Fernández-Esquer Maria Eugenia, Cardenas-Turanzas Marylou
Center for Health Promotion and Prevention Research, University of Texas School of Public Health at Houston, Houston TX 77030, USA.
Prev Med. 2004 May;38(5):529-35. doi: 10.1016/j.ypmed.2003.12.009.
Little is known about the cancer screening practices of women whose behavior may place them at a high risk for cervical cancer. We explored factors that influence repeated Pap smear screening among recently immigrated Latinas working in bars also called cantinas.
Face-to-face interview were administered to 360 women working in 60 cantinas. Participants provided information about their cancer screening practices including the number of Pap smears completed in the 5 years before the interview. A theory-based model proposing that demographic characteristics, cancer screening barriers and facilitators, and psychosocial factors influence repeated Pap smear screening was tested with a hierarchical linear regression.
Facilitators of cancer screening (recent visit to a physician and receiving a Pap smear in a clinic) and psychosocial variables (Pap smear beliefs, cancer screening intentions and lack of encouragement) were significantly associated with the total number reported Pap smears (adjusted R2 = 0.31, P < 0.0001). Cervical cancer risk behaviors were not significantly associated with repeated screening.
While risk behaviors did not act as barriers, access to health care measures facilitated repeated Pap smear screening. Psychosocial factors hypothesized to function as antecedents of Pap smear screening appear instead to follow from repeated experience with the examination.
对于行为可能使其患宫颈癌风险较高的女性的癌症筛查行为，我们了解甚少。我们探究了影响在酒吧（也称小酒馆）工作的新移民拉丁裔女性重复进行巴氏涂片筛查的因素。
对在60家小酒馆工作的360名女性进行了面对面访谈。参与者提供了她们的癌症筛查行为信息，包括在访谈前5年完成的巴氏涂片检查次数。通过分层线性回归对一个基于理论的模型进行了检验，该模型提出人口统计学特征、癌症筛查障碍与促进因素以及心理社会因素会影响重复进行巴氏涂片筛查。
癌症筛查促进因素（近期看医生以及在诊所接受巴氏涂片检查）和心理社会变量（巴氏涂片信念、癌症筛查意愿以及缺乏鼓励）与报告的巴氏涂片检查总数显著相关（调整后R2 = 0.31，P < 0.0001）。宫颈癌风险行为与重复筛查无显著关联。
虽然风险行为并未构成障碍，但获得医疗保健措施促进了重复进行巴氏涂片筛查。假设作为巴氏涂片筛查前提因素的心理社会因素，反而似乎是源于重复的检查经历。
