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韩国年轻移民女性宫颈癌筛查与预防的障碍:对干预措施发展的启示

Barriers to Cervical Cancer Screening and Prevention in Young Korean Immigrant Women: Implications for Intervention Development.

作者信息

Lee Hee Yun, Lee Mi Hwa

机构信息

1 University of Minnesota-Twin Cities, St. Paul, MN, USA.

出版信息

J Transcult Nurs. 2017 Jul;28(4):353-362. doi: 10.1177/1043659616649670. Epub 2016 May 18.

Abstract

This study aimed to identify major barriers to Papanicolaou (Pap) test uptake and human papillomavirus (HPV) vaccine acceptability. Three focus groups with 16 young Korean immigrant women residing in a community in the Midwest were conducted. Braun and Clarke's six phases of thematic analysis were used to develop themes. Three major themes emerged as barriers: (a) limited knowledge about cervical cancer and preventive behaviors, (b) culture-specific barriers, and (c) low accessibility to health care services. These themes were multifactorial and interrelated barriers to Pap test uptake and HPV vaccine acceptability among young Korean immigrant women. These findings indicate that culturally tailored cervical cancer education is needed to promote Pap test uptake and HPV vaccination in this underserved population.

摘要

本研究旨在确定巴氏涂片检查接受率和人乳头瘤病毒(HPV)疫苗可接受性的主要障碍。对居住在美国中西部一个社区的16名年轻韩国移民女性进行了三个焦点小组访谈。采用布劳恩和克拉克的六个主题分析阶段来确定主题。出现了三个主要障碍主题:(a)对宫颈癌和预防行为的了解有限,(b)特定文化障碍,以及(c)医疗保健服务可及性低。这些主题是年轻韩国移民女性接受巴氏涂片检查和HPV疫苗可接受性的多因素且相互关联的障碍。这些发现表明,需要开展针对特定文化的宫颈癌教育,以促进这一服务不足人群接受巴氏涂片检查和HPV疫苗接种。

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