Price J H, Desmond S M, Wallace M, Smith D, Stewart P W
J Natl Med Assoc. 1988 Dec;80(12):1297-304.
The purpose of this study was to determine black adults' knowledge and perceptions of cancer by utilizing the Health Belief Model. The subjects were obtained by randomly selecting 11 churches from a list of 33. There were 769 black adults who responded to the survey (64 percent response rate). Mean age of respondents was 44.3 years, SD = 14.7. Only 29 percent were able to correctly identify all seven of the American Cancer Society warning signs; 13 percent were unable to identify any warning signs. One in four believed it was likely they would develop cancer sometime in their life, and 42 percent believed blacks were more susceptible to cancer than whites. Forty-one percent believed most people who get cancer will die from it. Perceived barriers to treatment included cost and pain. A large number of significant differences (P < .01) were found when responses were examined in relation to the sex, educational level, and age of the subjects.
本研究的目的是利用健康信念模型来确定成年黑人对癌症的认知和看法。研究对象是从33个教堂的名单中随机选取的11个教堂。共有769名成年黑人回应了调查(回应率为64%)。受访者的平均年龄为44.3岁,标准差为14.7。只有29%的人能够正确识别美国癌症协会列出的全部七个癌症警示信号;13%的人一个警示信号都识别不出。四分之一的人认为自己一生中有可能患癌症,42%的人认为黑人比白人更容易患癌症。41%的人认为大多数患癌症的人都会因此死亡。感知到的治疗障碍包括费用和疼痛。在根据受试者的性别、教育水平和年龄对回答进行分析时,发现了大量显著差异(P < 0.01)。