Kwate Naa Oyo A, Thompson Hayley S, Valdimarsdottir Heiddis B, Bovbjerg Dana H
Department of Oncological Sciences, Mount Sinai School of Medicine, NY, USA.
Psychooncology. 2005 May;14(5):421-5. doi: 10.1002/pon.905.
Anecdotal evidence suggests that African American women's attributions about breast cancer may differ from European American women, but empirical studies are lacking. The present study examined attributions about breast cancer made by a sample of healthy African American and European American women. The sample included 197 women (75 African American, 122 European American), with a mean age of 39.2. Overall, women were most likely to attribute the development of breast cancer to genetics, "no one", environmental poisons, diet, personal behavior and stress. European American women were more likely to attribute breast cancer to broadly external causes such as the environment, heredity and chance, while African American women were more likely to list immediate, interpersonal-level causes such as a blow to the breast, and personal behavior. Results highlight the need for attention to cultural processes in cancer prevention and control.
轶事证据表明，非裔美国女性对乳腺癌的归因可能与欧裔美国女性不同，但缺乏实证研究。本研究调查了一组健康的非裔美国女性和欧裔美国女性对乳腺癌的归因。样本包括197名女性（75名非裔美国人，122名欧裔美国人），平均年龄为39.2岁。总体而言，女性最有可能将乳腺癌的发生归因于遗传、“无人知晓”、环境毒素、饮食、个人行为和压力。欧裔美国女性更倾向于将乳腺癌归因于广泛的外部原因，如环境、遗传和机遇，而非裔美国女性则更可能列出直接的人际层面原因，如乳房受到撞击和个人行为。研究结果凸显了在癌症预防和控制中关注文化因素的必要性。
