Importance of fatalism in understanding mammography screening in rural elderly women
Importance of fatalism in understanding mammography screening in rural elderly women
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DOI：
10.1300/j074v13n01_05
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发表时间：
2001-01-01
影响因子：
1.5
通讯作者：
Parker, VG
中科院分区：
文献类型：
--
作者：
Mayo, RM;Ureda, JR;Parker, VG
本研究考察了人口因素与宿命论相关因素之间的关系，并评估了宿命论信仰对农村妇女乳腺癌筛查参与的影响。研究对象是220名年龄在50岁及以上的女性，她们来自南卡罗来纳州的6个大型农村县。使用人口调查问卷和修订的power宿命论量表收集数据。结果显示，宿命论与年龄增加（p = 0.005）、种族（p = 0.0001）、医生推荐（p = 0.0034）和教育程度降低（p = 0.001）有显著相关。在单变量分析中，非裔美国妇女的宿命与不遵守乳房x光检查有关（OR = 0.362; 95% CI: 1.11, 11.8）。在调整了可能的混杂因素（年龄、教育程度和医生建议）后，宿命与不遵守筛查没有显著相关。这些结果表明，年龄、种族和教育程度可能是宿命论的重要预测因素，宿命论可能是以前在理解老年妇女筛查行为方面未被测量和挑战的一个障碍。
This study examined the relationship between demographic factors and other correlates of fatalism,, and assessed the impact of fatalistic beliefs on the participation in breast cancer screening in rural women. The subjects were 220 women aged 50 and over recruited from 6 large rural counties in South Carolina. Data were collected using a demographic questionnaire and the revised Powe Fatalism inventory. Results show significant associations between fatalism and increased age (p = 0.005), race (p = 0.0001), doctor recommendation (p = .0034) and decreased educational level (p = 0.001). Fatalism was associated with noncompliance with mammography screening in univariate analysis among African-American women (OR = .362; 95% CI: 1.11, 11.8). After adjusting for possible confounders (age, education, and doctor recommendation), fatalism was not significantly associated with noncompliance with screening. These results illustrate age, race, and education may be important predictors of fatalism and that fatalism may be one barrier that has previously gone unmeasured and unchallenged in understanding screening behavior in older women.