不同的恐惧:非洲裔美国人对结直肠癌的看法中的年龄和性别差异
Katherine Rangoussis1, Maanvi Vij1, Anushka Deogaonkar1
1Department of Gastroenterology and Liver Disease, George Washington University School of Medicine and Health Sciences, WA, DC, USA.
Journal of the National Medical Association
|January 16, 2026
概括
害怕死亡和查过程显著影响了非洲裔美国人对结肠直肠癌 (CRC) 的看法. 通过文化敏感的干预来解决这些恐惧,可以提高CRC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
- 预防癌症 预防癌症
背景情况:
- 大肠直肠癌 (CRC) 是美国癌症死亡的主要原因.
- 在CRC发病率,死亡率和查率方面存在显著的种族差异,非洲裔美国人经历了更糟糕的结果.
- 情绪,社会文化和结构因素可能会导致这些差异.
研究的目的:
- 探索非洲裔美国人对结直肠癌的看法.
- 在这个人群中识别CRC查的情绪障碍.
- 为制定有针对性的干预措施提供信息,以减少CRC差异.
主要方法:
- 在华盛顿特区的一个健康博览会上进行了一项横截面调查.
- 参与者 (主要是非洲裔美国人) 提供了关于他们对CRC的看法的开放提示的简短答案.
- 响应被编码成主题,分析按年龄,性别和查史分层.
主要成果:
- 恐惧是占主导地位的感知 (51.7%),特别是对死亡的恐惧 (26.8%).
- 年轻的成年人 (<50岁) 最常表达对查过程的恐惧.
- 老年人 (≥50) 和男性主要表达对死亡的恐惧 (p<0.05).
结论:
- 非洲裔美国人对CRC的看法受到年龄和性别的影响,揭示了不同的恐惧.
- 年轻人担心查程序,而老年人和男性担心死亡率.
- 针对程序性焦虑和宿命主义的文化敏感干预措施对于增加CRC查普及至关重要.
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