目的:本系统综述的目的是扩大我们对居住在加拿大的南亚移民的结直肠癌(CRC)筛查的认识。香港,联合王国,美国,和澳大利亚通过确定障碍和促进者,并检查CRC筛查的干预措施。
方法:PubMed的文献检索,OvidMedline,谷歌是使用南亚进行的,亚洲印第安人,癌症筛查,结直肠肿瘤,早期发现癌症,和大量筛选作为搜索词。审查是根据系统审查和荟萃分析指南的首选报告项目进行的。仅收集了2000年至2022年7月以英语撰写的研究文章。纳入标准包括所有英语文章,南亚人口,要么报告障碍,主持人,干预措施,或建议进行CRC筛查。排除标准包括所有不符合纳入标准或重复的文章。共有32篇文章被认为符合纳入条件,并被检索用于进一步分析。审查的文章中的原产国包括加拿大,香港,联合王国,美国,和澳大利亚。
结果:一般来说,研究表明,南亚人的CRC筛查率较低.报告的最常见障碍是对CRC和CRC筛查的知识/意识不足,缺乏医生的建议,心理因素(例如,恐惧,焦虑,和耻辱),文化/宗教因素,和社会人口因素(语言障碍,收入较低,和女性性别)。报告的最重要的促进者是医生的建议。通过增加知识和改善对CRC筛查的态度,六项教育或有组织的筛查计划的干预研究显示出积极的影响。
结论:确定的研究数量有限,被归类为南亚人的人口在很大程度上是异质的,包括种族的多样性。尽管南亚人的CRC发生率相对较低,在这一人群中,认识和筛查儿童权利仍然存在许多文化障碍。需要对该人群进行进一步的研究,以更好地确定南亚种族个体中与CRC相关的因素。建议医生和中级提供者进行CRC筛查,并以文化敏感的计划和材料对患者进行教育,对于增加对CRC和CRC筛查的认识和认识至关重要。
OBJECTIVE: The purpose of this systematic
review is to broaden our knowledge of colorectal cancer (CRC) screening in South Asian immigrants living in Canada, Hong Kong, the United Kingdom, the United States, and Australia by determining the barriers and facilitators and examining interventions for CRC screening.
METHODS: A literature search of PubMed, Ovid Medline, and Google was conducted using South Asian, Asian Indians, cancer screening, colorectal neoplasm, early detection of cancer, and mass screening as search terms. The
review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Only research articles written in English from 2000 to July 2022 were collected. Inclusion criteria included all English-language articles, the South Asian population, and either reporting barriers, facilitators, interventions, or recommendations for CRC screening. Exclusion criteria included all articles that did not meet inclusion criteria or were duplicates. A total of 32 articles were deemed eligible for inclusion and were retrieved for further analysis. The countries of origin in the articles reviewed included Canada, Hong Kong, the United Kingdom, the United States, and Australia.
RESULTS: In general, the studies indicated that South Asians have low CRC screening rates. The most common barriers reported were poor knowledge/awareness of CRC and CRC screening, lack of physician recommendation, psychological factors (e.g., fear, anxiety, and shame), cultural/religious factors, and sociodemographic factors (language barrier, lower income, and female gender). The most important facilitator reported was the physician\'s recommendation. Six intervention studies of either education or organized screening programs were shown to have a positive influence by increasing knowledge and improving attitudes toward CRC screening.
CONCLUSIONS: Of the limited number of studies identified, the population categorized as South Asians was largely heterogeneous, including a diversity of ethnicities. Although the rates of CRC among South Asians were relatively low, there remain many cultural barriers to the awareness of and screening for CRC in this population. Further research in this population is needed to better identify the factors related to CRC in individuals of South Asian ethnicity. Recommending CRC screening by physicians and mid-level providers and educating patients with culturally sensitive programs and materials are important to increase knowledge and awareness of CRC and CRC screening.