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美国大学适龄越南裔女性的文化适应与巴氏涂片筛查行为

Acculturation and Pap smear screening practices among college-aged Vietnamese women in the United States.

作者信息

Yi J K

机构信息

Department of Health and Human Performance, University of Houston, Texas 77204-5331, USA.

出版信息

Cancer Nurs. 1998 Oct;21(5):335-41. doi: 10.1097/00002820-199810000-00004.

DOI:10.1097/00002820-199810000-00004
PMID:9775483
Abstract

The purposes of this study were both to gather information on the prevalence of Pap smear screening among college-aged Vietnamese women and to identify predictive factors that influence Vietnamese women to engage in early cervical cancer detection behavior. This study also examines the role of acculturation in explaining cervical cancer screening behavior. Data were collected through mail and telephone surveys. Of those respondents (n = 207), approximately one-third (36.8%) reported having had a Pap smear. More than one-third (39.3%) of sexually active respondents reported never having had a Pap smear. Acculturated women were more likely to be sexually active and to be obtaining regular Pap smears. In the logistic regression model, marital status, sexual activity, and a belief that only married women should have a Pap smear were important predictors of prior reported Pap smear experience. These study findings suggest that less-acculturated women appear to have the belief that cervical cancer screening is more important for married women than for unmarried women, regardless of their sexual activity. The existence of such misconceptions underscores the importance of offering culturally relevant cancer education that addresses related misconceptions.

摘要

本研究的目的是收集有关越南大学适龄女性巴氏涂片筛查普及率的信息,并确定影响越南女性参与早期宫颈癌检测行为的预测因素。本研究还探讨了文化适应在解释宫颈癌筛查行为方面的作用。数据通过邮件和电话调查收集。在这些受访者(n = 207)中,约三分之一(36.8%)报告曾进行过巴氏涂片检查。超过三分之一(39.3%)的性活跃受访者报告从未进行过巴氏涂片检查。文化适应程度高的女性更有可能性活跃且定期进行巴氏涂片检查。在逻辑回归模型中,婚姻状况、性活动以及认为只有已婚女性才应进行巴氏涂片检查的观念是先前报告的巴氏涂片检查经历的重要预测因素。这些研究结果表明,文化适应程度较低的女性似乎认为,无论其性活动情况如何,宫颈癌筛查对已婚女性比对未婚女性更为重要。这种误解的存在凸显了提供针对相关误解的具有文化相关性的癌症教育的重要性。

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