Cha Eurina Yujin, Chun Hans
School of Nursing and Health Professions, Chaminade University, Honolulu, HI, USA.
School of Education and Behavioral Sciences, Chaminade University, Honolulu, HI, USA.
Asia Pac J Oncol Nurs. 2021 Jan 29;8(2):132-138. doi: 10.4103/2347-5625.308302. eCollection 2021 Mar-Apr.
Despite being the fastest-growing population in the United States, Asian American women have one of the lowest cancer screening rates and the least attention given to cancer-related research. Cervical cancer screening disparities among Korean immigrant women (KIWs) in Hawaii have been reported.
The qualitative ethnographic study was to explore the health barriers and challenges of cervical cancer prevention among KIWs in Hawaii. The Social Ecological Model was used to guide the study. Data were collected using individual structured interviews with 20 KIWs aged 21-65 years. The data were coded and analyzed to identify themes in exploring health barriers.
The findings revealed that participants (a) lacked knowledge about the U.S. health-care system; (b) lacked access; (c) had limited resources regarding cervical cancer screening communicated in Korean; (d) lacked an understanding of cultural and psychosocial beliefs on preventive care; (e) lacked female and Korean-speaking providers; and (f) experienced language barriers and limited coverage of health insurance.
A multicomponent intervention combining individual and community-based, Internet-accessible, culturally, and linguistically appropriate approaches may enhance effective cervical cancer screening rates and positive health outcomes among KIWs in Hawaii.
尽管亚裔美国女性是美国增长最快的人群之一，但她们的癌症筛查率却是最低的，且与癌症相关的研究也最不受关注。夏威夷韩裔移民女性（KIWs）的宫颈癌筛查差异已有报道。
这项定性人种学研究旨在探索夏威夷韩裔移民女性预防宫颈癌的健康障碍和挑战。采用社会生态模型指导该研究。通过对20名年龄在21至65岁之间的韩裔移民女性进行个人结构化访谈来收集数据。对数据进行编码和分析，以确定探索健康障碍方面的主题。
研究结果显示，参与者（a）对美国医疗保健系统缺乏了解；（b）难以获得医疗服务；（c）关于宫颈癌筛查的韩语信息资源有限；（d）对预防性护理的文化和心理社会观念缺乏理解；（e）缺乏女性且会说韩语的医疗服务提供者；（f）面临语言障碍且医疗保险覆盖范围有限。
结合基于个人和社区、可通过互联网获取、符合文化和语言习惯的多成分干预措施，可能会提高夏威夷韩裔移民女性有效的宫颈癌筛查率和积极的健康结果。
