Social and cultural factors are related to perceived colorectal cancer screening benefits and intentions in African Americans.
Social and cultural factors are related to perceived colorectal cancer screening benefits and intentions in African Americans.
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DOI：
10.1007/s10865-009-9231-6
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发表时间：
2010-02
影响因子：
3.1
通讯作者：
Bennett, Nancy
中科院分区：
文献类型：
--
作者：
Purnell, Jason Q.;Katz, Mira L.;Andersen, Barbara L.;Palesh, Oxana;Figueroa-Moseley, Colmar;Jean-Pierre, Pascal;Bennett, Nancy
解释预防行为的模型，如结直肠癌（CRC）筛查，并没有考虑到与非裔美国人相关的社会和文化因素。本探索性研究考察了非裔美国人（N = 198；年龄：M = 59.7, SD = 9.9； 65%为女性；44%家庭收入5万美元以上）的社会文化因素（如传统的异文化策略、基于群体的医疗不信任、医生种族和群体层面的易感性感知）与感知利益、感知障碍和CRC筛查意愿之间的关系。采用层次多元回归对以下模型进行检验：传统异文化策略×医疗不信任；b)医生的种族×医疗不信任；c)群体易感性×医疗不信任；群体易感性×传统异文化策略。结果显示，在文化传统和较少不信任的情况下，感知高群体易感性与更多的筛查益处相关。更愿意接受筛查的人认为群体易感性高，而更传统，对非裔美国医生的不信任程度低。这些结果表明，将社会和文化因素纳入行为干预以增加非裔美国人的CRC筛查可能是有益的。
Models that explain preventive behaviors, such as colorectal cancer (CRC) screening, do not account for social and cultural factors relevant to African Americans. This exploratory study examined the relationship between socio-cultural factors (e.g., traditional acculturative strategy, group-based medical mistrust, physician ethnicity, and group-level perceptions of susceptibility) and perceived benefits, perceived barriers, and CRC screening intentions among African Americans (N = 198; Age: M = 59.7, SD = 9.9; 65% female; 44% household income $50,000+). Hierarchical multiple regression was used to test the following models: Traditional Acculturative Strategy × Medical Mistrust; b) Physician’s Ethnicity × Medical Mistrust; c) Group Susceptibility × Medical Mistrust; and d) Group Susceptibility × Traditional Acculturative Strategy. Results revealed that perceiving high group susceptibility while being both more culturally traditional and less mistrustful was associated with more perception of screening benefits. Greater intention to be screened was associated with perceiving high group susceptibility while being more traditional and with low levels of mistrust in those with African American physicians. These results suggest that it may be beneficial to include social and cultural factors in behavioral interventions to increase CRC screening among African Americans.
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影响因子：
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作者：
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通讯作者：
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