与黑人男性进行概念映射:前列腺癌查和解决方案的障碍
Meghan Tipre1,2, Claudia Hardy3,4, Tara Bowman4
1Division of Hematology and Oncology, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA. met169@pitt.edu.
概括
非洲裔美国男性前列腺癌查 (PCS) 的障碍包括恐惧,缺乏知识和成本. 医疗保健专业人员和同龄人的文化敏感干预可以提高查率.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 癌症查 癌症查
背景情况:
- 前列腺癌不成比例地影响非裔美国 (AA) 男人.
- 了解这一群体前列腺癌查 (PCS) 的障碍,对于减少差异至关重要.
研究的目的:
- 为了识别和理解与前列腺癌查 (PCS) 相关的障碍和担忧,在非洲裔美国人 (AA) 男人中使用组概念映射 (GCM) 方法.
- 为培养文化敏感干预措施的发展提供信息,以提高AA男性的PCS率.
主要方法:
- 一个结构化的参与式方法使用组概念映射 (GCM) 与113名AA男性 (年龄35-70) 来自城市和农村阿拉巴马.
- 数据分析涉及多维缩放,集群分析和重点小组,以识别和优先考虑障碍和解决方案.
主要成果:
- 确定了八个关键障碍集群,其中"对后果的恐惧"",缺乏知识"和"成本/没有保险"被列为最重要的.
- "不喜欢数字直肠检查 (DRE) "也被确定为一个重要的障碍.
- 没有观察到障碍的重大城市/农村差异.
结论:
- 在AA男性中,PCS的主要障碍是恐惧,知识差距,成本和对DRE的不喜欢.
- 建议采取文化敏感的干预措施,包括早期教育,替代测试选项,关于DRE的公开讨论以及同行/角色模型信息传递.
- 由医疗保健专业人员,同行和可联系的榜样提供的有针对性的干预措施可以提高AA男性的PCS吸收率.
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