Hou Su-I, Fernandez Maria E, Baumler Elizabeth, Parcel Guy S, Chen Pai-Ho
University of Georgia, College of Education, School of Health and Human Performance, Department of Health Promotion and Behavior, 309 Ramsey Student Center, Athens, GA 30602-6522, USA.
Health Care Women Int. 2003 May-Jun;24(5):384-98. doi: 10.1080/07399330390212171.
In this study we examine several theory-based psychosocial factors on cervical cancer screening among Chinese women in Taiwan (N = 125). The reliabilities of the scales showed good internal consistence (Chronbach alpha ranged from 0.68 to 0.88). We found that 30% of the women had never received a Papanicolaou (Pap) test, and only 58% reported a screening in the past 3 years (adherent). Intention to have a Pap test in the coming year was higher among screening adherence women (90%) than nonadherents (58%). Multiple logistic regression analysis revealed significant associations between screening adherence and women's knowledge (p = 0.034), perceived pros (p = 0.041), cons (p = 0.000), and norms (p = 0.019) of a Pap test. In addition to identifying screening associated factors, we also provided a basis for measuring important theory-based constructs. Although we developed some scale items for Chinese culture, data showed that psychosocial factors were universally relevant. Future intervention efforts tailoring these factors could potentially impact cancer screening for women internationally.
在本研究中，我们调查了台湾地区125名中国女性宫颈癌筛查中几种基于理论的社会心理因素。量表的信度显示出良好的内部一致性（克朗巴哈α系数范围为0.68至0.88）。我们发现，30%的女性从未接受过巴氏涂片检查，只有58%的女性报告在过去3年中进行过筛查（坚持筛查）。在未来一年进行巴氏涂片检查的意愿，坚持筛查的女性（90%）高于未坚持筛查的女性（58%）。多元逻辑回归分析显示，筛查坚持情况与女性对巴氏涂片检查的知识（p = 0.034）、感知到的益处（p = 0.041）、弊端（p = 0.000）和规范（p = 0.019）之间存在显著关联。除了确定与筛查相关的因素外，我们还为测量重要的基于理论的结构提供了依据。尽管我们针对中国文化开发了一些量表项目，但数据表明社会心理因素具有普遍相关性。针对这些因素进行调整的未来干预措施可能会对全球女性的癌症筛查产生潜在影响。
