美籍越南女性宫颈癌筛查的相关因素
Correlates of cervical cancer screening among Vietnamese American women.
作者信息
Ma Grace X, Fang Carolyn Y, Feng Ziding, Tan Yin, Gao Wanzhen, Ge Shaokui, Nguyen Cuc
机构信息
Department of Public Health, College of Health Professions, Temple University, Philadelphia, PA 19122, USA.
出版信息
Infect Dis Obstet Gynecol. 2012;2012:617234. doi: 10.1155/2012/617234. Epub 2012 Sep 13.
OBJECTIVE
Vietnamese American women are at the greatest risk for cervical cancer but have the lowest cervical cancer screening rates. This study was to determine whether demographic and acculturation, healthcare access, and knowledge and beliefs are associated with a prior history of cervical cancer screening among Vietnamese women.
METHODS
Vietnamese women (n = 1450) from 30 Vietnamese community-based organizations located in Pennsylvania and New Jersey participated in the study and completed baseline assessments. Logistic regression analyses were performed.
RESULTS
Overall levels of knowledge about cervical cancer screening and human papillomavirus (HPV) are low. Factors in knowledge, attitude, and beliefs domains were significantly associated with Pap test behavior. In multivariate analyses, physician recommendation for screening and having health insurance were positively associated with prior screening.
CONCLUSION
Understanding the factors that are associated with cervical cancer screening will inform the development of culturally appropriate intervention strategies that would potentially lead to increasing cervical cancer screening rates among Vietnamese women.
目的
美籍越南裔女性患宫颈癌的风险最高，但宫颈癌筛查率却最低。本研究旨在确定人口统计学和文化适应程度、医疗保健可及性以及知识和信念是否与越南女性既往宫颈癌筛查史相关。
方法
来自宾夕法尼亚州和新泽西州30个越南裔社区组织的1450名越南女性参与了本研究并完成了基线评估。进行了逻辑回归分析。
结果
对宫颈癌筛查和人乳头瘤病毒（HPV）的总体知识水平较低。知识、态度和信念领域的因素与巴氏试验行为显著相关。在多变量分析中，医生的筛查建议和拥有医疗保险与既往筛查呈正相关。
结论
了解与宫颈癌筛查相关的因素将为制定符合文化背景的干预策略提供依据，这可能会提高越南女性的宫颈癌筛查率。
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