墨西哥裔美国女性的巴氏涂片检查和乳房X光检查筛查：文化适应的影响。
Pap smear and mammogram screening in Mexican-American women: the effects of acculturation.
作者信息
Suarez L
机构信息
Texas Department of Health, Austin 78756
出版信息
Am J Public Health. 1994 May;84(5):742-6. doi: 10.2105/ajph.84.5.742.
OBJECTIVES
For Mexican Americans, acculturation is a multidimensional process of adopting attitudes, values, and behavior from the non-Hispanic White culture. This study examines the effects of different dimensions of acculturation on the cancer screening behavior of Mexican-American women.
METHODS
Subjects were 450 randomly selected Mexican-American women age 40 years and older living in El Paso, Texas. Personal interviews solicited information on age, income, education, health insurance, Pap smear and mammogram use, and acculturation. Acculturation was measured with five scales that assessed English proficiency, English use, value placed on culture, traditional family attitudes, and social interaction.
RESULTS
The 2-year prevalence of Pap smear and mammogram screening increased with each gain in acculturation on English proficiency and use. These associations disappeared when adjusted for age, income, insurance, and education. After adjusting for sociodemographic factors and other acculturation dimensions, a strong traditional Mexican attitude toward family was positively related to mammography use.
CONCLUSIONS
Taking advantage of the positive influence of Hispanic familism on cancer screening behavior may increase the effectiveness of cancer control interventions in Mexican Americans.
目的
对于墨西哥裔美国人而言，文化适应是一个从非西班牙裔白人文化中接纳态度、价值观和行为的多维度过程。本研究考察了文化适应的不同维度对墨西哥裔美国女性癌症筛查行为的影响。
方法
研究对象为450名年龄在40岁及以上、居住在得克萨斯州埃尔帕索的随机选取的墨西哥裔美国女性。通过个人访谈收集了年龄、收入、教育程度、医疗保险、巴氏涂片检查和乳房X光检查的使用情况以及文化适应方面的信息。文化适应通过五个量表进行测量，这些量表评估了英语熟练程度、英语使用情况、对文化的重视程度、传统家庭观念以及社会互动。
结果
随着文化适应在英语熟练程度和使用方面的每一次提升，巴氏涂片检查和乳房X光检查筛查的两年患病率均有所增加。在对年龄、收入、保险和教育程度进行调整后，这些关联消失。在对社会人口学因素和其他文化适应维度进行调整后，强烈的墨西哥传统家庭观念与乳房X光检查的使用呈正相关。
结论
利用西班牙裔家庭主义对癌症筛查行为的积极影响，可能会提高针对墨西哥裔美国人的癌症控制干预措施的有效性。
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