Korean American Women's Beliefs About Breast and Cervical Cancer and Associated Symbolic Meanings
Korean American Women's Beliefs About Breast and Cervical Cancer and Associated Symbolic Meanings
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DOI：
10.1188/07.onf.713-720
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发表时间：
2007-05-01
影响因子：
1.9
通讯作者：
Lee, Shin-Young
中科院分区：
文献类型：
--
作者：
Lee, Eunice E.;Tripp-Reimer, Toni;Lee, Shin-Young
目的/目标：探讨韩裔美国女性与其乳房和子宫颈相关的象征意义，检查对乳腺癌和宫颈癌的态度和信念，并找出参与者的信念与其癌症筛查行为之间的关系。研究方法：描述性、定性分析。地点：美国西南部。参与者：33 名年龄至少 40 岁的韩国出生女性。方法：深入、面对面、个人访谈均以韩语进行。使用半结构化访谈指南来确保所有访谈的核心内容具有可比性，并使用描述性内容分析对转录和翻译的访谈进行分析。主要研究变量：乳腺癌、宫颈癌、癌症筛查、信仰和韩裔美国妇女。研究结果：韩裔美国妇女的乳房和子宫颈的象征意义与其过去生育和养育孩子的经历密切相关。老年韩裔美国女性的负面生活经历导致了对宫颈癌的负面看法。有关癌症的信息，无论正确与否，以及对上帝或命运的信仰，都可能成为获得筛查测试的障碍。结论：韩裔美国女性对其乳房和子宫颈的象征意义，以及她们对乳腺癌、宫颈癌和癌症筛查的信念，与她们的文化和人际背景有关。她们的信念或有限的知识似乎与她们的筛查行为有关。解释：仔细解决韩裔美国妇女对乳腺癌和宫颈癌的信念以及相关象征意义的干预措施可能会增加她们的癌症筛查行为。临床医生应考虑韩裔美国妇女特定文化的信仰和表现，以及她们在为民众提供护理时的生活经历。
Purpose/Objectives: To explore Korean American women's symbolic meanings related to their breasts and cervix, to examine attitudes and beliefs about breast and cervical cancer, and to find relationships between the participants' beliefs and their cancer screening behaviors.Research Approach: Descriptive, qualitative analysis.Setting: Southwestern United States.Participants: 33 Korean-born women at least 40 years of age.Methodologic Approach: In-depth, face-to-face, individual interviews were conducted in Korean. A semistructured interview guide was used to ensure comparable core content across all interviews, Transcribed and translated interviews were analyzed using descriptive content analysis.Main Research Variables: Breast cancer, cervical cancer, cancer screening, beliefs, and Korean American women.Findings: Korean American women's symbolic meaning of their breasts and cervix are closely related to their past experiences of bearing and rearing children. Negative life experiences among older Korean American women contributed to negative perceptions about cervical cancer. Having information about cancer, either correct or incorrect, and having faith in God or destiny may be barriers to obtaining screening tests.Conclusions: Korean American women's symbolic meanings regarding their breasts and cervix, as well as their beliefs about breast cancer and cervical cancer and cancer screening, are associated with their cultural and interpersonal contexts. Their beliefs or limited knowledge appear to relate to their screening behaviors.Interpretation: Interventions that carefully address Korean American women's beliefs about breast cancer and cervical cancer as well as associated symbolic meanings may increase their cancer screening behaviors. Clinicians should consider Korean American women's culture-specific beliefs and representations as well as their life experiences in providing care for the population.