Guilfoyle Sharon, Franco Rebeca, Gorin Sherri Sheinfeld
Department of Health Policy and Management, Columbia University, New York, New York 10027, USA.
Health Care Women Int. 2007 Nov-Dec;28(10):930-50. doi: 10.1080/07399330701615358.
The purpose of this qualitative study (N = 98, 11 focus groups) is to investigate how low-income, African American and Hispanic older women make decisions about cervical cancer screening. Using the health belief model to guide content analysis of transcripts, we found that primary barriers to screening were; embarrassment with, fear of, and pain from the test, difficulty in accessing screening, stigma associated with Medicaid coverage, and prior negative experiences with cancer detection. Women experienced cues to screening from their own bodies, in symptoms, and relied on spiritual beliefs to support them in coping with their health problems. Enhanced understanding of these factors could increase uptake of cervical cancer screening among the unscreened and underscreened.
这项定性研究（N = 98，11个焦点小组）的目的是调查低收入的非裔美国和西班牙裔老年女性如何做出宫颈癌筛查决策。我们使用健康信念模型来指导对访谈记录的内容分析，发现筛查的主要障碍包括：对检查感到尴尬、恐惧和疼痛，难以获得筛查服务，与医疗补助覆盖相关的污名，以及先前癌症检测的负面经历。女性从自身身体症状中获得筛查提示，并依靠精神信仰来支持她们应对健康问题。对这些因素的深入理解可以提高未筛查和筛查不足人群的宫颈癌筛查率。
