Nguyen Anh B, Clark Trenette T
a Division of Cancer Control and Population Sciences , The National Cancer Institute , Rockville , Maryland , USA.
Health Care Women Int. 2014;35(10):1162-80. doi: 10.1080/07399332.2013.863317. Epub 2014 Jan 30.
The aim of this study was to examine the influence of demographic variables and the interplay between collectivism and acculturation on breast and cervical cancer screening outcomes among Vietnamese American women. Convenience sampling was used to recruit 111 Vietnamese women from the Richmond, VA, metropolitan area, who participated in a larger cancer screening intervention. All participants completed measures on demographic variables, collectivism, acculturation, and cancer-screening-related variables (i.e., attitudes, self-efficacy, and screening behavior). Findings indicated that collectivism predicted both positive attitudes and higher levels of self-efficacy with regard to breast and cervical cancer screening. Collectivism also moderated the relationship between acculturation and attitudes toward breast cancer screening such that for women with low levels of collectivistic orientation, increasing acculturation predicted less positive attitudes towards breast cancer screening. This relationship was not found for women with high levels of collectivistic orientation. The current findings highlight the important roles that sociodemographic and cultural variables play in affecting health attitudes, self-efficacy, and behavior among Vietnamese women. The findings potentially inform screening programs that rely on culturally relevant values in helping increase Vietnamese women's motivation to screen.
本研究的目的是考察人口统计学变量以及集体主义与文化适应之间的相互作用对美籍越南裔女性乳腺癌和宫颈癌筛查结果的影响。采用便利抽样法，从弗吉尼亚州里士满市大都市区招募了111名越南女性，她们参与了一项更大规模的癌症筛查干预项目。所有参与者都完成了关于人口统计学变量、集体主义、文化适应以及癌症筛查相关变量（即态度、自我效能感和筛查行为）的测量。研究结果表明，集体主义预测了对乳腺癌和宫颈癌筛查的积极态度以及更高水平的自我效能感。集体主义还调节了文化适应与对乳腺癌筛查态度之间的关系，即对于集体主义取向水平较低的女性，文化适应程度的提高预示着对乳腺癌筛查的态度不那么积极。而对于集体主义取向水平较高的女性，未发现这种关系。当前研究结果凸显了社会人口统计学和文化变量在影响越南女性健康态度、自我效能感和行为方面所起的重要作用。这些发现可能为依赖文化相关价值观来帮助提高越南女性筛查积极性的筛查项目提供参考。
