Todd Laura, Harvey Erin, Hoffman-Goetz Laurie
Faculty of Applied Health Sciences, Department of Health Studies and Gerontology, University of Waterloo, Waterloo, ON, Canada.
J Cancer Educ. 2011 Mar;26(1):161-9. doi: 10.1007/s13187-010-0141-7.
Little is known about the cancer screening behaviors of older ESL Chinese immigrant women. To explore predictors of colon and breast cancer screening in this population, 103 Mandarin- and Cantonese-speaking immigrant women ages 50 years and older were recruited. Participants completed questionnaires to evaluate screening behaviors, health literacy, and demographic characteristics. Eighty-five percent self-reported that they were current breast cancer screeners, and 75% were current colon cancer screeners. Recommendation from a physician, having a female physician, and high or moderate proficiency in English predicted current mammography screening. Physician recommendation, first language, and self-efficacy predicted use of colon cancer screening. Bivariate analyses also revealed an association between use of colon cancer screening and greater health literacy and longer residency in Canada. Important predictors of screening emerged that potentially informs interventions to increase cancer prevention among older Chinese immigrants. The essential role of physician recommendation was identified for both breast and colon cancer screening.
对于年长的非英语母语的华裔移民女性的癌症筛查行为，人们了解甚少。为了探究该人群中结肠癌和乳腺癌筛查的预测因素，招募了103名年龄在50岁及以上、说普通话和粤语的移民女性。参与者完成了问卷调查，以评估筛查行为、健康素养和人口统计学特征。85%的人自我报告称她们目前是乳腺癌筛查者，75%的人是目前的结肠癌筛查者。医生的建议、有女性医生以及英语水平高或中等预测了当前的乳房X光检查筛查。医生的建议、母语和自我效能预测了结肠癌筛查的使用情况。双变量分析还揭示了结肠癌筛查的使用与更高的健康素养以及在加拿大更长的居住时间之间的关联。出现了筛查的重要预测因素，这可能为增加老年华裔移民癌症预防的干预措施提供信息。确定了医生建议在乳腺癌和结肠癌筛查中的重要作用。
