McGarvey Elizabeth L, Clavet Gail J, Johnson James B, Butler Audrey, Cook Kim Oanh, Pennino Bonita
Division of Prevention Research, Department of Psychiatric Medicine, University of Virginia, Charlottesville, Virginia 22908, USA.
Ethn Health. 2003 Feb;8(1):71-82. doi: 10.1080/13557850303556.
Based on the Health Belief Model, this study investigates differences among ethnically diverse, low-income women in the USA to inform better outreach strategies to encourage participation in the Centers for Disease Control & Prevention (CDC)- sponsored breast and cervical cancer early detection program.
Program-eligible, low-income, Hispanic, Vietnamese and Cambodian American women who were over the age of 40 volunteered to be interviewed in their first language for the study. A total of 78 women completed the interviews.
All three samples of women were more likely to perceive barriers to having a mammogram performed compared to the non-minority normative group. Hispanic and Vietnamese women were more similar in their health beliefs and behaviors than Vietnamese and Cambodian women.
This study supports other research on the barriers and health belief differences found among ethnic minority women in the USA. Further, these findings suggest that it is not advisable to collapse ethnic groups into general categories such as 'Asian' when planning cancer control strategies, as differences were found by country of origin.
基于健康信念模型，本研究调查了美国不同种族的低收入女性之间的差异，以制定更好的外展策略，鼓励她们参与疾病控制与预防中心（CDC）赞助的乳腺癌和宫颈癌早期检测项目。
符合项目条件、低收入、年龄超过40岁的西班牙裔、越南裔和柬埔寨裔美国女性自愿接受以其母语进行的访谈。共有78名女性完成了访谈。
与非少数族裔规范组相比，所有三组女性更有可能认为进行乳房X光检查存在障碍。西班牙裔和越南裔女性在健康信念和行为方面比越南裔和柬埔寨裔女性更为相似。
本研究支持了其他关于美国少数族裔女性中发现的障碍和健康信念差异的研究。此外，这些发现表明，在制定癌症控制策略时，将种族群体归为“亚洲人”等一般类别是不可取的，因为发现了原产国之间的差异。
