Wu Tsu-Yin, West Brady, Chen Yu-Wen, Hergert Clara
Eastern Michigan University, 328 Marshall, Ypsilanti, MI 48197, USA.
Cancer Detect Prev. 2006;30(1):58-66. doi: 10.1016/j.cdp.2005.06.013. Epub 2006 Feb 3.
Cultural-appropriate strategies can be designed to promote cancer screening if the unique needs and characteristics of ethnic groups are identified. Most of the data available for Asian immigrants living in the U.S. has been aggregated under the Asian-American/Pacific Islanders (AAPI) ethnic category.
A total of 125 women completed self-administered questionnaires that assessed screening practices (i.e. breast self-exam, clinical breast exam, and mammography), related beliefs and knowledge. This paper reports examined cancer-related practices and beliefs among three subgroups of Asian-American women (47 Filipinos, 40 Chinese, and 38 Asian-Indians).
The sample mean age was 50.2 years and majority of women (76%) were married. Their length of residence in the United States ranged from less than one year to 37 years, with an average length of residence of 18 years. Results from two-way analyses of variance (ANOVAs) showed the strong influence of ethnicity on perceptions of susceptibility [F(2, 95) = 5.11, p = 0.01] and seriousness [F(2, 99) = 4.85, p = 0.01] related to breast cancer, in addition to an interaction detected between ethnicity and income in terms of perceived barriers [F(5, 107) = 3.04, p = 0.01]. The results also indicated that three common barriers were reported in all three ethnic groups, and three unique barriers were more frequently identified by Chinese (i.e. do not need mammogram if I feel ok [OR = 5.450, 95%; CI = (1.643, 18.081)] and waiting time is too long [OR = 5.070, 95%; CI = (1.674, 15.351)]) and Asian-Indian women (i.e. do not know where to get a mammogram [OR = 9.237, 95%; CI = (3.153, 27.059)]).
These findings can be used to develop interventions that are tailored to the special characteristics of immigrant women from different Asian groups.
如果能确定不同种族群体的独特需求和特征，就可以设计出符合文化背景的策略来促进癌症筛查。目前，针对居住在美国的亚洲移民的大多数数据都汇总在亚裔美国人/太平洋岛民（AAPI）种族类别之下。
共有125名女性完成了自我管理的问卷调查，该问卷评估了她们的筛查行为（即乳房自我检查、临床乳房检查和乳房X光检查）、相关信念和知识。本文报告了对亚裔美国女性三个亚组（47名菲律宾人、40名中国人和38名印度裔）的癌症相关行为和信念的研究。
样本的平均年龄为50.2岁，大多数女性（76%）已婚。她们在美国的居住时间从不到一年到37年不等，平均居住时间为18年。双向方差分析（ANOVA）结果显示，种族对乳腺癌易感性认知[F(2, 95) = 5.11, p = 0.01]和严重性认知[F(2, 99) = 4.85, p = 0.01]有强烈影响，此外，在感知障碍方面，种族与收入之间存在交互作用[F(5, 107) = 3.04, p = 0.01]。结果还表明，所有三个种族群体都报告了三个常见障碍，中国人（即感觉良好就不需要乳房X光检查[OR = 5.450, 95%；CI = (1.643, 18.081)]和等待时间太长[OR = 5.070, 95%；CI = (1.674, 15.351)]）和印度裔女性（即不知道在哪里做乳房X光检查[OR = 9.237, 95%；CI = (3.153, 27.059)]）更常识别出三个独特障碍。
这些发现可用于制定针对不同亚洲群体移民女性特殊特征的干预措施。
