Taylor Victoria M, Yasui Yutaka, Burke Nancy, Nguyen Tung, Acorda Elizabeth, Thai Hue, Qu Pingping, Jackson J Carey
Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, PO Box 19024, Seattle, WA 98109-1024, USA.
Cancer Epidemiol Biomarkers Prev. 2004 Apr;13(4):613-9.
Vietnamese American women are five times more likely to be diagnosed with cervical cancer than their White counterparts. Previous research has demonstrated low levels of Papanicolaou (Pap) testing among Vietnamese. Our study objective was to examine factors associated with interval Pap testing adherence.
A population-based, in-person survey of Vietnamese women aged 18-64 years was conducted. Questionnaire content was guided by the Health Behavior Framework (HBF). The study sample was randomly selected from 1639 south Seattle households. Statistical methods included chi(2) tests and logistic regression.
The response rate among eligible households was 82%, and the study included 352 women. Sixty-eight percent of the participants had been screened during the preceding 3 years. The following HBF factors were associated (P < 0.05) with interval Pap testing in bivariate comparisons: believing Pap tests decrease the risk of cervical cancer and believing cervical cancer is curable if detected early (perceived effectiveness); knowing testing is necessary for women who are asymptomatic, sexually inactive, or postmenopausal (knowledge); reporting concern about pain/discomfort as a barrier to screening (barriers); family member(s) and friend(s) had suggested testing (social support); doctor(s) had recommended testing; and had asked doctor(s) for testing (communication with provider). In a multivariate analysis, being married, knowing Pap testing is necessary for asymptomatic women, doctor(s) had recommended testing, and had asked doctor(s) for testing were independently associated (P < 0.05) with screening participation.
Our results confirm low levels of Pap testing among Vietnamese women and demonstrate the importance of physician-patient communication in increasing screening adherence. Health education efforts should target unmarried women and reinforce the importance of Pap testing for all Vietnamese women.
越裔美国女性被诊断出宫颈癌的可能性是白人女性的五倍。先前的研究表明，越南裔人群的巴氏涂片检查（Pap）水平较低。我们的研究目的是探讨与定期Pap检查依从性相关的因素。
对18 - 64岁的越南女性进行了一项基于人群的面对面调查。问卷内容以健康行为框架（HBF）为指导。研究样本从西雅图南部的1639户家庭中随机选取。统计方法包括卡方检验和逻辑回归。
符合条件的家庭的回应率为82%，该研究纳入了352名女性。68%的参与者在过去3年中接受过筛查。在双变量比较中，以下HBF因素与定期Pap检查相关（P < 0.05）：相信Pap检查可降低患宫颈癌的风险以及相信宫颈癌如果早期发现是可治愈的（感知有效性）；知道无症状、无性活动或绝经后的女性进行检查是必要的（知识）；报告担心疼痛/不适是筛查的障碍（障碍）；家庭成员和朋友建议进行检查（社会支持）；医生建议进行检查；以及曾向医生要求进行检查（与医疗服务提供者的沟通）。在多变量分析中，已婚、知道无症状女性有必要进行Pap检查、医生建议进行检查以及曾向医生要求进行检查与筛查参与独立相关（P < 0.05）。
我们的结果证实了越南女性中Pap检查水平较低，并表明医患沟通在提高筛查依从性方面的重要性。健康教育工作应针对未婚女性，并强化Pap检查对所有越南女性的重要性。
