Breast self-examination beliefs and practices, ethnicity, and health literacy: Implications for health education to reduce disparities.
Breast self-examination beliefs and practices, ethnicity, and health literacy: Implications for health education to reduce disparities.
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DOI：
10.1177/0017896912471048
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发表时间：
2014-05
影响因子：
1.3
通讯作者：
Shaw SJ
中科院分区：
文献类型：
--
作者：
Armin J;Torres CH;Vivian J;Vergara C;Shaw SJ
本研究旨在定量和定性地研究乳腺癌筛查实践，包括乳房自检（BSE）和慢性病患者的健康素养。一项前瞻性、多方法研究，对城市社区卫生中心来自四个种族（拉丁裔、越南裔、非裔美国人、白人）的 297 名糖尿病和/或高血压患者进行了有针对性的样本研究。位于马萨诸塞州西部的具有联邦资格的健康中心。在我们为期四年的研究中，297 名参与者完成了癌症知识、信念、态度和筛查利用量表以及健康素养测量。除了调查数据收集外，我们还进行了深度访谈、焦点小组、家访和慢性病日记（n=71）。在焦点小组中，非裔美国人、越南人和拉丁裔参与者主动向采访者展示了疯牛病的情况，报告了每月特定时间经常使用疯牛病的情况，并分享了对筛查方法的积极感受。在大约 93% 的女性接受过乳房 X 光检查的样本中，许多女性还接受过疯牛病 (85.2%)。具有足够健康素养的妇女比健康素养不足的妇女更有可能依赖它。尽管越南女性对疯牛病有积极倾向，但在我们的样本中，健康素养得分最低的女性不太可能经常患疯牛病。在我们的研究中，对于许多女性来说，疯牛病似乎是一种有吸引力的自我保健做法，但我们的结论是，正确的疯牛病做法可能不会在不同种族群体和健康素养较低的患者中得到平等的加强。
This study aimed to quantitatively and qualitatively examine breast cancer screening practices, including breast self-examination (BSE), and health literacy among patients with chronic disease. A prospective, multi-method study conducted with a targeted purposive sample of 297 patients with diabetes and/or hypertension from four ethnic groups (Latino, Vietnamese, African American, White-American) at an urban community health center. A federally qualified health center in Western Massachusetts. In our four-year study, 297 participants completed cancer knowledge, beliefs, attitudes and screening utilization scales and measures of health literacy. In addition to survey data collection, we conducted in-depth interviews, focus groups, home visits, and chronic disease diaries (n=71). In focus groups, African American, Vietnamese and Latina participants offered interviewers an unprompted demonstration of BSE, reported regular BSE use at particular times of the month, and shared positive feelings about the screening method. In a sample where approximately 93% of women have had a mammogram, many also had performed BSE (85.2%). Women with adequate health literacy were more likely than those with inadequate health literacy to rely on it. Despite being positively inclined toward BSE, Vietnamese women, who had the lowest health literacy scores in our sample, were less likely to perform BSE regularly. BSE seemed to be an appealing self-care practice for many women in our study, but we conclude that proper BSE practices may not be reinforced equally across ethnic groups and among patients with low health literacy.
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