Loma Linda University, School of Public Health, CA, USA.
Health Educ Behav. 2011 Oct;38(5):452-61. doi: 10.1177/1090198110375037. Epub 2011 Apr 11.
A low rate of mammogram screening exists among low-income Hispanic women. To address this disparity, an experimental intervention containing audiovisual and written media was conducted using the health belief model as a framework. The purpose of this study was to determine if low-income Hispanic women, more than 40 years of age, who received targeted cancer prevention education (n = 105) had a significantly greater perceived threat of breast cancer, greater benefits and lower barriers to screening, and stronger intentions to obtain mammograms compared to a control group (n = 105). Intervention participants reported significantly greater perceived benefits, self-efficacy, and mammogram screening intentions than the control group. Predictors of mammogram screening intentions, when controlling for covariates, included receiving the intervention, and having greater perceived benefits, self-efficacy, and lower barriers. Results demonstrate the effectiveness of a low-cost, theory-based intervention aimed at increasing mammogram screening to assist in the monitoring of Healthy People 2020 objectives.
低收入的西班牙裔美国妇女进行乳房 X 光筛检的比率很低。为了解决这一差距，我们采用健康信念模式作为框架，开展了一项包含视听和书面媒体的实验性干预措施。本研究的目的是确定接受针对性癌症预防教育的（n = 105）年龄在 40 岁以上的低收入西班牙裔妇女是否比对照组（n = 105）对乳腺癌的威胁有更深刻的认识、对筛查的益处更大、障碍更少、获得乳房 X 光检查的意愿更强。与对照组相比，干预组参与者报告称，他们对益处、自我效能感和乳房 X 光检查的意愿有了显著提高。在控制协变量的情况下，乳房 X 光检查意愿的预测因素包括接受干预，以及对益处、自我效能感和障碍的认识增加。结果表明，这种针对低收入人群、基于理论的干预措施可以有效提高乳房 X 光筛检率，有助于监测 2020 年健康人群目标的实现。
