确定前列腺癌患者医疗不足的男性饮食改变的障碍
M Smith1, R S Garcia1, D Cho1
1The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
概括
患有前列腺癌 (PCa) 的服务不足的男性面临着采用健康饮食的独特障碍. 文化定制,包容家庭的干预措施对于改善这一群体的结果至关重要.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 前列腺癌 (PCa) 不成比例地影响黑人男性和社会经济地位较低的人,导致发病率,进展和死亡率更高.
- 心血管疾病是局部PCa男性的主要死亡原因,强调需要饮食等生活方式干预措施.
- 在缺乏服务的PCa患者及其家属中,对饮食改变的障碍,例如采用地中海饮食 (MD) 的了解有限.
研究的目的:
- 探索黑人和西班牙裔男性局部PCa的饮食知识,文化因素和干预意愿.
- 在医疗服务不足的人群中识别饮食修改的感知障碍和促进者.
主要方法:
- 采用6个重点小组 (英语/西班牙语) 进行的定性研究,共有31名参与者 (男性和伴侣).
- 从一个安全网县医院招募服务于医疗服务不足的人群.
- 以健康信念模型和计划行为理论为指导的主题分析.
主要成果:
- 四个主要主题出现了:对饮食/医生建议的态度,社会文化影响 (家庭,朋友,文化),情感/精神影响,以及影响自我效能的结构性障碍.
- 家庭购买,明确的教育和适应情感/精神需求对于饮食行为改变至关重要.
- 积极的医生建议和文化规范影响了饮食态度.
结论:
- 对医疗服务不足的PCa患者来说,文化敏感的,与合作伙伴参与的饮食干预措施至关重要.
- 在教育的同时,解决情绪,精神和结构因素可以提高干预的有效性.
- 未来的干预措施应整合家庭支持和文化相关性,以改善坚持和结果.
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