Sohn Linda, Harada Nancy D
Special Fellowship Program in Advanced Geriatrics, Geriatric Research Fellow, VA Greater Los Angeles Healthcare System, 11G 11301 Wilshire Boulevard Los Angeles, CA 90073, USA.
Prev Med. 2005 Jul;41(1):167-78. doi: 10.1016/j.ypmed.2004.09.039. Epub 2004 Dec 10.
The aims of this study are to determine (1) knowledge and use of preventive health practices, and (2) the relationship between acculturation and preventive health practices, in Korean women.
The data came from the 2000 Korean American Health Survey (KAHS), which includes 656 women. The dependent variables included use of pap smears, physical examinations and mammograms, and use and knowledge of self-breast examinations. Independent variables included demographic and acculturation variables. Logistic regression modeling was used to assess the role of acculturation on dependent variables.
Some of the acculturation variables significantly predicted preventive practices. Being married (P < 0.0001) and insured (P < 0.05) were significantly associated with receipt of preventive services. A married Korean woman was more likely than an unmarried Korean woman to have a pap smear within 2 years (P < 0.0001), physical exam within 1 year (P < 0.0001), and perform self-breast examinations (P < 0.05).
Factors related to acculturation influence use of preventive health practices by Korean American women, highlighting the need to consider cultural background in developing systems of care.
本研究旨在确定（1）韩裔女性预防保健措施的知识和使用情况，以及（2）文化适应与预防保健措施之间的关系。
数据来自2000年韩裔美国人健康调查（KAHS），其中包括656名女性。因变量包括巴氏涂片检查、体格检查和乳房X光检查的使用情况，以及自我乳房检查的使用情况和知识。自变量包括人口统计学和文化适应变量。采用逻辑回归模型评估文化适应对因变量的作用。
一些文化适应变量显著预测了预防措施。已婚（P < 0.0001）和参保（P < 0.05）与接受预防服务显著相关。已婚韩裔女性比未婚韩裔女性更有可能在2年内进行巴氏涂片检查（P < 0.0001）、在1年内进行体格检查（P < 0.0001）以及进行自我乳房检查（P < 0.05）。
与文化适应相关的因素影响韩裔美国女性预防保健措施的使用，这突出了在发展护理体系时考虑文化背景的必要性。
