Age-related differences in health beliefs regarding cervical cancer screening among Korean American women.

Age-related differences in health beliefs regarding cervical cancer screening among Korean American women.
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DOI:
10.1177/1043659612441015
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发表时间:
2012-07
期刊:
Journal of transcultural nursing : official journal of the Transcultural Nursing Society
影响因子:
--
通讯作者:
Nandy K
Nandy K
中科院分区:
其他
文献类型:
--
作者:
Lee EE;Eun Y;Lee SY;Nandy K

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尽管与非西班牙裔白人女性相比,总体癌症筛查率仍然是最低的巴氏涂片(Pap)依从率之一,但老年韩裔美国女性(KA)的宫颈癌筛查率远低于年轻KA女性。基于健康信念模型的宫颈癌筛查相关变量在KA妇女中按年龄组进行比较。对居住在美国中西部的189名KA妇女进行了电话调查。在65岁或以上的老年KA妇女中,接受巴氏试验的感知障碍预测了在过去3年内接受巴氏试验的结果变量,但在40至64岁之间的年轻妇女中则没有。在前2年内进行无症状的体检可以预测两个年龄组的结果变量。所有KA妇女的干预策略应侧重于鼓励她们接受常规体检。此外,应努力减少老年KA妇女对障碍的认知,以改善其宫颈癌筛查行为。
Cervical cancer screening rates among older Korean American (KA) women are much lower than the rates for younger KA women, even though the overall cancer screening rates in the population continue to have one of the lowest Papanicolaou (Pap) test adherence rates compared with non-Hispanic White women. Variables based on the Health Belief Model related to cervical cancer screening were compared by age group among KA women. A telephone survey was conducted with 189 KA women living in the midwestern United States. Perceived barriers to having a Pap test predicted the outcome variable of having had Pap tests in the preceding 3 years in older KA women who were 65 or older, but not in younger women who were between 40 and 64 years old. Having physical examinations without symptoms in the preceding 2 years predicted the outcome variable in both age groups. Intervention strategies for all KA women should focus on encouraging them to receive routine physical examinations. In addition, attempts should be made to reduce perception of barriers in older KA women to improve their cervical cancer screening behaviors.
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