Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX 77555-0587, USA.
Am J Obstet Gynecol. 2010 Dec;203(6):549.e1-7. doi: 10.1016/j.ajog.2010.07.033. Epub 2010 Sep 22.
To determine whether the level of cultural adaptation (acculturation) of Hispanic women is associated with increased sexual risk behaviors and cervical cytological abnormalities.
Hispanic women 18-55 years of age (mean, 30.5 ± 8.32 years) underwent routine Papanicoulaou testing and completed a comprehensive survey (n = 3149). Acculturation (cultural adaptation) was measured using the Short Acculturation Scale for Hispanics. Structural equation modeling was used to test a mediation model.
Highly acculturated women engaged in a greater number of sexual risk behaviors and were more likely to have an abnormal Papanicoulaou test when compared to less acculturated Hispanic women (P < .001).
Acculturation is related to sexual risk taking and abnormal cervical cytology. Determination of acculturation level as part of culturally competent health care will aid in tailoring patient communication and counseling on the prevention of cervical cancer among Hispanic women.
确定西班牙裔女性的文化适应（文化融入）水平是否与增加的性风险行为和宫颈细胞学异常有关。
18-55 岁的西班牙裔女性（平均年龄 30.5±8.32 岁）接受常规巴氏涂片检查，并完成了一项综合调查（n=3149）。使用短西班牙裔文化适应量表来衡量文化适应（文化融入）程度。使用结构方程模型来测试中介模型。
与文化融入程度较低的西班牙裔女性相比，高度融入的女性进行了更多的性风险行为，并且巴氏涂片检查异常的可能性更高（P<.001）。
文化融入与性冒险行为和宫颈细胞学异常有关。确定文化融入程度作为文化能力保健的一部分，将有助于针对西班牙裔女性进行有关预防宫颈癌的患者沟通和咨询。
