Barriers to breast and cervical cancer screening among Vietnamese-American women
Barriers to breast and cervical cancer screening among Vietnamese-American women
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DOI：
10.1016/s0749-3797(18)30195-8
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发表时间：
1997-05-01
影响因子：
5.5
通讯作者：
Le, B
中科院分区：
文献类型：
--
作者：
McPhee, SJ;Bird, JA;Le, B
简介：我们调查了在旧金山弗朗西斯科和萨克拉门托，加州州的越南妇女之间的乳腺癌和宫颈癌筛查的障碍。方法：1992年，在旧金山弗朗西斯科和萨克拉门托的339名越南妇女进行了面对面的访谈。在这两个社区，只有大约一半的越南妇女曾经接受过例行检查、临床乳房检查、乳房X光检查和巴氏涂片检查，只有约三分之一的人及时接受了这些筛选检查。在40岁或40岁以上的女性中，35%的人从未考虑过做乳房X光检查。这项研究确定了几个重要的障碍，识别，接收和筛选测试的货币。测试识别的负面预测因素包括教育水平低和没有正规医生。接受测试的负面预测因素包括教育水平低，没有正规医生，在美国居住时间短，从未结婚。一个主要的负面预测测试货币是教育水平低。除了少数例外，态度和信仰一般都不是重要的predictors.Conclusions：健康教育和筛查计划，早期乳腺癌和宫颈癌的检测越南妇女必须在文化上是适当的，并在越南语进行。需要开展特别的外联工作，协助新移民获得推荐的乳腺癌和宫颈癌检查。
Introduction: We investigated barriers to breast and cervical cancer screening among Vietnamese women in San Francisco and Sacramento, California.Methods: Face-to-face interviews were conducted in 1992 of 306 Vietnamese women in San Francisco and of 339 women in Sacramento.Results: In both communities, only about one half of Vietnamese women had ever had routine check-ups, clinical breast examinations, mammograms, and Pap smear tests, and only about one third were up-to-date for these screening examinations. Among women age 40 or older, 35% had never even contemplated having a mammogram. This study identified several significant barriers to recognition, receipt, and currency of screening tests. Negative predictors of test recognition included low level of education and not having a regular physician. Negative predictors of test receipt included low level of education, not having a regular physician, short duration of residence in the United States, and never having been married. A major negative predictor of test currency was low level of education. With a few exceptions, attitudes and beliefs generally were not important predictors.Conclusions: Health education and screening programs for early breast and cervical cancer detection among Vietnamese women must be culturally appropriate and conducted in the Vietnamese language. Special outreach efforts are needed to assist recent immigrants in obtaining recommended breast and cervical cancer screening examinations.