Holroyd Eleanor A, Taylor-Piliae Ruth E, Twinn Sheila F
The Nethersole School of Nursing, The Chinese University of Hong Kong.
Women Health. 2003;38(1):69-82. doi: 10.1300/J013v38n01_05.
The aim of this study was to investigate Hong Kong Filipino domestic workers health behaviors, knowledge, beliefs and attitudes about cervical screening and cancer. A concurrent cross sectional survey design used a snowball method of recruitment was used because of the acknowledged problematic access to a random sample of immigrant women. A total of 98 female domestic helpers were actively recruited through designated recreation centers. The women were between 24-45 years old (mean = 37.9, SD = 7.7). The majority of these women were employed as full-time domestic helpers (91%), were earning less than dollar 4000 Hong Kong dollars/month (92%), were married (82%), with children (91%), were non-smokers (88%), and had at least a secondary level of education (100%), with 66% of these women having completed post-secondary education. While the majority of women had previously heard about cervical smears (78%) more than half (53%) reported never having a cervical smear taken. Women who had a prior cervical smear had significantly more knowledge about cervical smears and cervical cancer (mean = 51.34, SD = 2.5) than those who never had a cervical smear (mean = 49.72, SD = 3.2). Recommendations are made for culturally tailored mass screening programmers out of office hours and health information to be provided in both written and oral Tagalong. Doctors and nurse ideally of Filipino origin should be used to deliver health messages that prioritize the importance of self protection for the family and future fertility issues, culturally prized within Filipino society.
本研究的目的是调查香港菲律宾家庭佣工关于子宫颈筛查和癌症的健康行为、知识、信念和态度。由于公认难以获取移民女性的随机样本,因此采用了一种通过滚雪球法招募的同期横断面调查设计。通过指定的娱乐中心积极招募了98名女性家庭佣工。这些女性年龄在24至45岁之间(平均=37.9,标准差=7.7)。这些女性中的大多数受雇为全职家庭佣工(91%),月收入低于4000港元(92%),已婚(82%),有子女(91%),不吸烟(88%),至少接受过中等教育(100%),其中66%的女性完成了大专教育。虽然大多数女性之前听说过子宫颈涂片检查(78%),但超过一半(53%)的女性报告从未做过子宫颈涂片检查。与从未做过子宫颈涂片检查的女性(平均=49.72,标准差=3.2)相比,之前做过子宫颈涂片检查的女性对子宫颈涂片检查和子宫颈癌的了解明显更多(平均=51.34,标准差=2.5)。建议在工作时间之外开展针对特定文化背景的大规模筛查项目,并以书面和他加禄语口语形式提供健康信息。理想情况下,应由菲律宾裔医生和护士传递健康信息,这些信息应优先强调自我保护对家庭的重要性以及菲律宾社会所重视的未来生育问题。