Knowledge, Cultural, and Attitudinal Barriers to Mammography Screening Among Nonadherent Immigrant Chinese Women Ever Versus Never Screened Status
Knowledge, Cultural, and Attitudinal Barriers to Mammography Screening Among Nonadherent Immigrant Chinese Women Ever Versus Never Screened Status
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DOI：
10.1002/cncr.24517
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发表时间：
2009-10-15
期刊：
影响因子：
6.2
通讯作者：
Schwartz, Marc D.
中科院分区：
文献类型：
--
作者：
Wang, Judy H.;Mandelblatt, Jeanne S.;Schwartz, Marc D.
背景：华裔美国妇女的乳腺X线摄影筛查率比一般人群低得多。本研究探讨了知识、文化观点和健康信念对前一年没有做过乳房X光检查的中国妇女进行乳房X光检查的意愿的集体影响。方法：采用正交设计法来自华盛顿、哥伦比亚特区和纽约大都市地区的566名中国移民妇女完成了纵向干预研究的基线评估。验证的调查被用来衡量感兴趣的变量。结局为1）既往使用乳房X线摄影（曾经与从未使用）和2）未来筛查意向。研究结果：只有35%的参与者报告了获得乳房X线照片的意图，大约19%的从未使用者报告了意图（44%的曾经使用者）。与从不使用者相比，曾经使用者具有更高的知识（比值比[OR]，1113; 95%置信区间[CI]，1.03-1.25），更少的东方文化观点（OR，0.78; 95% CI，0.70-0.87），并且感知到更少的障碍（OR，0.78; 95% CI，0.70-0.87），控制协变量。从未使用者比从未使用者更可能是新移民，收入低，英语能力有限，缺乏定期护理来源（所有P
BACKGROUND: Chinese-American women have much lower mammography screening rates than the general population. This study examined the collective impact of knowledge, cultural views, and health beliefs on intentions to obtain mammography among Chinese women who had not had a mammogram in the previous year. METHODS: Five hundred sixty-six immigrant Chinese women from the Washington, District of Columbia and New York metropolitan areas completed baseline assessments for a longitudinal intervention study. Validated surveys were used to measure variables of interest. The outcomes were 1) past mammography use (ever vs never) and 2) future screening intention. RESULTS: Only 35% of the participants reported intentions to obtain mammograms, with approximately 19% of the never users reporting intentions (vs 44% ever users). Ever users had higher knowledge (odds ratio [OR], 1113; 95% confidence interval [CI], 1.03-1.25), less Eastern cultural views (OR, 0.78; 95% Cl, 0.70-0.87), and perceived fewer barriers (OR, 0.78; 95% Cl, 0.70-0.87) than never users, controlling for covariates. Never users were more likely to be recent immigrants, have low income, have limited English ability, and lack regular sources of care than ever users (all P