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首页> 外文期刊>Journal of Health Disparities Research and Practice >Community Assessment on Colorectal Cancer Screening Knowledge, Attitudes, Behavior, and Health Literacy in American Samoa: Methods and Results
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Community Assessment on Colorectal Cancer Screening Knowledge, Attitudes, Behavior, and Health Literacy in American Samoa: Methods and Results

机译：社区评估在美国萨摩亚的结肠直肠癌筛查，态度，行为和健康识字术：方法和结果

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urpose/Background: “Weaving” Indigenous and Western knowledges are understood to advance health equity for the Indigenous community whose own knowledge and values are often subsumed. Partnerships that support Indigenous leadership and bring Indigenous knowledge to greater parity with Western knowledge are imperative. Indigenous people living in Small Island Developing States like the U.S. territories experience health disparities. The WHO has declared non- communicable diseases as a global health epidemic, including cancer disparities. In American Samoa (AS) less than 7% of age-eligible adults participated in colorectal cancer (CRC) screening, while the Healthy People 2020 target is 70% screened. CRC may be prevented through screening and early detection. The relationship between CRC screening with knowledge, attitudes, beliefs (KAB), and health literacy has never been locally assessed in AS. AS based community researchers partnered with regional academic researchers in local research training, instrument development, data collection, and data analysis. Community relevant approaches guided assessment of CRC screening rates, CRC screening KAB, and health literacy. Objective: This abstract describes the community engaged approaches and results through the National Institute of Minority Health Disparities funded INdigenous Samoan Partnership to Initiate Research Excellence (INSPIRE), introduced at the 2015 CTR-IN annual meeting. Materials & Methods: INSPIRE principal Investigators are based in AS, operated through the American Samoa Community Coalition, a community-based organization, partnering with academic co-investigators in Hawaii and California. To assess CRC KAB and health literacy, two validated assessment instruments were adapted: The KAB survey, from self-developed and population-based instruments, and Short Test for Functional Health Literacy in Adults (S-TOFHLA). Community partners translated then back translated both surveys with three focus groups. Twenty cognitive interviews were conducted to test translation cogency. Seven AS INSPIRE research trainees participating in year-long workshops were trained on Respondent Driven Sampling (RDS). Initial participants (seeds) were recruited by social characteristics. Upon survey completion participants received coupons to each recruit three eligible participants. 713 community respondents participated in three months. An INSPIRE researcher (epidemiologist) analyzed data, with technical assistance from an academic biostatistician in Hawaii when needed fostering research capacity training. Bivariate and multivariate statistics analyzed CRC knowledge, attitudes, health literacy as correlates and predictors of self-reported screening. Results: About 65 percent of respondents finished high school; 68.9% had no insurance. Only 2 respondents completed CRC screening, but 63.3% and 82.3% of English vs Samoan survey respondents respectively would get colonoscopy. Among the 11 knowledge questions, 5 items were “don’t know” while 2.
机译：怀孕/背景：“编织”土着和西方知识应理解为推进土着社区的卫生等性，其知识和价值观往往归份。支持土着领导地位的伙伴关系并使本土知识与西方知识更大的平价均势在必行。生活在小岛屿发展中国家的土着人像美国地区经历了健康差异。世卫组织向全球卫生流行病宣布了非传染性疾病，包括癌症差异。在美国萨摩亚（AS）少于7％的年龄符合条件的成年人参与结肠直肠癌（CRC）筛查，而健康的人2020个目标是70％的筛选。可以通过筛选和早期检测来防止CRC。 CRC筛选与知识，态度，信仰（KAB）与健康素养的关系从未在本地评估。随着基于社区的研究人员与地方研究培训，仪器开发，数据收集和数据分析中的区域学术研究人员合作。社区相关方法指导评估CRC筛选率，CRC筛查KAB和健康素养。目的：摘要描述了社区从事少数民族卫生障碍研究所所订的接种和结果，资助的土着萨摩亚伙伴关系促进研究卓越（激励），在2015年的CTR-in届年会议上介绍。材料和方法：激励主要调查人员依据，通过美国萨摩亚社区联盟，以社区为基础的组织，与夏威夷和加利福尼亚州的学术共同调查人员合作。为了评估CRC KAB和健康识字，两种经过验证的评估文书进行了适应：KAB调查，来自自我开发和基于人口的仪器，以及成人功能健康识字的短暂测试（S-TOFHLA）。社区合作伙伴翻译然后后面翻译了三个焦点小组的两次调查。进行了二十个认知访谈，以测试翻译核心。七，作为参与年度悠久的研讨会的激励研究学员受到受访者的驱动抽样（RDS）的培训。初始参与者（种子）被社会特征招募。在调查完成后，参与者收到每次招聘三位符合条件的参与者的优惠券。 713名社区受访者参加了三个月。激励研究员（流行病学家）分析了数据，在需要培养研究能力培训时，在夏威夷的学术生物统治学家提供技术援助。生物和多元统计数据分析了CRC知识，态度，健康素养，作为自我报告筛查的相关性和预测因子。结果：大约65％的受访者结束了高中; 68.9％没有保险。只有2名受访者完成了CRC筛选，但63.3％和82.3％的英语与Samoan调查受访者分别会获得结肠镜检查。在11个知识问题中，有5项“不知道”而2。

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