Knowledge, perception and practices of colorectal cancer screening in an ethnically diverse population

作者: Jenn Hian Koo , Mal M. Arasaratnam , Ken Liu , Diane M. Redmond , Susan J. Connor

DOI: 10.1016/J.CANEP.2010.05.013

关键词: EpidemiologyEthnic groupPsychological interventionLogistic regressionMEDLINEGerontologyMultivariate analysisPopulationMedicineColorectal cancerCancer researchOncology

摘要: Abstract Background : Colorectal cancer (CRC) screening improves survival and its success depends on the participation of at-risk population. Few studies have adequately assessed knowledge, perception according to birthplace. This study assesses knowledge CRC in an ethnically diverse population, evaluates association with intention. Identification specific predictors may aid development interventions improve overall screening. Methods An interview-based survey, conducted subjects aged 30–70 years, towards tests. Primary endpoints were intent. Statistical methods used Chi-square, Mann–Whitney U logistic regression. Results A total 543 (43% males, 53% Australian-born (AB), 63% 50 years above) recruited. Compared AB, non-Australian-born (NAB) respondents had poorer NAB background predicted for independent sex, education, media familiarity patient. AB above, lower (17.4% vs. 31.8%; P =0.01), lesser intention (75.8% 90.5%; =0.04). In multivariate analysis, doctors' recommendation, improved independently participation; exposure Conclusions The is significantly immigrant Knowledge predicts greater Therefore, implementing language- culture-specific educational programs involving medical practitioners are necessary rates.

参考文章(33)
Jeanne Mandelblatt, Regina Rentería-Weitzman, Ann S O'Malley, Elmer E Huerta, Patient and provider priorities for cancer prevention and control: a qualitative study in Mid-Atlantic Latinos. Ethnicity & Disease. ,vol. 12, pp. 383- 391 ,(2002)
E. Steliarova-Foucher, M. Laversanne, J. Ferlay, D. Forman, S. Antoni, Freddie Ian Bray, C. Gombe Mbalawa, B. Kohler, M. Piñeros, D. H. Brewster, I. Soerjomataram, R. Swaminathan, Cancer Incidence in Five Continents ,(1997)
David Haber, Guide to clinical preventive services: a challenge to physician resourcefulness Clinical Gerontologist. ,vol. 12, pp. 17- 29 ,(1993) , 10.1300/J018V12N03_03
Stephen Marcella, Jane E Miller, Racial differences in colorectal cancer mortality. The importance of stage and socioeconomic status. Journal of Clinical Epidemiology. ,vol. 54, pp. 359- 366 ,(2001) , 10.1016/S0895-4356(00)00316-4
Carrie N. Klabunde, Sally W. Vernon, Marion R. Nadel, Nancy Breen, Laura C. Seeff, Martin L. Brown, Barriers to colorectal cancer screening: a comparison of reports from primary care physicians and average-risk adults. Medical Care. ,vol. 43, pp. 939- 944 ,(2005) , 10.1097/01.MLR.0000173599.67470.BA
S.Elizabeth McGregor, Robert J Hilsden, Alison Murray, Heather E Bryant, Colorectal cancer screening: practices and opinions of primary care physicians Preventive Medicine. ,vol. 39, pp. 279- 285 ,(2004) , 10.1016/J.YPMED.2004.03.037
Ronald E. Myers, Eric A. Ross, Thomas A. Wolf, Andrew Balshem, Christopher Jepson, Lois Millner, Behavioral interventions to increase adherence in colorectal cancer screening. Medical Care. ,vol. 29, pp. 1039- 1050 ,(1991) , 10.1097/00005650-199110000-00009
Gretchen A Brenes, Electra D Paskett, Predictors of Stage of Adoption for Colorectal Cancer Screening Preventive Medicine. ,vol. 31, pp. 410- 416 ,(2000) , 10.1006/PMED.2000.0729
P. Brawarsky, D.R. Brooks, L.A. Mucci, P.A. Wood, Effect of physician recommendation and patient adherence on rates of colorectal cancer testing Cancer Detection and Prevention. ,vol. 28, pp. 260- 268 ,(2004) , 10.1016/J.CDP.2004.04.006
James G. Dolan, Susan Frisina, Randomized controlled trial of a patient decision aid for colorectal cancer screening. Medical Decision Making. ,vol. 22, pp. 125- 139 ,(2002) , 10.1177/0272989X0202200210