Katz Mira L, Wewers Mary Ellen, Single Nancy, Paskett Electra D
Division of Health Behavior and Health Promotion, School of Public Health, Comprehensive Cancer Center, The Ohio State University, Columbus, USA.
Qual Health Res. 2007 Jan;17(1):131-41. doi: 10.1177/1049732306296507.
Higher-than-average cervical cancer incidence and mortality rates occur in Ohio Appalachia. Little is known, however, about societal norms and social determinants that affect these rates. To examine county-level sociocultural environments to plan a cervical cancer prevention program, the authors interviewed key informants from 17 of 29 Ohio Appalachia counties. Findings include the perceived offensiveness of the term Appalachia, the importance of long-standing family ties, urban and rural areas within counties, use and acceptability of tobacco, the view that cancer is a death sentence, and the stigmatization of people with cancer. Barriers to screening included cost, lack of insurance, transportation problems, fear, embarrassment, and privacy issues. These findings highlight the important role of geography, social environment, and culture on health behaviors and health outcomes. The interviews provided information about the unique characteristics of this population that are important when developing effective strategies to address cancer-related health behaviors in this medically underserved population.
俄亥俄州阿巴拉契亚地区的宫颈癌发病率和死亡率高于平均水平。然而，对于影响这些比率的社会规范和社会决定因素却知之甚少。为了研究县级社会文化环境以规划宫颈癌预防项目，作者采访了俄亥俄州阿巴拉契亚29个县中17个县的关键信息提供者。研究结果包括对阿巴拉契亚这个词的冒犯感、长期家庭关系的重要性、县内的城乡地区、烟草的使用和可接受性、认为癌症是死刑的观点以及对癌症患者的污名化。筛查的障碍包括费用、缺乏保险、交通问题、恐惧、尴尬和隐私问题。这些发现凸显了地理、社会环境和文化对健康行为和健康结果的重要作用。这些访谈提供了有关该人群独特特征的信息，这对于制定有效策略以解决这个医疗服务不足人群中与癌症相关的健康行为非常重要。
