Dalla Lana School of Public Health, Social and Behavioral Health Sciences Division, University of Toronto, 155 College Street, Room 582, Toronto, M5T 3M7, Canada.
J Immigr Minor Health. 2012 Apr;14(2):242-50. doi: 10.1007/s10903-011-9472-7.
Despite benefits of screening mammography, many South Asian (SA) immigrant women in Canada remain under screened. We aimed to elicit their experiences and beliefs about barriers to mammography and possible solutions. SA immigrant women aged 50 years or over were eligible if they never had a mammogram or had one more than 3 years ago. We employed the participatory mixed-method approach of Concept Mapping. Sixty women participated with a mean age of 58 years. Participants brainstormed 150 items which were consolidated into 67 items. After sorting and rating, cluster analysis revealed eight clusters of barriers on knowledge, fear, language and transportation, access to mammogram center, access to doctor, beliefs and practices, self-care, and family dependence. Participants discussed possible solutions, and emphasized out-reach models to address knowledge gaps and issues of language and transportation. One example was a community-based shuttle bus to screening centres, hosted by trained co-ethnic workers. The results are discussed to enhance the socio-cultural sensitivity of breast screening programs.
尽管筛查乳房 X 光摄影有其益处，但加拿大的许多南亚（SA）移民妇女仍未接受筛查。我们旨在了解她们对乳房 X 光摄影障碍的经验和看法，以及可能的解决方案。如果年龄在 50 岁或以上的 SA 移民妇女从未接受过乳房 X 光摄影检查，或者上次检查已经超过 3 年，那么她们就有资格参加。我们采用了参与式混合方法的概念映射法。60 名女性参与了研究，平均年龄为 58 岁。参与者提出了 150 个项目，这些项目被整合为 67 个项目。经过排序和评分，聚类分析显示出知识、恐惧、语言和交通、获得乳房 X 光摄影中心、获得医生、信仰和实践、自我保健和家庭依赖等八个障碍集群。参与者讨论了可能的解决方案，并强调了针对知识差距以及语言和交通问题的外展模式。一个例子是由受过培训的同族裔工作人员主持的社区穿梭巴士，前往筛查中心。讨论结果旨在提高乳房 X 光摄影筛查计划的社会文化敏感性。
