Analyzing factors associated with decisional stage of adopting breast cancer screening among Korean American women using precaution adoption process model.
Analyzing factors associated with decisional stage of adopting breast cancer screening among Korean American women using precaution adoption process model.
复制标题
DOI：
10.1080/13557858.2018.1520813
复制
发表时间：
2021-04
影响因子：
3.1
通讯作者：
Yun Lee H
中科院分区：
文献类型：
--
作者：
Jin SW;Lee J;Yun Lee H
韩裔美国人（KA）妇女经历了较高的患病率和较低的生存率乳腺癌（BC）比其他种族群体在美国。然而，KA妇女的BC筛查率仍然明显低于《2020年健康人》规定的国家目标（81.1%）。很少有研究解释了采用BC筛查的决定是如何发生和进展的，以及KA女性中哪些因素促成了这一决定。本研究以Weinstein的预防采纳过程模型（PAPM）为理论框架，探讨了与乳腺X线摄影采纳决策阶段相关的特征和因素。一个横截面的自我报告的调查，KA妇女（N = 308）年龄在50至80从亚特兰大大都市区。共有281名KA妇女完成了调查，回答了有关社会人口统计学，健康相关信息，乳房X光检查史，医生建议，BC筛查知识，BC筛查自我效能，与乳房X光检查有关的态度和信念的决策平衡得分以及七阶段PAPM的问题。KA女性报告乳腺X线摄影摄取率较低，在过去一年和两年分别有约24%和35%的参与者接受了乳腺X线摄影。KA妇女在阶段5（决定是），6（行动），和7（维护）可能有更多的筛查相关知识，积极的决策平衡，并定期体检相比，在阶段1（不知道），2（未参与），和3（决定）。这项研究强调了可能有助于格鲁吉亚KA妇女进行BC筛查的重要因素。研究结果还为在医疗服务不足的人群中增加乳房X光检查筛查的干预措施和实践提供了启示。
Korean American (KA) women have experienced higher prevalence and lower survival rates of breast cancer (BC) than other ethnic groups in the United States. However, BC screening rates for KA women remain significantly lower than the national target (81.1%) specified by Healthy People 2020. Few studies have explained how the decision to adopt BC screening occurs and progresses and what factors contribute to this decision among KA women. This study used Weinstein’s Precaution Adoption Process Model (PAPM) as a theoretical framework to examine characteristics and factors associated with the decisional stage of mammography adoption. A cross-sectional self-report survey was administered among KA women (N = 308) ages 50 to 80 from the Atlanta metropolitan area. A total of 281 KA women completed the survey, answering questions about socio-demographics, health-related information, mammography history, doctor recommendation, BC screening knowledge, self-efficacy for BC screening, decisional balance scores on attitudes and beliefs pertaining to mammography, and the seven-stage PAPM. KA women reported a low rate of mammography uptake with about 24% and 35% of the participants undergoing mammography within the last year and two years, respectively. KA women in stages 5 (decided yes), 6 (action), and 7 (maintenance) were likely to have increased screening-related knowledge, positive decisional balance, and regular medical check-up compared to those in stages 1 (unaware), 2 (unengaged), and 3 (deciding). This study highlights important factors that could potentially facilitate BC screening among KA women in Georgia. The findings also provide implications for interventions and practice for increasing mammography screening among medically underserved populations.
登录
查看更多内容
影响因子：
12.7
作者：
Gomez SL;Quach T;Horn-Ross PL;Pham JT;Cockburn M;Chang ET;Keegan TH;Glaser SL;Clarke CA
通讯作者：
Clarke CA
影响因子：
1.9
作者：
Kim, Jin Hee;Menon, Usha;Wang, Edward;Szalacha, Laura
通讯作者：
Szalacha, Laura
影响因子：
3.5
作者：
Choi, Kui Son;Lee, Sunmin;Juon, Hee-Soon
通讯作者：
Juon, Hee-Soon
影响因子：
4.4
作者：
Han, Hae-Ra;Huh, Boyun;Tam Nguyen
通讯作者：
Tam Nguyen
影响因子：
1.9
作者：
Harcourt, Nonyelum;Ghebre, Rahel G.;Okuyemi, Kolawole S.
通讯作者：
Okuyemi, Kolawole S.