Quinn Gwendolyn P, McIntyre Jessica, Vadaparampil Susan T
Department of Oncologic Sciences, University of South Florida College of Medicine, Tampa, FL, USA.
Public Health Genomics. 2011;14(4-5):248-58. doi: 10.1159/000284582. Epub 2010 Feb 12.
Little is known about the preferences of at-risk Hispanic women to gain information on hereditary breast and ovarian cancer (HBOC).
This study sought to qualitatively explore preferences for HBOC information among at-risk Mexican, Puerto Rican and Cuban women and to pilot a mock brochure aimed at Hispanic women.
Hispanic women aged 18-65 years with a personal or family history of breast or ovarian cancer participated in a semistructured interview. Data were analyzed using a combination of open-coding and content analysis.
Fifty-three women participated in the study. For the majority of content areas, there were no major differences between the subethnicities. All women reported discussing cancer with a doctor after a family member had been diagnosed and discussing cancer within their families; however, the content of the discussion varied. Cuban and Puerto Rican women reported using the Internet routinely for health care information while Mexican women said they did not have access to computers and did not use them. All women liked the content and photos in the brochure but Mexican women thought the reading level was too high. Preferences for the spokesperson focused on the need for Spanish-speaking health care providers.
While the data show some similarities, such as patterns of cancer discussion and appreciation of the mock brochure, there were differences between the groups on information preferences. In designing HBOC education information for Hispanic audiences, it is important to consider varied channels for dissemination and preferences for specific types of information across subethnicities.
对于有风险的西班牙裔女性获取遗传性乳腺癌和卵巢癌(HBOC)信息的偏好了解甚少。
本研究旨在定性探索有风险的墨西哥、波多黎各和古巴女性对HBOC信息的偏好,并试用一份针对西班牙裔女性的模拟宣传册。
年龄在18 - 65岁、有个人或家族乳腺癌或卵巢癌病史的西班牙裔女性参与了半结构化访谈。数据采用开放编码和内容分析相结合的方法进行分析。
53名女性参与了该研究。在大多数内容领域,不同亚族之间没有重大差异。所有女性都表示在家庭成员被诊断出癌症后会与医生讨论癌症,并且在家庭内部也会讨论癌症;然而,讨论的内容各不相同。古巴和波多黎各女性报告说经常使用互联网获取医疗保健信息,而墨西哥女性表示她们无法使用电脑,也不使用电脑。所有女性都喜欢宣传册中的内容和图片,但墨西哥女性认为阅读难度太高。对代言人的偏好集中在需要讲西班牙语的医疗保健提供者上。
虽然数据显示了一些相似之处,如癌症讨论模式和对模拟宣传册的喜爱,但不同群体在信息偏好上存在差异。在为西班牙裔受众设计HBOC教育信息时,重要的是要考虑不同的传播渠道以及不同亚族对特定类型信息的偏好。