Cancer Nursing Research Unit, Sydney Nursing School, University of Sydney, Sydney, NSW, Australia.
J Immigr Minor Health. 2011 Dec;13(6):1076-83. doi: 10.1007/s10903-011-9491-4.
Understanding the different facilitators and barriers to screening within cultural and ethnic groups is important for developing appropriate education and outreach programs to underserved groups. Qualitative methods were employed to gain a rich understanding of participant views. In-depth interviews were conducted with 18 Chinese Australian women in their native languages and analysed using content analysis. Knowledge of cervical cancer was low, and few participants understood the benefits and purpose of screening. Having a doctor's recommendation was a strong motivator, and returning for screening was encouraged by having a female Chinese doctor perform the exam, receiving a reminder letter and the absence of cost for screening participation. However, participation was inhibited by logistical barriers, cultural beliefs and previous painful screening experiences. A range of multifaceted facilitators and barriers must be considered when developing interventions to increase the rates of cervical screening in this population.
了解不同文化和族裔群体中筛查的促进因素和障碍对于为服务不足的群体制定适当的教育和外展计划非常重要。采用定性方法深入了解参与者的观点。用参与者的母语对 18 名澳大利亚华裔女性进行了深入访谈，并采用内容分析法进行了分析。对宫颈癌的了解程度较低，很少有参与者理解筛查的益处和目的。有医生的推荐是一个强有力的动机，而由华裔女医生进行检查、收到提醒信以及筛查参与不收取费用也鼓励了她们回来进行筛查。但是，由于后勤障碍、文化信仰和之前痛苦的筛查经历，参与受到了阻碍。在制定干预措施以提高该人群的宫颈癌筛查率时，必须考虑一系列多方面的促进因素和障碍。
