School of Social Work, The University of Memphis, Memphis, TN, USA.
Department of Applied Economics, University of Minnesota, St. Paul, MN, USA.
Ethn Health. 2021 Apr;26(3):431-447. doi: 10.1080/13557858.2018.1520813. Epub 2018 Oct 16.
Korean American (KA) women have experienced higher prevalence and lower survival rates of breast cancer (BC) than other ethnic groups in the United States. However, BC screening rates for KA women remain significantly lower than the national target (81.1%) specified by Healthy People 2020. Few studies have explained how the decision to adopt BC screening occurs and progresses and what factors contribute to this decision among KA women. This study used Weinstein's Precaution Adoption Process Model (PAPM) as a theoretical framework to examine characteristics and factors associated with the decisional stage of mammography adoption. A cross-sectional self-report survey was administered among KA women ( = 308) ages 50-80 from the Atlanta metropolitan area. A total of 281 KA women completed the survey, answering questions about socio-demographics, health-related information, mammography history, doctor recommendation, BC screening knowledge, self-efficacy for BC screening, decisional balance scores on attitudes and beliefs pertaining to mammography, and the seven-stage PAPM. KA women reported a low rate of mammography uptake with about 24% and 35% of the participants undergoing mammography within the last year and two years, respectively. KA women in stages 5 (decided yes), 6 (action), and 7 (maintenance) were likely to have increased screening-related knowledge, positive decisional balance, and regular medical check-up compared to those in stages 1 (unaware), 2 (unengaged), and 3 (deciding). This study highlights important factors that could potentially facilitate BC screening among KA women in Georgia. The findings also provide implications for interventions and practice for increasing mammography screening among medically underserved populations.
美籍韩裔（KA）女性的乳腺癌（BC）患病率高于其他族裔，但生存率却较低。然而，KA 女性的 BC 筛查率仍明显低于“健康人 2020”规定的 81.1%的全国目标。很少有研究解释 KA 女性做出 BC 筛查决定的过程以及影响这一决定的因素。本研究采用 Weinstein 的预防采用过程模型（PAPM）作为理论框架，研究与 KA 女性接受乳房 X 线照片检查的决策阶段相关的特征和因素。在亚特兰大大都市区对年龄在 50-80 岁的 KA 女性（ = 308）进行了横断面的自我报告调查。共有 281 名 KA 女性完成了调查，回答了关于社会人口统计学、健康相关信息、乳房 X 线照片检查史、医生推荐、BC 筛查知识、BC 筛查自我效能、与乳房 X 线照片检查相关的态度和信念的决策平衡评分，以及 PAPM 的七个阶段。KA 女性报告的乳房 X 线照片检查率较低，分别约有 24%和 35%的参与者在过去一年和两年内进行了乳房 X 线照片检查。与处于第 1 阶段（未察觉）、第 2 阶段（未参与）和第 3 阶段（决定）的参与者相比，处于第 5 阶段（决定是）、第 6 阶段（行动）和第 7 阶段（维持）的 KA 女性更有可能具有增加的筛查相关知识、积极的决策平衡和定期的医疗检查。本研究强调了可能促进佐治亚州 KA 女性接受 BC 筛查的重要因素。研究结果还为增加医疗服务不足人群的乳房 X 线照片检查提供了干预和实践方面的启示。
