School of Social Work, University of Minnesota, Twin Cities, 105 Peters Hall, 1404 Gortner Avenue, St. Paul, MN 55108, USA.
Ethn Dis. 2011 Autumn;21(4):399-405.
Despite the proven benefits of Pap testing, Korean American women have one of the lowest cervical cancer screening rates in the United States. This study examined how cultural factors are associated with Pap test utilization among Korean American women participants.
Quota sampling was used to recruit 202 Korean American women participants residing in New York City. Hierarchical logistic regression was used to assess the association of cultural variables with Pap test receipt.
Overall, participants in our study reported significantly lower Pap test utilization; only 58% reported lifetime receipt of this screening test. Logistic regression analysis revealed one of the cultural variables--prevention orientation--was the strongest correlate of recent Pap test use. Older age and married status were also found to be significant predictors of Pap test use.
Findings suggest cultural factors should be considered in interventions promoting cervical cancer screening among Korean American women. Furthermore, younger Korean American women and those not living with a spouse/partner should be targeted in cervical cancer screening efforts.
尽管巴氏涂片检查已被证实有益，但美国韩裔女性的宫颈癌筛查率是所有族裔中最低的之一。本研究旨在探讨文化因素如何与韩裔美国女性参与者的巴氏涂片检查使用率相关。
采用配额抽样法招募了 202 名居住在纽约市的韩裔美国女性参与者。采用分层逻辑回归分析评估了文化变量与巴氏涂片检查接受情况之间的关联。
总体而言，研究参与者报告的巴氏涂片检查使用率明显较低；只有 58%的人报告曾接受过这种筛查测试。逻辑回归分析显示，其中一个文化变量——预防意识——是近期巴氏涂片检查使用率的最强相关因素。年龄较大和已婚状态也是巴氏涂片检查使用率的显著预测因素。
研究结果表明，在促进韩裔美国女性宫颈癌筛查的干预措施中应考虑文化因素。此外，应针对年轻的韩裔美国女性和与配偶/伴侣不住在一起的女性开展宫颈癌筛查工作。
