安德森行为模型在识别美国印第安妇女宫颈癌知识相关因素中的应用。
Andersen's Behavioral Model to Identify Correlates of Cervical Cancer Knowledge among American Indian Women.
机构信息
Department of Social Work, University of South Dakota, 4801 North Career Ave, #145C, Sioux Falls, SD 57107, United States.
School of Social Work, The University of Alabama, 1022 Little Hall, Judy Bonner Drive, Tuscaloosa, AL 35401, United States.
出版信息
Asian Pac J Cancer Prev. 2023 Apr 1;24(4):1151-1157. doi: 10.31557/APJCP.2023.24.4.1151.
OBJECTIVE
Using the Andersen's behavioral model of health services use as a framework, this study aims to examine factors (predisposing, needs, and enabling) related to American Indian (AI) women's cervical cancer knowledge.
METHODS
Andersen's behavioral model of health services was used to examine factors predisposing, needs, and enabling related to AI women's cervical cancer knowledge. A sample of 259 AI women residing in the Northern Plains was recruited using a convenience sampling strategy. Cervical cancer knowledge was measured using guidelines from the American Cancer Society. Three predisposing factors, six enabling factors, and four need factors were observed. Result: The mean score of knowledge was 9.11 out of 13. Higher cancer knowledge was associated with 3 enabling factors (higher education, higher HPV knowledge, and use of TV/radio to gain health literacy) and one needs factor (experience in hospitalization).
CONCLUSION
Our findings indicate that culturally sensitive educational interventions, especially those using media, to increase cervical cancer knowledge are needed among AI women.
目的
本研究以安德森的健康服务使用行为模型为框架，旨在探讨与美国印第安人（AI）女性宫颈癌知识相关的因素（倾向因素、需求因素和促成因素）。
方法
采用安德森健康服务行为模型，探讨与 AI 女性宫颈癌知识相关的倾向因素、需求因素和促成因素。采用便利抽样策略，招募了居住在北部平原的 259 名 AI 女性。宫颈癌知识采用美国癌症协会的指南进行测量。观察了三个倾向因素、六个促成因素和四个需求因素。
结果
知识得分的平均值为 13 分中的 9.11 分。较高的癌症知识与三个促成因素（较高的教育程度、较高的 HPV 知识和利用电视/广播提高健康素养）和一个需求因素（住院经历）相关。
结论
我们的研究结果表明，需要针对 AI 女性开展文化敏感性的教育干预措施，特别是利用媒体来提高宫颈癌知识。
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