Health behavior change models and their socio-cultural relevance for breast cancer screening in African American women
Health behavior change models and their socio-cultural relevance for breast cancer screening in African American women
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DOI：
10.1300/j013v28n04_04
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发表时间：
1999-01-01
期刊：
影响因子：
1.6
通讯作者：
Ashing-Giwa, K
中科院分区：
文献类型：
--
作者：
Ashing-Giwa, K
健康行为模型为大多数乳腺癌筛查干预研究提供了概念性基础。这些模型不是为非洲裔美国女性设计的，也没有经过充分的测试。本文讨论的模型有：健康信念模型、理性行为/计划行为理论和跨理论模型。本文将考察这些健康行为模式的社会文化相关性，并讨论这些模式没有考虑到的特定社会文化维度。至关重要的是，研究人员将社会文化维度，如互联性、健康社会化、生态因素和卫生保健系统因素纳入他们对非裔美国妇女的干预模式。全面和基于社会文化的调查是必要的，以指导降低非裔美国妇女乳腺癌死亡率的科学和政策挑战。
Models of health behavior provide the conceptual bases for most of the breast cancer screening intervention studies. These models were not designed for and have not been adequately tested with African American women. The models discussed in this paper are: The Health Belief Model, the Theory of Reasoned Action/Theory of Planned Behavior, and the Transtheoretical Model. This paper will examine the socio-cultural relevance of these health behavior models, and discuss specific socio-cultural dimensions that are not accounted for by these paradigms. It is critical that researchers include socio-cultural dimensions, such as interconnectedness, health socialization, ecological factors and health care system factors into their intervention models with African American women. Comprehensive and socio-culturally based investigations are necessary to guide the scientific and policy challenge for reducing breast cancer mortality in African American women.