Beliefs matter: Cultural beliefs and the use of cervical cancer-screening tests

Beliefs matter: Cultural beliefs and the use of cervical cancer-screening tests
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DOI:
10.1525/aa.2001.103.4.1114
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发表时间:
2001-12-01
影响因子:
3.5
通讯作者:
Hubbell, FA
Hubbell, FA
中科院分区:
法学2区
文献类型:
--
作者:
Chavez, LR;McMullin, JM;Hubbell, FA

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在这篇文章中,我们研究了文化信仰对行为的影响,或者更具体地说,是关于宫颈癌危险因素和巴氏涂片检查使用的信仰。个别拉丁美洲人(西班牙裔妇女)持有与拉丁美洲人普遍相似的信仰(文化一致性)并没有显著影响她们使用子宫颈抹片检查。相反,医疗保险、年龄、婚姻状况、教育和语言文化适应等结构性因素解释了拉丁美洲人使用这种医疗服务的原因。然而,当拉丁裔女性持有与盎格鲁裔女性相似的信念时,她们在过去两年内接受巴氏试验的可能性要大得多。信仰与医生更接近的拉丁裔人最近进行这种检查的可能性要小得多。这些发现涉及人种学访谈和调查研究。这些信念被证明对行为有重大影响,这不仅表明信念很重要,而且表明检验这些信念的民族志方法也很重要。
In this article we examine the influence of cultural beliefs on behavior or, more specifically, beliefs about cervical cancer risk factors and the use of Pap exams. Individual Latinas' (Hispanic women) holding of beliefs similar to Latinas' generally (cultural consonance) did not significantly influence their use of Pap exams. Rather, structural factors such as medical insurance, age, marital status, education, and language acculturation explained Latinas' use of this medical service. However, when Latinas held beliefs similar to those of Anglo women, then they were significantly more likely to have had a Pap exam within the past two years. Latinas whose beliefs were closer to those of physicians were significantly less likely to have had the exam recently. Arriving at these findings involved both ethnographic interviews and survey research. That these beliefs proved to be significant influences on behavior suggests not only the important ways that beliefs matter but that ethnographic methods for examining those beliefs also matter.