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关于亚裔美国女性宫颈癌及宫颈癌筛查的社会生态视角

Socioecological perspectives on cervical cancer and cervical cancer screening among Asian American women.

作者信息

Lee Jongwon, Carvallo Mauricio

机构信息

College of Nursing, University of New Mexico, MSC 09 5350, 1 University of New Mexico, Albuquerque, NM, 87131-0001, USA,

出版信息

J Community Health. 2014 Oct;39(5):863-71. doi: 10.1007/s10900-014-9887-x.

Abstract

Although cervical cancer is one of the most commonly diagnosed cancers among Vietnamese American women (VAW) and Korean American women (KAW), both groups consistently report much lower rates of cervical cancer screening compared with other Asian ethnic subgroups and non-Hispanic Whites. This study aimed to explore multilevel factors that may underlie low screening rates among VAW and KAW living in a city where their ethnic communities are relatively small. The socioecological model was used as a conceptual framework. Thirty participants were conveniently recruited from ethnic beauty salons run by VA and KA cosmetologists in Albuquerque, New Mexico. The participants' average age was 44.6 years (SD = .50; range = 21-60). Most participants were married (80 %) and employed (73.3 %), and had health insurance (83.3 %). A qualitative interview was conducted in Vietnamese or Korean and transcribed verbatim. A thematic content analysis was used to identify major codes, categories, and patterns across the transcripts. The study identified several factors at the individual (e.g., pregnancy, poverty, personality), interpersonal (e.g., family responsibility, mother as influential referent), and community (e.g., lack of availability, community size) levels. The study sheds light on four major areas that must be taken into consideration in the development of culturally appropriate, community-based interventions aimed to reduce disparities in cervical cancer screening among ethnic minority women in the United States: (1) ethnic community size and geographic location; (2) cross-cultural similarities and dissimilarities; (3) targeting of not only unmarried young women, but also close referents; and (4) utilization of trusted resources within social networks.

摘要

尽管宫颈癌是美籍越南女性(VAW)和美籍韩裔女性(KAW)中最常被诊断出的癌症之一,但与其他亚洲族裔亚群体和非西班牙裔白人相比,这两个群体的宫颈癌筛查率一直低得多。本研究旨在探讨生活在其族裔社区相对较小的城市中的美籍越南女性和美籍韩裔女性筛查率较低背后的多层次因素。社会生态模型被用作概念框架。从新墨西哥州阿尔伯克基由美籍越南人和美籍韩裔美容师经营的民族美容院中便利地招募了30名参与者。参与者的平均年龄为44.6岁(标准差 = 0.50;范围 = 21 - 60岁)。大多数参与者已婚(80%)且就业(73.3%),并拥有医疗保险(83.3%)。以越南语或韩语进行了定性访谈,并逐字记录。采用主题内容分析来识别转录本中的主要代码、类别和模式。该研究在个人层面(如怀孕、贫困、性格)、人际层面(如家庭责任、母亲作为有影响力的参照对象)和社区层面(如缺乏可及性、社区规模)确定了几个因素。该研究揭示了在美国制定旨在减少少数族裔女性宫颈癌筛查差异的具有文化适宜性的社区干预措施时必须考虑的四个主要领域:(1)族裔社区规模和地理位置;(2)跨文化的异同;(3)不仅针对未婚年轻女性,还针对亲密参照对象;(4)利用社交网络中可信赖的资源。

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