Provider Perspectives on Promoting Cervical Cancer Screening Among Refugee Women.

Provider Perspectives on Promoting Cervical Cancer Screening Among Refugee Women.
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提供者对促进难民妇女宫颈癌筛查的看法。

DOI:
10.1007/s10900-016-0292-5
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发表时间:
2017
影响因子:
5.9
通讯作者:
Taylor,VictoriaM
Taylor,VictoriaM
中科院分区:
医学4区
文献类型:
--
作者:
Zhang,Ying;Ornelas,IndiaJ;Do,HHoai;Magarati,Maya;Jackson,JCarey;Taylor,VictoriaM

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美国的许多难民都是从宫颈癌发病率高的国家移民过来的。难民妇女在美国重新安置之前不太可能接受宫颈癌筛查。国家组织建议难民妇女在重新安置后不久接受宫颈癌筛查。我们试图确定卫生和社会服务提供者对促进宫颈癌筛查的看法,以便为制定有效的方案提供信息,以增加最近重新安置的难民的筛查。这项研究包括21个深入的关键线人采访的工作人员从自愿难民安置机构,社区为基础的组织,医疗诊所服务的难民在金郡,华盛顿。访谈记录进行了分析,以确定主题。我们确定了以下主题:(1)难民妇女不熟悉预防保健和癌症筛查;(2)提供者对宫颈癌教育和筛查的时间安排感到关切;(3)语言和文化障碍影响筛查的接受;(4)提供者因素和诊所系统促进筛查的推广;(5)教育难民妇女进行筛查的战略。我们的研究结果表明,难民妇女需要在早期安置的宫颈癌筛查的健康教育。经常宣传筛查有助于确保妇女在重新安置的早期阶段接受筛查。健康教育录像可以有效地用妇女的母语提供简单、识字率低的信息。对女性临床医生和口译员的培训,以及提醒临床医生在每次预约时提供筛查的诊所系统,可以增加对难民妇女的筛查。
Many refugees in the United States emigrated from countries where the incidence of cervical cancer is high. Refugee women are unlikely to have been screened for cervical cancer prior to resettlement in the U.S. National organizations recommend cervical cancer screening for refugee women soon after resettlement. We sought to identify health and social service providers’ perspectives on promoting cervical cancer screening in order to inform the development of effective programs to increase screening among recently resettled refugees. This study consisted of 21 in-depth key informant interviews with staff from voluntary refugee resettlement agencies, community based organizations, and healthcare clinics serving refugees in King County, Washington. Interview transcripts were analyzed to identify themes. We identified the following themes: (1) refugee women are unfamiliar with preventive care and cancer screening; (2) providers have concerns about the timing of cervical cancer education and screening; (3) linguistic and cultural barriers impact screening uptake; (4) provider factors and clinic systems facilitate promotion of screening; and (5) strategies for educating refugee women about screening. Our findings suggest that refugee women are in need of health education on cervical cancer screening during early resettlement. Frequent messaging about screening could help ensure that women receive screening within the early resettlement period. Health education videos may be effective for providing simple, low literacy messages in women’s native languages. Appointments with female clinicians and interpreters, as well as clinic systems that remind clinicians to offer screening at each appointment could increase screening among refugee women.
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作者:
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影响因子: 168.9
作者:
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