School of Social Work, University of Minnesota, Twin Cities,105 Peters Hall, 1404 Gortner Avenue, St. Paul, MN, 55108, USA,
J Immigr Minor Health. 2013 Dec;15(6):1030-7. doi: 10.1007/s10903-013-9804-x.
East and South Asian male immigrants show markedly low odds of prostate cancer screening as compared to U.S.-born men. However, knowledge about these immigrants' culture-based screening behavior and barriers to screening is extremely limited. This study investigates factors influencing receipt of prostate cancer screening among Korean American immigrant men, particularly investigating culture's impact on screening behaviors. Data were collected through a convenience and purposive sampling technique from 134 Korean American males aged 50 and older recruited in New York City. A structured questionnaire was used and cultural variables were measured by adopting items from Tang and colleagues' work. Approximately 60 % of the sample had received a prostate-specific antigen (PSA) test in their lifetime, and of these, about 66 % reported having done so in the previous 12 months. Logistic regression analysis revealed that a crisis-oriented intervention approach was associated with a substantially reduced likelihood of screening. A positive correlation was noted between the use of Eastern medicine and PSA test receipt. Further analysis revealed a significant interaction effect between use of Eastern medicine and age in predicting PSA test uptake. Culture-specific intervention strategies for increasing prostate cancer screening in this group are discussed, with particular attention to increasing pertinent health literacy. Health professionals should consider the cultural domain when working with Korean immigrant men in order to provide culturally competent care.
东亚和南亚男性移民接受前列腺癌筛查的几率明显低于美国出生的男性。然而，关于这些移民基于文化的筛查行为和筛查障碍的知识极其有限。本研究调查了影响韩裔美国男性接受前列腺癌筛查的因素，特别是调查文化对筛查行为的影响。研究数据通过便利抽样和目的抽样技术从纽约市招募的 134 名 50 岁及以上的韩裔美国男性中收集。使用了一份结构式问卷，通过采用 Tang 及其同事的研究中的项目来衡量文化变量。样本中约有 60%的人在一生中接受过前列腺特异性抗原（PSA）检测，其中约 66%的人在过去 12 个月内接受过检测。逻辑回归分析显示，以危机为导向的干预方法与筛查的可能性显著降低有关。使用东方医学与接受 PSA 检测之间呈正相关。进一步的分析表明，在预测 PSA 检测使用率方面，东方医学的使用与年龄之间存在显著的交互作用效应。本文讨论了针对这一群体增加前列腺癌筛查的特定文化干预策略，特别关注提高相关健康素养。医疗保健专业人员在为韩裔移民男性提供服务时应考虑文化领域，以提供文化上合适的护理。
