Padela Aasim I, Vu Milkie, Muhammad Hadiyah, Marfani Farha, Mallick Saleha, Peek Monica, Quinn Michael T
Initiative on Islam and Medicine, Program on Medicine and Religion, The University of Chicago, Chicago, Illinois, USA.
Department of Medicine, The University of Chicago, Chicago, Illinois, USA.
Psychooncology. 2016 Oct;25(10):1175-1182. doi: 10.1002/pon.4216. Epub 2016 Aug 4.
Studies suggest that American Muslim women underutilize mammography. While religion has a strong influence upon Muslim health behaviors, scant research has examined how religion-related beliefs inform Muslim women's intention for mammography. Our study identifies and examines such beliefs.
Muslim women aged 40 years and older sampled from mosques participated in focus groups and individual interviews. Drawing upon the theory of planned behavior, interviews elicited salient behavioral, normative, and control beliefs regarding mammography and the influence of Islam upon screening intention.
Fifty women participated in 6 focus groups and 19 in semistructured interviews, with near-equal numbers of African American, South Asian, and Arab Muslims. Forty-two percent of participants had not had a mammogram within the past 2 years. Across differences in race/ethnicity and mammography status, women voiced four religion-related salient beliefs that inform mammography intention: (1) the perceived duty to care for one's health, (2) religious practices as methods of disease prevention, (3) fatalistic notions about health, and (4) comfort with gender concordant health care.
Religious beliefs influence decisions to pursue mammography across the ethnic/racial diversity of Muslim women. Notions about duty to God and the stewardship of one's body appear to enhance mammography intention. Theocentric notions of cure and illness and varied views regarding personal agency also inform decisional frames that impact mammography intention. Given the salience of religion among our participants, religiously tailored messages in interventions have the potential to enhance cancer screening.
研究表明，美国穆斯林女性对乳房X光检查的利用率较低。虽然宗教对穆斯林的健康行为有很大影响，但很少有研究探讨与宗教相关的信念如何影响穆斯林女性进行乳房X光检查的意愿。我们的研究旨在识别并检验这些信念。
从清真寺抽取年龄在40岁及以上的穆斯林女性参与焦点小组讨论和个人访谈。基于计划行为理论，访谈引出了关于乳房X光检查以及伊斯兰教对筛查意愿影响的显著行为、规范和控制信念。
50名女性参与了6个焦点小组讨论，19名参与了半结构化访谈，其中非裔美国穆斯林、南亚穆斯林和阿拉伯穆斯林的人数大致相等。42%的参与者在过去两年内未进行过乳房X光检查。在种族/民族和乳房X光检查状况存在差异的情况下，女性表达了四种与宗教相关的显著信念，这些信念影响着乳房X光检查的意愿：（1）照顾自身健康的责任感；（2）将宗教仪式作为预防疾病的方法；（3）对健康的宿命论观念；（4）对符合性别规范的医疗保健的认同。
宗教信仰影响着不同种族/民族的穆斯林女性进行乳房X光检查的决定。对上帝的责任观念和对自身身体的管理意识似乎增强了乳房X光检查的意愿。以神为中心的治愈和疾病观念以及对个人能动性的不同看法也构成了影响乳房X光检查意愿的决策框架。鉴于宗教在我们的参与者中具有显著地位，干预措施中针对宗教的定制信息有可能提高癌症筛查率。
