美国土著妇女愿意在家中查宫癌和结肠直肠癌
Keely K Ulmer1, Michele D Sargent2, Kristin R Cina2
1Cancer Care Institute at Monument Health/Avera Research Institute, Rapid City, South Dakota, USA.
Cancer medicine
|March 5, 2026
概括
美国土著妇女对在家进行宫癌和结直肠癌查表现出高度兴趣. 方便,舒适和医生的建议是提高查率的关键动机.
科学领域:
- 公共卫生 公共卫生
- 预防癌症 预防癌症
- 健康差异 在健康上的差异
背景情况:
- 不到50%的美洲原住民 (NA) 妇女接受了宫癌和结直肠癌 (CRC) 的查.
- 解决像美洲原住民这样的贫困人口的癌症查缺口对于改善健康结果至关重要.
- 了解患者对查方法的看法对于开发有效干预措施至关重要.
研究的目的:
- 探索美国土著妇女对家庭自查子宫癌和结直肠癌的观点.
- 确定影响美国土著妇女采用家庭癌症查方法的意愿因素.
主要方法:
- 在45-65岁的可接受选的美国原住民妇女中进行了一项横截面调查.
- 参与者从2023年12月的Lakota Nation邀请赛中招募.
- 该调查得到了美国原住民社区的审查和批准.
主要成果:
- 只有16%的受访女性报告在过去5年内进行了宫癌和结直肠癌查,66%的妇女报告获得医疗保健的经历不佳.
- 显著多数 (83%) 表示愿意在家进行宫癌和结直肠癌查,如果有.
- 医生建议,易用性,方便性和舒适性被确定为影响查决策的最重要因素.
结论:
- 美国土著妇女接受家庭查宫癌和结直肠癌,特别是当医疗保健提供者推时.
- 与家庭测试相关的便利性和舒适性是吸收的重要驱动因素.
- 家庭查选项,特别是将HPV自取样用于宫癌的整合,有望增加癌症查率并改善这一群体的医疗保健准入.
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