Colorectal Cancer Screening at the Nexus of HIV, Minority Statuses, and Cultural Safety

Autor/inn/en	Ka'opua, Lana Sue I.; Diaz, Tressa P.; Park, Soon H.; Bowen, Talita; Patrick, Kevin; Tamang, Suresh; Braun, Kathryn L.
Titel	Colorectal Cancer Screening at the Nexus of HIV, Minority Statuses, and Cultural Safety
Quelle	In: American Journal of Health Education, 45 (2014) 1, S.42-51 (10 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1932-5037
DOI	10.1080/19325037.2013.853002
Schlagwörter	Screening Tests; Cancer; Acquired Immunodeficiency Syndrome (AIDS); Hawaiians; Intervention; Culturally Relevant Education; Barriers; Counseling; Pretests Posttests; Community Organizations; Minority Groups; Stress Variables; Social Attitudes; Pacific Islanders; Surveys; Outcomes of Treatment + Suchen Sie Ihr Suchwort? Screening-Verfahren; Carcinoma; Karzinom; Krebs (med); Krebserkrankung; Hawaianer; Counselling; Beratung; Ethnische Minderheit; Social attidude; Soziale Einstellung; Pacific Rim; Inhabitant; People; Pazifischer Raum; Bewohner; Survey; Umfrage; Befragung
Abstract	Background: The incidence of non-AIDS-defining cancers has increased significantly among persons living with HIV (PLHIV). Screening education is recommended. Purpose: Social learning, minority stress, and cultural safety theories informed this pilot to assess the feasibility of a colorectal cancer screening intervention targeted to PLHIV, with additional tailoring for relevance to Native Hawaiians, a group with low participation in cancer screening. Method: The targeted education included behavioral modeling and barriers counseling in a culturally safe environment. Using a 2-group, pre/posttest design, AIDS service organizations were randomized to culturally responsive or standard education. AIDS service organizations consumers recruited through venue-based promotions were the unit of analysis. Knowledge-attitudes-practices, fecal occult blood test screening completion, and intervention feasibility were measured. Results: Treatment arm participants, regardless of ethnicity, adhered to fecal occult blood test instructions and achieved increases in screening knowledge, attitudes, and practices. Relevance and acceptability of the educational intervention were endorsed. Discussion: The culturally responsive intervention was successful in this group of PLHIV. Additional tailoring may be needed to reach PLHIV who do not participate in organizational activities. Conclusion/Translation to Health Education Practice: This culturally responsive intervention shows promise for efficacy testing in a broader PLHIV population. Constituent-involving strategies were central to its development and delivery. (As Provided).
Anmerkungen	Routledge. Available from: Taylor & Francis, Ltd. 325 Chestnut Street Suite 800, Philadelphia, PA 19106. Tel: 800-354-1420; Fax: 215-625-2940; Web site: http://www.tandf.co.uk/journals
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10