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首页> 外文期刊>Journal of cancer education: the official journal of the American Association for Cancer Education >Barriers and facilitators to adherence to screening colonoscopy among African-Americans: A mixed-methods analysis
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Barriers and facilitators to adherence to screening colonoscopy among African-Americans: A mixed-methods analysis

机译：阻碍和筛查非洲裔美国人结肠镜检查的障碍和促进者：混合方法分析

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This mixed-methods study reports barriers and facilitators to screening colonoscopy among inner-city African-Americans. A purposive sample of 29 African-Americans ≥50 years old with average risk of colorectal cancer (CRC) was recruited from CRC education programs in an urban setting (June 2011-April 2012). A demographic survey collected quantitative data (e.g., socioeconomic status), and a semi-structured interview assessed qualitative data (e.g., perspectives of colonoscopies). Sample and between-group analyses were conducted using descriptive statistics and content analysis of quantitative and qualitative data, respectively. The sample consisted of 17 people who completed a colonoscopy and 12 who had not. Mean age was 68 years; 79 % completed at least high school, and all had health care coverage and had visited a physician within the last year. Physician recommendation was prevalent among both groups (15/17 in completers vs. 8/12 in non-completers) and thus did not fully explain the differences in adherence. The greatest barrier for the non-colonoscopy group was lack of knowledge about the importance of screening while the commonest facilitator for the colonoscopy group was physician recommendation. Improved knowledge about colonoscopies is a significant facilitator to adherence, while physician recommendation was not significantly different between groups. Promotion of screening colonoscopies by both physicians and community programs has the potential to improve adherence rates in the African-American population.
机译：这项混合方法研究报告了在市区内的非裔美国人中筛查结肠镜检查的障碍和促进因素。在城市环境中（2011年6月至2012年4月）从CRC教育计划中招募了29位年龄≥50岁，平均患有大肠癌风险的非洲裔美国人。人口统计调查收集了定量数据（例如社会经济地位），半结构化访谈评估了定性数据（例如结肠镜检查的观点）。使用描述性统计数据和定量和定性数据的内容分析分别进行样本和组间分析。样本由完成结肠镜检查的17人和未完成结肠镜检查的12人组成。平均年龄为68岁; 79％的人至少完成了高中毕业，并且全部都有医疗保健并在去年内就诊过。两组医师的推荐率很高（完成者为15/17，未完成者为8/12），因此不能完全解释依从性的差异。非结肠镜检查组最大的障碍是对筛查重要性的认识不足，而结肠镜检查组最常见的促进者是医师推荐。有关结肠镜检查的知识的提高是依从性的重要促进因素，而各组医生的建议并无显着差异。由医生和社区计划促进筛查结肠镜检查具有提高非裔美国人人口依从率的潜力。

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