University of Haifa, Israel.
Behav Med. 2010 Jul-Sep;36(3):92-9. doi: 10.1080/08964280903521313.
This study aimed to assess outcomes of a culture-specific intervention devised to reduce barriers to breast cancer screening among Arab women in Israel. Women in intervention (n = 42) and control (n = 24) groups answered breast examination performance and Arab culture-specific barriers and health beliefs questionnaires at pre- and postintervention. Women in the study group received tailored telephone intervention between the 2 interviews. Although the study and control groups did not differ in rate of attending clinical examinations and mammography at pre-intervention, at post-intervention, almost 48% of the intervention group and 12.5% of the control group scheduled or attended a clinical examination, and 38.5% of women in the intervention group and 21.4% of the control group attended or scheduled a mammography. Of the cultural barriers, a significant group x time effect was found for the cultural barriers of exposure, social barriers, and self-uneasiness with body, with a higher decrease in the intervention group. Of the health beliefs, a group x time effect was found for perceived vulnerability and perceived barriers to clinical examination and mammography, which significantly decreased in the intervention group, but not in the control group. The preliminary results showed that the culture-based intervention was effective in reducing barriers and increasing the rate of breast cancer examinations.
本研究旨在评估一项专门针对减少以色列阿拉伯妇女乳腺癌筛查障碍的文化特定干预措施的效果。干预组（n=42）和对照组（n=24）的女性在干预前后分别回答了乳房检查表现、阿拉伯文化特定障碍和健康信念问卷。研究组的女性在两次访谈之间接受了定制的电话干预。尽管研究组和对照组在干预前的临床检查和乳房 X 光检查的参与率上没有差异，但在干预后，干预组中有近 48%的女性安排或参加了临床检查，而对照组中只有 12.5%的女性参加了临床检查，干预组中有 38.5%的女性参加或预约了乳房 X 光检查，而对照组中只有 21.4%的女性参加了乳房 X 光检查。在文化障碍方面，干预组的文化暴露、社会障碍和对身体不适的自我意识方面的文化障碍显著降低。在健康信念方面，干预组的易感性和对临床检查和乳房 X 光检查的障碍感知显著降低，但对照组没有。初步结果表明，基于文化的干预措施在降低障碍和提高乳腺癌检查率方面是有效的。
