1 Washington State University College of Nursing, Vancouver, WA, USA.
2 Vietnamese Women's Health Project of the Vietnamese American Community, Seattle, WA, USA.
J Transcult Nurs. 2018 Nov;29(6):555-562. doi: 10.1177/1043659618764570. Epub 2018 Mar 26.
Although breast cancer (BC) rates are declining in White non-Hispanic American women, they are increasing among Vietnamese American women (VAW) at 1.2% (95% confidence interval [0.1, 2.2]) per year. BC screening rates (64%) are below the national rates (81.1%). This article explores VAW's beliefs about BC and screening.
Using community-based participatory qualitative descriptive methods, 40 VAW were recruited from Oregon, and four focus groups were conducted. A directed content analysis was used.
Main themes were as follows: deferred to a health care provider or relying on self-detection and symptoms; fear of BC versus fear of procedural pain; limited knowledge; motivation by observing others' journey in BC death or survivorship; body image concern; "living carefree," "good fortune-having good health"; and coverage for a mammogram expense means health care access.
Tailored interventions should address mammogram knowledge, fear, erroneous information, body image, fate and luck, and promoting access.
尽管白种非西班牙裔美国女性的乳腺癌（BC）发病率正在下降，但越裔美国女性（VAW）的发病率却以每年 1.2%（95%置信区间 [0.1, 2.2]）的速度上升。BC 筛查率（64%）低于全国平均水平（81.1%）。本文探讨了 VAW 对 BC 和筛查的看法。
采用基于社区的参与性定性描述方法，从俄勒冈州招募了 40 名越裔美国女性，并进行了四次焦点小组讨论。采用有针对性的内容分析。
主要主题如下：听从医疗保健提供者的意见，或依赖自我检测和症状；对 BC 的恐惧与对程序疼痛的恐惧；知识有限；通过观察他人在 BC 死亡或生存中的旅程而受到激励；身体形象问题；“无忧无虑地生活”、“好运——身体健康”；以及支付乳房 X 光检查费用意味着获得医疗保健。
量身定制的干预措施应针对乳房 X 光检查知识、恐惧、错误信息、身体形象、命运和运气以及促进获得医疗保健展开。
