Thomas S M, Fick A C
Louisiana State University Medical Center, Stanley S. Scott Cancer Center, New Orleans 70112.
J La State Med Soc. 1993 Apr;145(4):139-45.
Elevated rates of morbidity and mortality among ethnic minorities have been linked to alterable patterns of behavior, including preventive health practices. African Americans in Louisiana are not only at increased risk for cancer, they also have poorer prognosis. This investigation describes beliefs, knowledge, and attitudes relevant to general and cancer-specific preventive health practices in a sample of African Americans (n = 48). Findings suggest a number of important differences exist between males and females in their attitude toward health issues. Females valued and expressed greater concern over their health status. Females also expressed greater confidence in their doctor's ability to diagnose cancer before it is too serious, while males appear to hold a more pessimistic view of the effectiveness of early detection. Although the use of a convenience sample limits the generalizations that can be made, present findings identify issues germane to the development of effective intervention strategies for this population.
少数族裔中较高的发病率和死亡率与包括预防性健康行为在内的可变行为模式有关。路易斯安那州的非裔美国人不仅患癌风险增加,而且预后较差。本调查描述了非裔美国人样本(n = 48)中与一般和特定癌症预防性健康行为相关的信念、知识和态度。研究结果表明,男性和女性在对健康问题的态度上存在一些重要差异。女性重视并对自己的健康状况表达了更大的担忧。女性也对医生在癌症病情不太严重之前进行诊断的能力表现出更大的信心,而男性似乎对早期检测的有效性持有更为悲观的看法。尽管使用便利样本限制了可做的概括,但目前的研究结果确定了与为该人群制定有效干预策略相关的问题。