在美国印第安人和阿拉斯加原住民成年人中获得肺癌查:质量研究
Allison C Welch1, Sara M London2, Candice L Wilshire1
1Department of Thoracic Surgery and Interventional Pulmonology, Swedish Medical Center and Cancer Institute, Seattle, WA.
Chest
|October 28, 2023
概括
美国印第安人和阿拉斯加原住民成年人对肺癌查的认识和获取程度较低. 解决这些障碍和利用部落健康信息来源对于改善查普及至关重要.
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:
- 肺癌是美国印第安人和阿拉斯加原住民死亡的主要原因.
- 这些社区的商业烟草使用率较高,对查指南的遵守率较低.
- 了解人们对肺癌查的看法和使用情况至关重要.
研究的目的:
- 探索美国印第安人和阿拉斯加土著成年人如何感知和利用肺癌查.
- 确定这些人群中肺癌查采用的障碍和促进因素.
主要方法:
- 针对美国印第安人和阿拉斯加原住民成年人进行了三个焦点小组.
- 参与者是从国家卫生会议中招募的.
- 用转录的讨论的诱导编码来分析数据.
主要成果:
- 关键主题包括有限的社区意识,医疗机构的障碍和特定的健康信息搜索行为.
- 查知识通常很低,除了那些有肺癌直接经历的人.
- 多代吸烟被确定为优先风险因素,教育资源有限和提供者讨论作为重大障碍.
结论:
- 改善肺癌查需要解决有限的获取和认识问题.
- 建议在计划设计中使用独特的部落健康信息来源.
- 临床医生和部落之间的公平伙伴关系对于提高知识和查使用至关重要.
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