Rajaram S S, Rashidi A
Department of Sociology, University of Nebraska-Omaha, Omaha, Nebraska 68182-0291, USA.
Prev Med. 1998 Sep-Oct;27(5 Pt 1):757-64. doi: 10.1006/pmed.1998.0355.
Mammography and clinical breast exams are effective secondary prevention techniques for reducing the morbidity and mortality due to breast cancer. Although minority women have higher mortality rates due to breast cancer, they are less likely than white women to use screening procedures. This paper provides a complementary understanding of the use of breast cancer screening among minority women by drawing attention to the role of women's cultural explanatory models (CEMs). CEMs stem from the sociocultural context and involve cultural beliefs and values, personal life experiences, and both biomedical and popular explanations of health and illness. Although women's CEMs may not accord with those of health professionals, they do have an impact on screening behavior. This paper discusses suggestions for addressing these issues in an effort to improve breast cancer screening rates through adopting a cultural relativistic approach.
乳房X光检查和临床乳房检查是降低乳腺癌发病率和死亡率的有效二级预防技术。尽管少数族裔女性因乳腺癌导致的死亡率较高，但她们比白人女性使用筛查程序的可能性更小。本文通过关注女性文化解释模型（CEMs）的作用，对少数族裔女性乳腺癌筛查的使用情况提供了一种补充性理解。CEMs源于社会文化背景，涉及文化信仰和价值观、个人生活经历以及对健康和疾病的生物医学和通俗解释。尽管女性的CEMs可能与健康专业人员的不同，但它们确实会对筛查行为产生影响。本文讨论了针对这些问题的建议，以期通过采用文化相对论方法提高乳腺癌筛查率。
