Qualitative Analysis of Colorectal Cancer Screening for African American and Hispanic Populations in Nebraska: an Application of the PRECEDE Framework.

Autor: Napit K; Department of Epidemiology, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA. krishtee.napit@unmc.edu., Ratnapradipa KL; Department of Epidemiology, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA., King KM; Department of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA., Ramos AK; Department of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA., Luma LBL; Office of Community Outreach and Engagement, Fred & Pamela Buffett Cancer Center, Omaha, NE, USA., Dinkel D; School of Health & Kinesiology, University of Nebraska at Omaha, Omaha, NE, USA., Robinson T; Nebraska Cancer Coalition, Lincoln, NE, USA., Schabloske L; Nebraska Cancer Coalition, Lincoln, NE, USA., Tchouankam T; Department of Health Promotion, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA., Watanabe-Galloway S; Department of Epidemiology, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA.; Office of Community Outreach and Engagement, Fred & Pamela Buffett Cancer Center, Omaha, NE, USA.
Jazyk: angličtina
Zdroj: Journal of cancer education : the official journal of the American Association for Cancer Education [J Cancer Educ] 2023 Oct; Vol. 38 (5), pp. 1767-1776. Date of Electronic Publication: 2023 Jul 19.
DOI: 10.1007/s13187-023-02343-3
Abstrakt: Nationally and in Nebraska, African Americans (AA) and Hispanics have lower colorectal cancer (CRC) screening rates compared to non-Hispanic Whites. We aimed to obtain perspectives from AA and Hispanic cancer survivors and caregivers in Nebraska about CRC screening to improve outreach efforts. Data from four virtual focus groups (AA female, AA male, Hispanic rural, and Hispanic urban) conducted between April-August 2021 were analyzed using a directed content approach based on the Predisposing, Reinforcing, and Enabling Constructs in Educational Diagnosis and Evaluation (PRECEDE) model. Most of the 19 participants were female (84%) and survivors (58%). Across groups, awareness of colonoscopy was high, but awareness of fecal testing needed to be higher, with confusion about different types of fecal tests. Predisposing factors were trust in the health system; awareness of CRC screening; machismo; fear of cancer; embarrassment with screening methods; and negative perceptions of CRC screening. Enabling factors included provider recommendations, healthcare access, and insurance. Reinforcing factors included prioritizing personal health and having a support system. Suggestions to improve screening included increasing healthcare access (free or low-cost care), increasing provider diversity, health education using various methods and media, and enhancing grassroots health promotion efforts. Lack of awareness, accessibility issues, attitudes and perceptions of CRC and CRC screening, trust, and cultural and linguistic concerns are major issues that need to be addressed to reduce CRC screening disparities among AA and Hispanic adults.
(© 2023. The Author(s) under exclusive licence to American Association for Cancer Education.)
Databáze: MEDLINE
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