Kratzke Cynthia, Amatya Anup, Vilchis Hugo
Department of Public Health Sciences, MSC 3HLS, College of Health and Social Services, New Mexico State University, P.O. Box 30001, Las Cruces, NM, 88003, USA,
J Community Health. 2015 Feb;40(1):124-30. doi: 10.1007/s10900-014-9908-9.
Although growing research focuses on breast cancer screenings, little is known about breast cancer prevention with risk reduction awareness for ethnic differences among college-age women. This study examined breast cancer prevention knowledge, beliefs, and information sources between non-Hispanic and Hispanic college women. Using a cross-sectional study, women at a university in the Southwest completed a 51-item survey about breast cancer risk factors, beliefs, and media and interpersonal information sources. The study was guided by McGuire's Input Output Persuasion Model. Of the 546 participants, non-Hispanic college women (n = 277) and Hispanic college women (n = 269) reported similar basic knowledge levels of modifiable breast cancer risk factors for alcohol consumption (52 %), obesity (72 %), childbearing after age 35 (63 %), and menopausal hormone therapy (68 %) using bivariate analyses. Most common information sources were Internet (75 %), magazines (69 %), provider (76 %) and friends (61 %). Least common sources were radio (44 %), newspapers (34 %), and mothers (36 %). Non-Hispanic college women with breast cancer family history were more likely to receive information from providers, friends, and mothers. Hispanic college women with a breast cancer family history were more likely to receive information from their mothers. Breast cancer prevention education for college women is needed to include risk reduction for modifiable health behavior changes as a new focus. Health professionals may target college women with more information sources including the Internet or apps.
尽管越来越多的研究聚焦于乳腺癌筛查，但对于大学适龄女性中不同种族在降低风险意识以预防乳腺癌方面却知之甚少。本研究调查了非西班牙裔和西班牙裔大学女性在乳腺癌预防知识、信念及信息来源方面的差异。采用横断面研究方法，西南部一所大学的女性完成了一项包含51个条目的关于乳腺癌风险因素、信念以及媒体和人际信息来源的调查。该研究以麦圭尔的输入输出说服模型为指导。在546名参与者中，通过双变量分析发现，非西班牙裔大学女性（n = 277）和西班牙裔大学女性（n = 269）在可改变的乳腺癌风险因素（如饮酒，52%；肥胖，72%；35岁后生育，63%；绝经后激素治疗，68%）的基本知识水平上相似。最常见的信息来源是互联网（75%）、杂志（69%）、医疗服务提供者（76%）和朋友（61%）。最不常见的来源是广播（44%）、报纸（34%）和母亲（36%）。有乳腺癌家族史的非西班牙裔大学女性更有可能从医疗服务提供者、朋友和母亲那里获取信息。有乳腺癌家族史的西班牙裔大学女性更有可能从母亲那里获取信息。需要对大学女性开展乳腺癌预防教育，将针对可改变的健康行为变化进行风险降低作为新的重点。健康专业人员可以为大学女性提供更多信息来源，包括互联网或应用程序。
