Reifenstein Karen
Wegmans School of Nursing, St. John Fisher College, 3690 East Avenue, Rochester, NY, USA.
Res Nurs Health. 2007 Oct;30(5):542-57. doi: 10.1002/nur.20246.
In this descriptive correlational study, 48 African American women were assessed for delay in care-seeking for breast cancer symptoms by examining: (a) relationships between selected psychosocial variables (fear, denial, utility, and social norm) and delay, (b) relationships between delay and having an identified health provider, affordable health care services, and accessible health-care services, (c) whether denial would mediate the effect of fear on delay, (d) whether utility would moderate the effects of social norm and facilitating conditions on delay, and (e) whether denial was related to escape-avoidance coping. Participants completed mailed questionnaires. Pearson correlation and separate regression analyses showed that denial was associated with increased delay. Confrontive coping, social support, and problem-solving strategies had no relationship with delay. Interventions focusing on denial could help enhance early care seeking.
在这项描述性相关性研究中，通过考察以下方面对48名非裔美国女性寻求乳腺癌症状治疗的延迟情况进行了评估：(a) 所选心理社会变量（恐惧、否认、效用和社会规范）与延迟之间的关系；(b) 延迟与拥有指定医疗服务提供者、可负担的医疗保健服务以及可及的医疗服务之间的关系；(c) 否认是否会介导恐惧对延迟的影响；(d) 效用是否会调节社会规范和促进条件对延迟的影响；以及(e) 否认是否与逃避应对相关。参与者完成了邮寄问卷。皮尔逊相关性分析和单独的回归分析表明，否认与延迟增加有关。对抗性应对、社会支持和解决问题的策略与延迟无关。针对否认的干预措施可能有助于促进早期就医。
