Chang Sabrina C H, Woo Jane S T, Gorzalka Boris B, Brotto Lori A
Department of Psychology, University of British Columbia, Vancouver BC.
J Obstet Gynaecol Can. 2010 Mar;32(3):254-62. doi: 10.1016/s1701-2163(16)34452-8.
Papanicolaou (Pap) testing rates among Chinese women remain low compared with their Caucasian counterparts despite extensive efforts to raise awareness of the importance of regular screening. We examined three potential predictors of Pap testing behaviour in Chinese women: acculturation, cervical cancer screening belief accuracy, and intergenerational transmission.
Caucasian (n = 78) and Chinese (n = 93) female university students and their mothers completed questionnaires concerning acculturation, Pap testing beliefs, and behaviours.
Ethnic group comparisons revealed that Chinese daughters and mothers had lower Pap testing rates and less accurate beliefs regarding cervical cancer screening. Among women who had had at least one Pap test, there was no ethnic difference in the proportion of women who adhered to the recommended screening frequency. Among the Chinese women, lower heritage acculturation was correlated with higher cancer screening belief accuracy in both the daughters and their mothers. Maternal Pap testing behaviour was predicted by level of cancer screening belief accuracy, whereas daughters' Pap testing behaviour was predicted by previous experience of sexual intercourse and heritage acculturation. No intergenerational transmission of Pap testing beliefs or behaviours was found.
The accuracy of cancer screening beliefs, level of acculturation and experience of sexual intercourse may be predictors of Pap testing behaviour in Chinese women. Contrary to our prediction, we found no support for intergenerational transmission, suggesting that Pap testing beliefs and behaviours of Chinese women are independent of the beliefs and behaviours of their mothers.
尽管为提高对定期筛查重要性的认识付出了巨大努力，但与白人女性相比，中国女性的巴氏涂片检查率仍然较低。我们研究了中国女性巴氏涂片检查行为的三个潜在预测因素：文化适应、宫颈癌筛查信念准确性和代际传播。
白人（n = 78）和中国（n = 93）女大学生及其母亲完成了关于文化适应、巴氏涂片检查信念和行为的问卷调查。
种族群体比较显示，中国的女儿和母亲巴氏涂片检查率较低，对宫颈癌筛查的信念也不太准确。在至少进行过一次巴氏涂片检查的女性中，坚持推荐筛查频率的女性比例没有种族差异。在中国女性中，较低的文化传承适应程度与女儿及其母亲更高的癌症筛查信念准确性相关。母亲的巴氏涂片检查行为由癌症筛查信念准确性水平预测，而女儿的巴氏涂片检查行为由以前的性交经历和文化传承适应程度预测。未发现巴氏涂片检查信念或行为的代际传播。
癌症筛查信念的准确性、文化适应程度和性交经历可能是中国女性巴氏涂片检查行为的预测因素。与我们的预测相反，我们没有发现代际传播的证据，这表明中国女性的巴氏涂片检查信念和行为独立于其母亲的信念和行为。
