Understanding Cervical Cancer Screening among Latinas through the Lens of Structure, Culture, Psychology and Communication.
Understanding Cervical Cancer Screening among Latinas through the Lens of Structure, Culture, Psychology and Communication.
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DOI：
10.1080/10810730.2018.1500661
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发表时间：
2018
影响因子：
4.4
通讯作者：
Murphy ST
中科院分区：
文献类型：
--
作者：
Chen NN;Moran MB;Frank LB;Ball-Rokeach SJ;Murphy ST
本研究探讨了结构和文化力量如何与心理和沟通因素一起影响洛杉矶县拉丁裔人群的巴氏试验依从性，这一群体面临着与宫颈癌筛查、发病率和死亡率相关的健康差异。通过采用多层次的方法来获得对这一问题的基础理解，这项工作揭示了结构性障碍，宿命论，宗教服务出席率，感知易感性，感知成本和卫生保健提供者的行动线索都与巴氏试验依从性相关。财务障碍也会影响合规性，与没有保险相比，保险不足的负面影响更大。这些研究结果提供了深入了解如何沟通的努力可以从战略上设计，以解决个人和系统层面的障碍，以促进拉丁美洲人之间的寻求健康的行为，并可能在其他人口群体经历健康差异，由于类似的原因。
This study explored how structural and cultural forces work together with psychological and communication factors in influencing Pap test compliance among Latinas in Los Angeles County, a group who face health disparities related to cervical cancer screening, incidence and mortality. By adopting a multilevel approach to obtain a grounded understanding of this issue, this work revealed that structural barriers, fatalism, religious service attendance, perceived susceptibility, perceived costs, and cues to action from health care providers are all associated with Pap test compliance. Financial barriers also influence compliance, with underinsurance having a stronger negative impact compared to no insurance at all. These findings provide insights into how communication efforts can be strategically designed to address both individual- and system-level barriers to promote health-seeking behaviors among Latinas, and potentially among other population groups experiencing health disparities due to similar reasons.
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