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文化适应与宫颈癌:西班牙裔女性的知识、观念及行为

Acculturation and cervical cancer: knowledge, beliefs, and behaviors of Hispanic women.

作者信息

Harmon M P, Castro F G, Coe K

机构信息

AIDS Research Consortium of Atlanta, GA 30308, USA.

出版信息

Women Health. 1996;24(3):37-57. doi: 10.1300/j013v24n03_03.

Abstract

In a community-based sample of Hispanic women, this study examines differences in relation to level of acculturation in knowledge about the Pap examination, fear/fatalism towards cancer, and cervical cancer screening behaviors. Respondents were randomly chosen from 11 churches in the Phoenix metropolitan area (n = 566) and were categorized into three acculturation levels: low (35.2%), bicultural (26.3%), and high (38.5%). Interviews focused on family history of cancer as well as knowledge about cancer and utilization of screening techniques for breast and cervical cancers. OLS regression and probit analyses were conducted to examine the role of acculturation in differentiating. Hispanic subgroups in relation to knowledge, beliefs, and behaviors regarding cervical cancer. Findings of the present study indicate that Hispanic women in the Phoenix metropolitan area are utilizing cervical cancer screening services with over 90 percent of women in all three acculturation groups ever having had a Pap exam and more than 50 percent having had the examination during the past year. However, results also indicate that of the Hispanic subgroups examined, lower acculturated Hispanic women have less knowledge about Pap smears and exhibit lower utilization rates for cervical cancer screening. These results suggest that lower-acculturated Hispanic women comprise the subgroup of Hispanics that is at greatest risk of presenting with advanced stages of cervical cancer. Results have implications for cancer screening and education programs for Hispanic women as well as implications for health care professionals who serve this population.

摘要

在一项基于社区的西班牙裔女性样本研究中,本研究考察了在巴氏检查知识、对癌症的恐惧/宿命论以及宫颈癌筛查行为方面,与文化适应程度相关的差异。受访者从凤凰城大都市区的11个教堂中随机选取(n = 566),并被分为三个文化适应水平:低(35.2%)、双文化(26.3%)和高(38.5%)。访谈重点关注癌症家族史以及癌症知识和乳腺癌与宫颈癌筛查技术的使用情况。进行了OLS回归和概率分析,以检验文化适应在区分西班牙裔亚组在宫颈癌知识、信念和行为方面的作用。本研究结果表明,凤凰城大都市区的西班牙裔女性正在使用宫颈癌筛查服务,所有三个文化适应组中超过90%的女性曾进行过巴氏检查,超过50%的女性在过去一年中进行过该项检查。然而,结果还表明,在所考察的西班牙裔亚组中,文化适应程度较低的西班牙裔女性对巴氏涂片的了解较少,宫颈癌筛查的利用率也较低。这些结果表明,文化适应程度较低的西班牙裔女性构成了西班牙裔中患宫颈癌晚期风险最大的亚组。研究结果对西班牙裔女性的癌症筛查和教育项目以及为该人群服务的医疗保健专业人员具有启示意义。

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