Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, 250 E. Superior St., Suite 5-2177, Chicago, IL, 60611, USA.
, 2020 Zonal Ave, IRD, Room 220, Los Angeles, CA, 90033, USA.
J Immigr Minor Health. 2021 Aug;23(4):699-706. doi: 10.1007/s10903-021-01144-4. Epub 2021 Jan 29.
Chinese Americans have among the lowest rates of up-to-date cancer screening in the United States. Fatalistic health beliefs are also common in this population and can lead to decreased healthcare utilization. We sought to understand how these fatalistic beliefs are associated with cancer screening behaviors in this underserved population. A cross-sectional survey was conducted with 732 Chinese women from the greater Chinatown area of Chicago, Illinois. Surveyed questions included sociodemographic information, self-reported healthcare utilization and cancer screening behaviors. The majority of respondents were older than 50, spoke Chinese, had less than a college education, public or no medical insurance, and an annual income < $20,000. Approximately 20% had never received Papanicolaou or mammogram screening. Fatalistic beliefs were common and associated with increased health-seeking behaviors and appropriate Pap and mammogram screening. In this cohort of Chinese American immigrant women in an urban Chinatown community, fatalistic cancer beliefs were prevalent and associated with increased health-seeking and positive cancer screening behaviors. This previously unreported relationship could be leveraged in improving health outcomes of an underserved population.
美籍华人的癌症筛查率在美国是最低的。宿命论健康信念在这一人群中也很常见，可能导致医疗保健利用率下降。我们试图了解这些宿命论信念如何与这个服务不足的人群的癌症筛查行为相关。在伊利诺伊州芝加哥唐人街地区进行了一项横断面调查，共有 732 名中国妇女参与。调查问题包括社会人口统计学信息、自我报告的医疗保健利用情况和癌症筛查行为。大多数受访者年龄在 50 岁以上，说中文，接受的教育程度低于大学，没有医疗保险或公共医疗保险，年收入低于 20,000 美元。约 20%的人从未接受过巴氏涂片或乳房 X 光检查。宿命论信念很普遍，与增加健康寻求行为和适当的巴氏涂片和乳房 X 光检查有关。在这个城市唐人街社区的中国裔美国移民妇女队列中，宿命论的癌症信念很普遍，并与增加健康寻求和积极的癌症筛查行为有关。这种以前未报告的关系可以用来改善服务不足人群的健康结果。
