拉丁裔移民乳腺癌和结肠癌的因果归因:遗传学是关键
Katie Fiallos1,2,3, Jill Owczarzak4, Joann Bodurtha5
1National Human Genome Research Institute, Bethesda, MD, USA. kfiallo1@jhmi.edu.
Journal of community genetics
|November 30, 2023
概括
拉丁裔移民认为遗传和遗传因素是乳腺癌和结肠癌的主要原因,但对其他因素的共识有限. 对结肠癌的认识低于对乳腺癌的认识.
科学领域:
- 健康差异 在健康上的差异
- 癌症流行病学 癌症流行病学
- 关于健康的文化信仰
背景情况:
- 美国的拉丁裔经历了重大的健康差异,包括乳腺癌和结肠癌的晚期诊断.
- 了解拉丁裔女性癌症的因果归因对于解决这些差异至关重要.
研究的目的:
- 描述拉丁裔移民对乳腺癌和结肠癌的因果归因.
- 探索这个人群中癌症差异的潜在个体级决定因素.
主要方法:
- 使用22名拉丁裔移民的西班牙语访谈进行质量探索设计.
- 方法包括自由列表,风险因素排名和半结构化的开放式问题.
- 使用文化共识分析 (CCA) 和主题分析.
主要成果:
- 对于乳腺癌或结肠癌的癌症原因排名,没有发现文化共识.
- "遗传学"和"遗传因素"被列为两种癌症的平均两大原因.
- 与乳腺癌相比,参与者对结肠癌的认识较低,尽管对遗传的信念与非拉丁裔人口相似.
结论:
- 关于拉丁裔移民癌症因果关系的信念,特别是关于遗传,与更广泛的人口趋势保持一致.
- 缺乏共识和亚文化群体的存在表明,关于癌症病因学的观点不同.
- 需要进一步的研究来解决知识差距,特别是关于结肠癌意识的知识差距.
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