Moore de Peralta Arelis, Holaday Bonnie, Hadoto Ida Mikisa
1 Clemson University, Clemson, SC, USA.
Hisp Health Care Int. 2017 Mar;15(1):5-12. doi: 10.1177/1540415316682494. Epub 2016 Dec 16.
Hispanic women's cervical cancer rates are disproportionately high. Cues to cervical cancer screening (Cues to Action) are strategies to activate the decision-making process to get screened for cervical cancer. This study used the health belief model to examine which cues prompt Hispanic women to undergo cervical cancer screening and how perceptions could be potentiated by cues to cervical cancer screening.
A cross-sectional survey was conducted among Hispanic women 18 to 65 years old ( n = 220). Generalized linear modeling was used.
Spanish media and reminders by mother and doctors were relevant cues. Generalized linear modeling showed cues to action modified significantly the predictive effect of Perceived Threats (i.e., Susceptibility, Severity), benefits, barriers, and self-efficacy on Hispanic women's cervical cancer screening behavior. "Mother told me" and Spanish media messages were significant covariates.
Cues to Action influenced Hispanic's women participation in cervical cancer screening. Cues to Action increased the strength of the health belief model as an explanatory model, and must be considered in designing culturally appropriate cervical cancer screening interventions.
西班牙裔女性的宫颈癌发病率过高。宫颈癌筛查行动提示（行动提示）是激活宫颈癌筛查决策过程的策略。本研究使用健康信念模型来检验哪些提示促使西班牙裔女性进行宫颈癌筛查，以及宫颈癌筛查行动提示如何增强她们的认知。
对18至65岁的西班牙裔女性（n = 220）进行了横断面调查。使用了广义线性模型。
西班牙媒体以及母亲和医生的提醒是相关提示。广义线性模型显示，行动提示显著改变了感知威胁（即易感性、严重性）、益处、障碍和自我效能对西班牙裔女性宫颈癌筛查行为的预测作用。“母亲告诉我”和西班牙媒体信息是显著的协变量。
行动提示影响了西班牙裔女性参与宫颈癌筛查。行动提示增强了健康信念模型作为一种解释模型的效力，在设计适合不同文化背景的宫颈癌筛查干预措施时必须予以考虑。
