影响黑人退伍军人肺癌查率的障碍和促进因素:一种定性研究
Neelima Navuluri1,2,3, Tiera Lanford4, Abigail Shapiro4
1Division of Pulmonary, Allergy, and Critical Care, Department of Medicine, Duke University School of Medicine, Durham, NC.
黑人退伍军人面临肺癌查 (LCS) 的障碍,原因是知识缺口和复杂的流程. 提高LCS的普及需要有针对性的策略,如增强消息传递和共享决策.
科学领域:
- 公共卫生 公共卫生
- 健康差距 研究 研究 研究 研究
- 质量健康研究 质量健康研究
背景情况:
- 肺癌查 (LCS) 的种族差异仍然存在,尽管风险很高,但黑人退伍军人完成率较低.
- 了解LCS的障碍和促进因素对于解决这些差异至关重要.
研究的目的:
- 确定影响黑人退伍军人接受肺癌查 (LCS) 的障碍和促进因素.
- 探索改善这一群体中LCS完成率的策略.
主要方法:
- 一项定性研究,涉及对32名黑人退伍军人的半结构面试.
- 基于年龄,性别和查参与状态的有目的抽样.
- 采访指南使用理论领域框架和健康信念模型;采用快速定性分析.
主要成果:
- 关键障碍包括对LCS的知识不足和集中查过程的挑战.
- 促进者涉及社会角色,身份,感知易感性,对提供者的信任和行为调节.
- 在这项研究中,环境因素和种族/种族主义并没有成为主要障碍.
结论:
- 确定了黑人退伍军人中LCS吸收的可解决障碍和促进因素.
- 改进信息传递,信息传播,提醒和共享决策等策略可以提高LCS公平性.
- 未来的研究应该调查提供者的观点,并测试干预措施,以减少查差异.
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