Roh Soonhee, Burnette Catherine E, Lee Yeon-Shim, Jun Jung Sim, Lee Hee Yun, Lee Kyoung Hag
a Department of Social Work , University of South Dakota , Sioux Falls , SD , USA.
b School of Social Work , Tulane University , New Orleans , LA , USA.
Soc Work Health Care. 2018 Aug;57(7):465-482. doi: 10.1080/00981389.2018.1455789. Epub 2018 Mar 28.
The purpose of this article is to examine the health beliefs and literacy about breast cancer and their relationship with breast cancer screening among American Indian (AI) women. Using the Health Belief Model (HBM) and hierarchical logistic regression with data from a sample of 286 AI female adults residing in the Northern Plains, we found that greater awareness of breast cancer screening was linked to breast cancer screening practices. However, perceived barriers, one of the HBM constructs, prevented such screening practices. This study suggested that culturally relevant HBM factors should be targeted when developing culturally sensitive breast cancer prevention efforts.
本文旨在研究美国印第安（AI）女性对乳腺癌的健康认知和素养，以及它们与乳腺癌筛查之间的关系。利用健康信念模型（HBM）和分层逻辑回归，对居住在大平原北部的286名成年AI女性样本数据进行分析，我们发现对乳腺癌筛查的更高认知与乳腺癌筛查行为相关。然而，作为HBM构成要素之一的感知障碍阻碍了此类筛查行为。本研究表明，在开展具有文化敏感性的乳腺癌预防工作时，应针对与文化相关的HBM因素。
