Colorectal cancer screening: the role of perceived susceptibility, risk and cultural illness beliefs among American Indians.

Journal of cultural diversity Pub Date : 2014-01-01
Felicia Hodge, Sally Maliski, Tracy Itty, Fernando Martinez
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Abstract

Purpose: Colorectal cancer (CRC) disproportionately affects American Indians and is a leading cause of mortality despite being treatable when detected early.

Methods: An explanatory model to guide a CRC screening education media campaign was developed from survey and focus group data collected at three American Indian communities (n = 29) in California. Project data was analyzed using Chi Square, Fisher's Exact Test and thematic analysis.

Results: Low perceived susceptibility due to low harm value, cultural illness beliefs, and competing priorities likely lead to poor CRC screening behavior, placing American Indians at high risk for CRC mortality.

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结直肠癌筛查:感知易感性、风险和美洲印第安人文化疾病信念的作用
目的:结直肠癌(CRC)不成比例地影响美国印第安人,尽管早期发现可治疗,但仍是导致死亡的主要原因。方法:从加利福尼亚三个美洲印第安人社区(n = 29)收集的调查和焦点小组数据中开发了一个指导CRC筛查教育媒体活动的解释性模型。项目数据使用x平方分布、费雪精确检验和专题分析进行分析。结果:由于低危害价值、文化疾病信念和竞争优先级,低感知易感性可能导致较差的CRC筛查行为,使美洲印第安人处于CRC死亡率的高风险中。
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