文化、情感与癌症筛查：一个用于探究健康行为的综合框架
Culture, emotion, and cancer screening: an integrative framework for investigating health behavior.
机构信息
Department of Psychology, Loma Linda University, Loma Linda, CA 92354, USA.
出版信息
Ann Behav Med. 2011 Aug;42(1):79-90. doi: 10.1007/s12160-011-9267-z.
BACKGROUND
Although health disparity research has investigated social structural, cultural, or psychological factors, the interrelations among these factors deserve greater attention.
PURPOSE
This study aims to examine cancer screening emotions and their relations to screening fatalism as determinants of breast cancer screening among women from diverse socioeconomic and ethnic backgrounds.
METHODS
An integrative conceptual framework was used to test the multivariate relations among socioeconomic status, age, screening fatalism, screening emotions, and clinical breast exam compliance among 281 Latino and Anglo women, using multi-group structural equation causal modeling.
RESULTS
Screening emotions and screening fatalism had a negative, direct influence on clinical breast exam compliance for both ethnic groups. Still, ethnicity moderated the indirect effect of screening fatalism on clinical breast exam compliance through screening emotions.
CONCLUSIONS
Integrative conceptual frameworks and multivariate methods may shed light on the complex relations among factors influencing health behaviors relevant to disparities. Future research and intervention must recognize this complexity when working with diverse populations.
背景
尽管健康差异研究已经调查了社会结构、文化或心理因素，但这些因素之间的相互关系值得更多关注。
目的
本研究旨在检验癌症筛查情绪及其与筛查宿命论之间的关系，以确定不同社会经济和种族背景的女性进行乳腺癌筛查的决定因素。
方法
采用综合概念框架，使用多组结构方程因果建模，检验了 281 名拉丁裔和盎格鲁裔女性中社会经济地位、年龄、筛查宿命论、筛查情绪与临床乳房检查依从性之间的多变量关系。
结果
筛查情绪和筛查宿命论对两个种族群体的临床乳房检查依从性都有负面影响。尽管如此，种族因素通过筛查情绪调节了筛查宿命论对临床乳房检查依从性的间接影响。
结论
综合概念框架和多变量方法可以揭示影响与差异相关的健康行为的因素之间的复杂关系。未来的研究和干预措施在与不同人群合作时必须认识到这种复杂性。
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