;Siegel, Rebecca;Thun, Michael J.
通讯作者：
Thun, Michael J.
影响因子：
6.6
作者：
Glover, FE;Coffey, DS;Walsh, PC
通讯作者：
Walsh, PC
影响因子：
3.8
作者：
Consedine, NS;Morgenstern, AH;Neugut, AI
通讯作者：
Neugut, AI
DOI：
10.1016/s1049-3867(05)80058-1
发表时间：
1994-01-01
期刊：
Women's health issues : official publication of the Jacobs Institute of Women's Health
影响因子：
--
作者：
Miller, L Y;Hailey, B J
通讯作者：
Hailey, B J
DOI：
10.1056/nejmoa0810696
发表时间：
2009-03-26
期刊：
The New England journal of medicine
影响因子：
--
作者：
Andriole GL;Crawford ED;Grubb RL 3rd;Buys SS;Chia D;Church TR;Fouad MN;Gelmann EP;Kvale PA;Reding DJ;Weissfeld JL;Yokochi LA;O'Brien B;Clapp JD;Rathmell JM;Riley TL;Hayes RB;Kramer BS;Izmirlian G;Miller AB;Pinsky PF;Prorok PC;Gohagan JK;Berg CD;PLCO Project Team
通讯作者：
PLCO Project Team