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改变美国穆斯林女性与乳房X光检查相关的观念:基于清真寺的宗教定制干预措施的研究结果。

Changing Mammography-Related Beliefs Among American Muslim Women: Findings from a Religiously-Tailored Mosque-Based Intervention.

作者信息

Padela Aasim I, Malik Sana, Din Hena, Hall Stephen, Quinn Michael

机构信息

Initiative on Islam and Medicine, The University of Chicago, Chicago, IL, USA.

Section of Emergency Medicine, The University of Chicago, Chicago, IL, USA.

出版信息

J Immigr Minor Health. 2019 Dec;21(6):1325-1333. doi: 10.1007/s10903-018-00851-9.

Abstract

Background To advance the literature on religiously-tailored interventions and on Muslim cancer screening disparity research, we report on a behavioral intervention that used religiously-tailored messages to address salient mammography-related barrier beliefs. Methods We crafted specific, religiously-tailored messages and designed a two-session, peer-led, mosque-based educational program to deploy them. t-tests assessed pre- and post-intervention changes in mammography knowledge, intention to obtain mammography, and levels of agreement with mammography-related barrier and facilitator beliefs, while ordered logistic regression models assessed predictors of change. Results 58 women participated, 29 who were South-Asian and 18 Arab. Mean mammography knowledge increased post-intervention. Participants' overall mean agreement with facilitator beliefs trended upward and there was a significant decrease in agreement with the belief "Breast Cancer Screening is not important because God decides who will get cancer," Discussion Religiously-tailored messages provide an opportunity for addressing barriers to preventive health in a theologically consonant way.

摘要

背景 为了推进关于宗教定制干预措施以及穆斯林癌症筛查差异研究的文献,我们报告一项行为干预措施,该措施使用宗教定制信息来解决与乳房X光检查相关的突出障碍信念。方法 我们精心制作了特定的、宗教定制的信息,并设计了一个由同伴主导、以清真寺为基础的两阶段教育项目来传播这些信息。t检验评估了干预前后乳房X光检查知识、进行乳房X光检查的意愿以及与乳房X光检查相关的障碍和促进因素信念的认同水平的变化,而有序逻辑回归模型评估了变化的预测因素。结果 58名女性参与,其中29名是南亚人,18名是阿拉伯人。干预后乳房X光检查知识的平均水平有所提高。参与者对促进因素信念的总体平均认同呈上升趋势,并且对“乳腺癌筛查不重要,因为上帝决定谁会患癌症”这一信念的认同显著下降。讨论 宗教定制信息为以符合神学的方式解决预防性健康障碍提供了机会。

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