了解风险城市美洲印第安人和阿拉斯加原住民肺癌预防护理的决定因素:一项混合方法研究
Ursula Tsosie1, Nicolas Anderson2, Nicholas Woo1
1Cancer Genetics and Prevention, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Preventive medicine reports
|August 5, 2024
概括
美国印第安人和阿拉斯加原住民 (AI/AN) 面临高肺癌率和吸烟率. 建议制定文化定制的计划,以克服肺癌查和停产护理的障碍.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 土著健康土著健康
背景情况:
- 肺癌是美国美洲印第安人和阿拉斯加原住民 (AI/AN) 癌症死亡的主要原因.
- 在全国范围内,AI/AN个体的吸烟率最高,但对文化相关的肺癌预防和查策略的研究有限.
- 了解肺癌查 (LCS) 和戒烟的障碍对于这个高风险群体至关重要.
研究的目的:
- 调查肺癌查 (LCS) 和在有风险的城市居民AI/AN个人中戒烟护理的决定因素.
- 在这个人群中确定进入LCS和戒烟服务的障碍和促进者.
主要方法:
- 在西雅图,华盛顿州 (2022-2023) 进行了一项混合方法,基于社区的参与式研究研究.
- 整合了实施研究和部落关键种族理论的综合框架,利用定性讨论和调查.
- 对参与者 (年龄≥40,吸烟史≥10年) 的定性成绩单进行了主题分析.
主要成果:
- 45名AI/AN参与者 (48%为女性,中位数为58岁,中位数为24包年吸烟史) 完成了该研究.
- 对LCS的关键障碍包括访问,成本,意识和恐惧,加上报告的歧视经历.
- 参与者表达了对查和教育的强烈支持,倡导以土著为中心,提供和定制的项目,并提供障碍特定的支持.
结论:
- 居住在城市的AI/AN个人对预防性护理表现出热情,但面临着对LCS和戒烟的重大,多方面的障碍.
- 文化定制的课程对于提供相关的教育和有效地解决该人口中确定的障碍是必不可少的.
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