Factors Affecting Hispanic Women's Participation in Screening for Cervical Cancer
Factors Affecting Hispanic Women's Participation in Screening for Cervical Cancer
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DOI：
10.1007/s10903-014-9997-7
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发表时间：
2015-06-01
影响因子：
1.9
通讯作者：
McDonell, James R.
中科院分区：
文献类型：
--
作者：
de Peralta, Arelis Moore;Holaday, Bonnie;McDonell, James R.
西班牙裔女性的宫颈癌发病率异常高。健康信念模型 (HBM) 被用作理论框架，探讨影响西班牙裔女性宫颈癌筛查决定的信念、态度、社会经济和文化因素。对南卡罗来纳州北部 18-65 岁的西班牙裔女性 (n = 205) 进行了一项横断面调查。使用广义线性模型。在所有模型中，感知威胁（敏感性和严重性）、自我效能以及利益和障碍的相互作用是重要的预测因素。显着的协变量包括年龄、婚姻状况、收入、定期医疗保健和家庭主义。修改后的 HBM 是检查西班牙裔女性样本中宫颈癌筛查的有用模型。外部或社会因素的纳入增强了 HBM 作为解释模型的强度。 HBM 可用作设计适合文化的宫颈癌筛查干预措施的框架。
Hispanic women's cervical cancer rates are disproportionately high. The Health Belief Model (HBM) was used as a theoretical framework to explore beliefs, attitudes, socio-economic, and cultural factors influencing Hispanic women's decisions about cervical cancer screening. A cross-sectional survey was conducted among Hispanic women 18-65 years old (n = 205) in the Upstate of South Carolina. Generalized Linear Modeling was used. Across all models, perceived threats (susceptibility and severity), self-efficacy, and the interaction of benefits and barriers were significant predictors. Significant covariates included age, marital status, income, regular medical care, and familism. A modified HBM was a useful model for examining cervical cancer screening in this sample of Hispanic women. The inclusion of external, or social factors increased the strength of the HBM as an explanatory model. The HBM can be used as a framework to design culturally appropriate cervical cancer screening interventions.