Shaw Susan J, Vivian James, Orzech Kathryn M, Torres Cristina Huebner, Armin Julie
School of Anthropology, University of Arizona, Tucson, AZ 85721-0030, USA.
J Cancer Educ. 2012 Mar;27(1):165-71. doi: 10.1007/s13187-011-0285-0.
While a wide range of behavioral and psychosocial literature explores attitudes and beliefs towards cancer screenings, fewer studies examine attitudes across cancer screening types. We draw on quantitative and qualitative findings from a 4-year prospective study based at a community health center serving diverse, low-income patients. Methods included self-report surveys (n = 297), medical chart abstraction, and several qualitative methods with a subsample of participants. Participants included white, African-American, Vietnamese, and Latino patients who were diagnosed with diabetes, hypertension, or both. Patients' attitudes (both positive and negative) towards cancer screening types were remarkably consistent across cancer screening types. These effects were stronger among men than women. Never having had a cancer screening was generally associated with more unfavorable attitudes towards all screenings. Qualitative interviews indicate the importance of information circulated through social networks in shaping attitudes towards cancer screenings.
In a multi-method study of attitudes towards cancer screening among medically underserved patients in a primary care setting, we found that attitudes (both positive and negative) were remarkably consistent across cancer screening types.
虽然大量行为学和社会心理学文献探讨了对癌症筛查的态度和信念，但较少有研究考察不同类型癌症筛查的态度。我们借鉴了一项为期4年的前瞻性研究的定量和定性结果，该研究以一家为不同的低收入患者服务的社区健康中心为基础。方法包括自我报告调查（n = 297）、病历摘要以及对部分参与者采用的几种定性方法。参与者包括被诊断患有糖尿病、高血压或两者皆有的白人、非裔美国人、越南人和拉丁裔患者。患者对不同类型癌症筛查的态度（包括积极和消极）在各类癌症筛查中非常一致。这些影响在男性中比在女性中更强。从未进行过癌症筛查通常与对所有筛查更负面的态度相关。定性访谈表明，通过社交网络传播的信息在塑造对癌症筛查的态度方面具有重要性。
在一项针对基层医疗环境中医疗服务不足患者对癌症筛查态度的多方法研究中，我们发现患者对不同类型癌症筛查的态度（包括积极和消极）非常一致。
