University of Kentucky College of Nursing, Lexington, Kentucky, USA.
Prevention Research Center, University of Kentucky College of Medicine, Lexington, Kentucky, USA.
J Rural Health. 2022 Mar;38(2):382-390. doi: 10.1111/jrh.12585. Epub 2021 May 6.
Women who receive an abnormal Pap result may experience negative psychological factors. The purpose of this study is to assess the baseline occurrence of negative psychological factors and evaluate the relationships between psychological factors and demographic characteristics among Appalachian women who received abnormal Pap results.
We conducted a secondary analysis of data collected from Appalachia Kentucky women (N = 521) ages ≥18 enrolled in an intervention. Data included sociodemographics, Beck depression and anxiety inventories, fatalism, and personal control measures. Multiple variable logistic regression was used to investigate the association between demographics and psychological factors.
Participants were predominantly White (96.2%), with mean age 28.93 ± 11.03 years, and the majority (77%) had yearly income below $20,000. Depression was reported by 34.6% (n = 173); 10% (n = 50) experienced moderate or severe anxiety; 20.6% (n = 107) had fatalistic beliefs; and 55.1% (n = 289) believed they lacked personal control over cancer. Women with lower income had higher occurrence of depression (P = .003). Women with moderate to severe anxiety were significantly older than those with low to moderate depression (34.44 vs 28.34, P < .001). Controlling for other variables, as age increased, the odds of fatalistic beliefs increased, OR (95%) = 1.042 (1.022, 1.062). When education level increased, the odds of fatalistic beliefs decreased, OR (95%) = 0.873 (0.800, 0.952).
Given the high occurrence of depression, anxiety, and fatalistic beliefs among this population, health care providers should assess for underlying mental health diagnoses and psychological distress during each patient encounter and provide recommendations to address them.
接受异常巴氏涂片结果的女性可能会经历负面的心理因素。本研究的目的是评估阿巴拉契亚地区接受异常巴氏涂片结果的女性基线时负面心理因素的发生情况，并评估心理因素与人口统计学特征之间的关系。
我们对肯塔基州阿巴拉契亚地区（N = 521）年龄≥18 岁的参与干预的女性进行了数据的二次分析。数据包括社会人口统计学、贝克抑郁和焦虑量表、宿命论和个人控制措施。采用多变量逻辑回归分析人口统计学因素和心理因素之间的关系。
参与者主要为白人（96.2%），平均年龄为 28.93 ± 11.03 岁，大多数（77%）年收入低于 20000 美元。报告有抑郁症状的占 34.6%（n = 173）；10%（n = 50）经历中度或重度焦虑；20.6%（n = 107）有宿命论信念；55.1%（n = 289）认为自己对癌症缺乏个人控制。收入较低的女性抑郁发生率较高（P =.003）。有中度至重度焦虑的女性明显比有轻度至中度抑郁的女性年龄大（34.44 岁比 28.34 岁，P <.001）。控制其他变量后，随着年龄的增长，宿命论信念的可能性增加，OR（95%）= 1.042（1.022，1.062）。随着教育水平的提高，宿命论信念的可能性降低，OR（95%）= 0.873（0.800，0.952）。
鉴于该人群中抑郁、焦虑和宿命论信念的高发生率，医疗保健提供者应在每次患者就诊时评估潜在的心理健康诊断和心理困扰，并提供建议以解决这些问题。
