Jennings-Dozier K
School of Nursing, University of Pennsylvania, Philadelphia, USA.
Oncol Nurs Forum. 1999 Sep;26(8):1327-33.
PURPOSE/OBJECTIVES: To determine whether African American and Latina women were up-to-date on getting an annual Pap test and whether behavioral, normative, and control beliefs differed among women who were up-to-date versus women who were not.
Descriptive, correlational.
Urban, community-based agencies located within the Philadelphia metropolitan area.
204 African American and Latina women.
Data were collected using an investigator-developed questionnaire to measure behavioral, normative, and control beliefs, and a demographic assessment survey was used to measure up-to-date status.
African American women who were up-to-date on annual Pap tests were more likely to report behavioral beliefs about the characteristics and actions of the physician and were less concerned about the Pap test experience. They were more likely to report normative beliefs concerning the approval of their parents, friends, doctor, family, and mother. African American women also were more likely to report control beliefs concerning choice of a doctor and having access to screening and free screening. The women who were up-to-date were less concerned about needing information or reminders regarding annual screening than those who were not up-to-date. Latina women who were up-to-date on annual Pap tests were more likely to report behavioral beliefs about the benefits of Pap tests and were less concerned about the Pap test experience. They were more likely to report normative beliefs concerning the approval of their mother, doctor, parents, spouse/significant other, and friends. Latinas also were more likely to report control beliefs concerning the need for family assistance, have access to screening, receive reminders, and have a female doctor than those who were not up-to-date.
Differences within and between ethnic groups justify the need for culturally specific interventions and patient education geared toward promoting regular Pap test screening.
目的/目标：确定非裔美国女性和拉丁裔女性是否按时进行年度巴氏试验，以及按时进行试验的女性与未按时进行试验的女性在行为、规范和控制信念方面是否存在差异。
描述性、相关性研究。
位于费城大都市区的城市社区机构。
204名非裔美国女性和拉丁裔女性。
使用研究者编制的问卷收集数据，以测量行为、规范和控制信念，并使用人口统计学评估调查来测量是否按时进行试验的情况。
按时进行年度巴氏试验的非裔美国女性更有可能报告对医生特征和行为的行为信念，并且对巴氏试验体验的担忧较少。她们更有可能报告有关父母、朋友、医生、家人和母亲认可的规范信念。非裔美国女性也更有可能报告有关选择医生以及能够进行筛查和免费筛查的控制信念。按时进行试验的女性比未按时进行试验的女性更不担心需要有关年度筛查的信息或提醒。按时进行年度巴氏试验的拉丁裔女性更有可能报告对巴氏试验益处的行为信念，并且对巴氏试验体验的担忧较少。她们更有可能报告有关母亲、医生、父母、配偶/重要他人和朋友认可的规范信念。与未按时进行试验的女性相比，拉丁裔女性也更有可能报告有关需要家庭帮助（进行筛查）、能够进行筛查、收到提醒以及有女医生的控制信念。
种族群体内部和之间的差异证明需要针对促进定期巴氏试验筛查的具有文化特异性的干预措施和患者教育。
