Consistency in attitudes across cancer screenings in medically underserved minority populations.
Consistency in attitudes across cancer screenings in medically underserved minority populations.
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DOI：
10.1007/s13187-011-0285-0
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发表时间：
2012-03
影响因子：
1.6
通讯作者：
Armin, Julie
中科院分区：
文献类型：
--
作者：
Shaw, Susan J.;Vivian, James;Orzech, Kathryn M.;Torres, Cristina Huebner;Armin, Julie
关键词：
虽然大量的行为学和心理学文献探讨了对癌症筛查的态度和信念，但很少有研究调查癌症筛查类型的态度。我们借鉴了一项为期4年的前瞻性研究的定量和定性结果，该研究基于一家服务于不同低收入患者的社区卫生中心。方法包括自我报告调查(n=297)，医疗图表提取，以及几种定性方法，包括参与者的子样本。参与者包括白人、非裔美国人、越南人和拉丁裔患者，他们被诊断为糖尿病、高血压或两者兼有。患者对癌症筛查类型的态度(无论是积极的还是消极的)在癌症筛查类型中都非常一致。这些影响在男性中比在女性中更强。从来没有做过癌症筛查的人通常对所有筛查都持更不利的态度。定性访谈表明，通过社交网络传播的信息在塑造人们对癌症筛查的态度方面具有重要意义。摘要：在一项关于初级保健环境中医疗服务不足的患者对癌症筛查态度的多方法研究中，我们发现态度(积极和消极)在癌症筛查类型中非常一致。
While a wide range of behavioral and psychosocial literature explores attitudes and beliefs towards cancer screenings, fewer studies examine attitudes across cancer screening types. We draw on quantitative and qualitative findings from a 4-year prospective study based at a community health center serving diverse, low-income patients. Methods included self-report surveys (n=297), medical chart abstraction, and several qualitative methods with a subsample of participants. Participants included white, African–American, Vietnamese, and Latino patients who were diagnosed with diabetes, hypertension, or both. Patients’ attitudes (both positive and negative) towards cancer screening types were remarkably consistent across cancer screening types. These effects were stronger among men than women. Never having had a cancer screening was generally associated with more unfavorable attitudes towards all screenings. Qualitative interviews indicate the importance of information circulated through social networks in shaping attitudes towards cancer screenings. Condensed abstract: In a multi-method study of attitudes towards cancer screening among medically underserved patients in a primary care setting, we found that attitudes (both positive and negative) were remarkably consistent across cancer screening types.
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