Stein J A, Fox S A, Murata P J
Department of Psychology, University of California, Los Angeles 90024.
J Health Soc Behav. 1991 Jun;32(2):101-13.
This study assessed the relative influence of psychological barriers, SES, and ethnic differences in mammography use for a community sample of 586 White, 227 Black, and 150 Hispanic women. Confirmatory factor analyses with latent variables indicated plausible factor structures for all groups on items related to barriers to mammography. Summed indicators of SES, fear of radiation, embarrassment, pain, anxiety, and cost concerns were correlated significantly with mammography use for the pooled group. Separate analyses by ethnicity indicated a substantial relationship between mammography use and cost concerns by White and Black women, and fear of pain by Black and Hispanic women. Use of mammography was associated more highly with SES among Hispanic women. Pooled logistic regression analyses controlling for SES and ethnicity showed that the psychological barriers, especially concern about cost, remained important independent predictors of mammography use. We explore sociocultural explanations for less mammography use by Hispanic women, especially those less acculturated.
本研究评估了心理障碍、社会经济地位（SES）以及种族差异对586名白人、227名黑人和150名西班牙裔女性社区样本进行乳房X光检查的相对影响。对潜在变量的验证性因素分析表明，在与乳房X光检查障碍相关的项目上，所有组的因素结构都合理。SES、对辐射的恐惧、尴尬、疼痛、焦虑和成本担忧的综合指标与合并组的乳房X光检查使用显著相关。按种族进行的单独分析表明，白人女性和黑人女性的乳房X光检查使用与成本担忧之间存在实质性关系，黑人女性和西班牙裔女性对疼痛存在恐惧。在西班牙裔女性中，乳房X光检查的使用与SES的关联更为密切。控制了SES和种族的合并逻辑回归分析表明，心理障碍，尤其是对成本的担忧，仍然是乳房X光检查使用的重要独立预测因素。我们探讨了西班牙裔女性，尤其是那些文化适应程度较低的女性较少进行乳房X光检查的社会文化原因。
