Tang T S, Solomon L J, Yeh C J, Worden J K
Department of Psychology, University of Vermont, Burlington 05405, USA.
J Behav Med. 1999 Oct;22(5):419-36. doi: 10.1023/a:1018653306776.
This study examined cultural factors as predictors of breast self-examination (BSE) and participation in cervical cancer screening in young Asian and Caucasian women in the United States. Comparisons between Asian and Caucasian samples revealed significant differences in ever performing BSE and obtaining a pap test; the Caucasian women reported higher participation in both behaviors. Factor analysis of cultural barriers to screening revealed four factors: communication with mother, openness around sexuality, prevention orientation, and utilization of Western medicine. Logistic regression predicting BSE performance from demographics, acculturation, and cultural barriers revealed openness around sexuality to be a significant predictor. Pap test participation was predicted by year in college, ever having engaged in sexual intercourse, prevention orientation, and global acculturation. Cultural factors should be considered in programs to enhance participation in cancer screening.
本研究调查了文化因素，以预测美国年轻亚洲女性和白人女性的乳房自我检查（BSE）及参与宫颈癌筛查的情况。亚洲样本和白人样本之间的比较显示，在进行过乳房自我检查和接受巴氏试验方面存在显著差异；白人女性报告称在这两种行为上的参与度更高。对筛查的文化障碍进行因素分析，发现了四个因素：与母亲的沟通、对性的开放态度、预防导向以及对西医的利用。从人口统计学、文化适应和文化障碍对乳房自我检查表现进行的逻辑回归显示，对性的开放态度是一个显著的预测因素。大学年级、曾有过性行为、预防导向和整体文化适应情况可预测巴氏试验的参与情况。在提高癌症筛查参与度的项目中应考虑文化因素。
