Juon Hee-Soon, Seung-Lee Christine, Klassen Ann C
Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USA.
Prev Med. 2003 Dec;37(6 Pt 1):585-92. doi: 10.1016/j.ypmed.2003.09.006.
Many Korean-American women (KAW) are unaware of the importance of regular cancer screening. This research estimates rates and examines predictors of regular cervical cancer screening among KAW.
Face-to-face surveys were conducted with 459 KAW residing in Maryland. Study participants were recruited through Korean churches and senior housing.
Thirty-nine percent of women had regular Pap smears. Regular Pap smear rates varied with age, with women 65 years and older least likely to have regular Pap smears. In multiple logistic regression, the strongest correlate of regular Pap smear was knowledge of guidelines. Physician recommendation, having health insurance, and having friends or family members receiving Pap smears were also important facilitators. Spoken English proficiency interacted with education for an outcome; women with a low level of education and low English proficiency had lower rates of Pap smears than those who had a high level of education and high proficiency. The most frequently given reason for lack of a regular Pap smear was a belief that screening was unnecessary if a woman had no symptoms of cervical cancer.
Strategies for education on screening guidelines, along with physician referrals, should be implemented. Culturally appropriate educational programs about cervical cancer screening should be developed for less educated and less acculturated immigrant women.
许多韩裔美国女性（KAW）并未意识到定期进行癌症筛查的重要性。本研究估算了KAW定期进行宫颈癌筛查的比例，并探究了相关预测因素。
对居住在马里兰州的459名KAW进行了面对面调查。研究参与者通过韩国教会和老年住宅招募。
39%的女性定期进行巴氏涂片检查。定期巴氏涂片检查率随年龄而异，65岁及以上的女性进行定期巴氏涂片检查的可能性最小。在多元逻辑回归中，定期进行巴氏涂片检查的最强相关因素是对指南的了解。医生的建议、拥有医疗保险以及有朋友或家人接受巴氏涂片检查也是重要的促进因素。英语口语水平与教育程度相互作用影响结果；教育程度低且英语水平低的女性进行巴氏涂片检查的比例低于教育程度高且英语水平高的女性。最常给出的未定期进行巴氏涂片检查的原因是认为如果女性没有宫颈癌症状就无需筛查。
应实施关于筛查指南的教育策略以及医生转诊。应为受教育程度较低和文化适应程度较低的移民女性制定关于宫颈癌筛查的文化适宜教育项目。
