The influence of fatalism on self-reported use of Papanicolaou smears
The influence of fatalism on self-reported use of Papanicolaou smears
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DOI：
10.1016/s0749-3797(18)30134-x
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发表时间：
1997-11-01
影响因子：
5.5
通讯作者：
Valdez, RB
中科院分区：
文献类型：
--
作者：
Chavez, LR;Hubbell, FA;Valdez, RB
目的：我们的目的是研究拉丁裔（西班牙裔妇女）和盎格鲁（非西班牙裔白人）妇女之间的宿命论信仰的人口和其他预测因素，并评估这些信仰的影响，使用宫颈癌筛查service.Methods：我们使用人种学访谈和横断面电话调查在橙子县，加州。我们的样本包括94个拉丁裔和27个盎格鲁妇女通过组织为基础的网络抽样选择的人种访谈和803个拉丁裔和422个盎格鲁妇女随机选择的电话调查。结果：拉丁裔移民（拉丁裔出生在美国以外）更有可能比美国-出生于拉丁美洲或盎格鲁妇女有宿命论的信仰。移民，教育水平和保险状况预测宿命论的信仰。宿命论的信念是独立的预测巴氏涂片使用拉丁美洲，但不是盎格鲁妇女。例如，在调整了潜在的混杂变量后，认为命运是宫颈癌风险因素的拉丁裔人（优势比[OR] = 0.58），他们宁愿不知道自己是否患有这种疾病（OR = .58），没有人能阻止它（OR = .45）比其他人更不可能报告他们在过去三年内进行了巴氏涂片检查。健康保险状况，婚姻状况和移民也预测了巴氏涂片的使用。有保险的拉丁美洲人比没有保险的拉丁美洲人（OR = 2.89）更有可能在过去三年内报告有巴氏涂片检查。此外，已婚拉丁裔（OR = 2.32）和盎格鲁女性（OR = 3.09）比未婚女性更有可能报告进行适当的宫颈癌筛查。最后，拉丁裔移民不太可能比其他拉丁裔报告有一个巴氏涂片（OR = .26）。结论：我们得出结论，宿命论的信念是负面影响拉丁裔使用巴氏涂片的因素之一，它是重要的医疗保健专业人员来解决这些信念。还必须继续努力，减少宫颈癌筛查的经济和结构障碍。
Objective: Our objective was to examine the demographic and other predictors of fatalistic beliefs among Latinas (Hispanic women) and Anglo (non-Hispanic Caucasian) women and to assess the impact of these beliefs on the use of cervical cancer screening services.Methods: We used ethnographic interviews and a cross-sectional telephone survey in Orange County, California. Our sample included 94 Latinas and 27 Anglo women selected through organization-based network sampling for the ethnographic interviews and 803 Latinas and 422 Anglo women randomly selected for the telephone survey.Results: Latina immigrants (Latinas born outside the United States) were more likely than U.S.-born Latinas or Anglo women to have fatalistic beliefs. Immigration, education levels, and insurance status predicted fatalistic beliefs. Fatalistic beliefs were independent predictors of Pap smear use by Latinas but not Anglo women. For example, after adjusting for potentially confounding variables, Latinas who believed that fate was a risk factor for cervical cancer (odds ratio [OR] = .58), that they would rather not know if they had the disease (OR = .58), and that there is nothing one can do to prevent it (OR = .45) were less likely than others to report that they have had a Pap smear within the prior three years. Health insurance status, marital status, and immigration also predicted use of Pap smears. Insured Latinas were more likely than uninsured Latinas (OR = 2.89) to report having a Pap smear within the prior three years. In addition, married Latinas (OR = 2.32) and Angle women (OR = 3.09) were more likely than unmarried women to report having appropriate cervical cancer screening. Finally, Latina immigrants were less likely than other Latinas to report having a Pap smear (OR = .26).Conclusions: We conclude that fatalistic beliefs are among the factors that negatively influence Latinas' use of Pap smears and that it is important for health care professionals to address those beliefs. Continued efforts are also necessary to decrease the economic and structural barriers to cervical cancer screening.