采用安德森医疗服务利用行为模型分析韩裔美国妇女乳腺癌筛查依从性的影响因素。
Analyzing Factors of Breast Cancer Screening Adherence among Korean American Women Using Andersen's Behavioral Model of Healthcare Services Utilization.
机构信息
School of Social Work, University of Memphis, Memphis, TN.
School of Social Work, University of Alabama, Tuscaloosa, AL.
出版信息
Ethn Dis. 2019 Jun 13;29(Suppl 2):427-434. doi: 10.18865/ed.29.S2.427. eCollection 2019.
OBJECTIVES
Regular uptake of mammography screening reduces the risk of advanced stage diagnosis of breast cancer (BC). However, BC screening rates remain suboptimal among Korean American (KA) women. Using the Andersen's Behavioral Model of Healthcare Services Utilization, this study examined factors associated with mammography screening among KA women aged 50 to 80 years in the state of Georgia, USA.
METHODS
We used purposive sampling to recruit study participants in the Atlanta metropolitan area from May 2015 to February 2016. A total of 303 KA women completed a cross-sectional, self-report survey about their sociodemographics, health care access information, knowledge, self-efficacy, decisional balance, and mammography history.
RESULTS
Descriptive analyses confirmed low rates of mammography screening in the participants. Multiple logistic regression analyses showed that having a mammogram within the past year was associated with greater BC knowledge, higher scores of decisional balance and fewer annual health check-ups among KA women without any cancer history.
CONCLUSIONS
The findings offer implications for health policy aimed at increasing BC screening by leveraging enabling factors among medically underserved KA women at both structural and cultural levels.
目的
定期进行乳房 X 光筛查可降低晚期乳腺癌（BC）诊断的风险。然而，在美国佐治亚州，韩裔美国（KA）女性的 BC 筛查率仍然不理想。本研究利用安德森医疗服务利用行为模型，调查了与 50 至 80 岁 KA 女性乳房 X 光筛查相关的因素。
方法
我们于 2015 年 5 月至 2016 年 2 月在亚特兰大都会区采用目的性抽样方法招募研究参与者。共有 303 名 KA 女性完成了一项关于社会人口统计学、医疗保健获取信息、知识、自我效能、决策平衡和乳房 X 光检查史的横断面、自我报告调查。
结果
描述性分析证实，参与者的乳房 X 光筛查率较低。多变量逻辑回归分析表明，在没有癌症病史的 KA 女性中，过去一年进行过乳房 X 光检查与更高的 BC 知识、更高的决策平衡评分和更少的年度健康检查有关。
结论
这些发现为旨在通过利用医疗服务不足的 KA 女性在结构和文化层面上的有利因素来增加 BC 筛查提供了政策建议。
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