CULTURAL BELIEFS AND BREAST CANCER SCREENING

文化信仰与乳腺癌筛查

• 批准号: 6141995
• 负责人: MEI-YU Y YU
• 金额: $ 7.58万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-04-01 至 2002-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6141995
• 关键词: Chinese American; behavioral /social science research tag; belief; clinical research; culture; female; human middle age (35-64); human old age (65+); human subject; mammography; psychometrics; questionnaires; racial /ethnic difference; women's health

DESCRIPTION: (Applicant's Description) Breast cancer is the most frequently diagnosed cancer for Chinese in the United States As Chinese women move to the United States from China and other Asian countries, their chances of getting breast cancer increase, and the risk of breast cancer in successive generations also increases. Breast cancer mammography screening is known to be an effective early detection measure, but Chinese Americans are reluctant to make visits for routine or preventive care. Preliminary studies suggest that cultural beliefs about health and disease prevention have important influences on Chinese women's health behavior, such as mammography screening. The complex nature of doing research with Asian Americans requires cultural appropriateness of the assessment instruments. However, adequate research instruments with established reliability and validity to measure the association between women' s cultural beliefs and their cancer screening behaviors are lacking. The objective of the proposed study is to establish the psychometric properties of a Chinese-English "Cultural Beliefs and Cancer Screening (CBCS)" questionnaire that measures the full range of concepts derived from prior empirical and promising theoretical work. Guided by culturally-specific adaptations made to the health belief model (HBM), we will adopt existing instruments when necessary (e.g., Champion's Breast Cancer Screening Belief Scales and Mood's Cultural Affiliation Scale), translate and pre-test the bilingual Chinese-English CBCS questionnaire that measures theoretically and empirically-derived concepts thought to be related to mammography use (Aim I). Based on data from Chinese American women using a culturally sensitive sampling methodology, we will then assess reliability and validity of each component of the CBCS questionnaire using culturally appropriate qualitative and quantitative research (Aim 2). Finally, we will evaluate the adequacy of the independent variables in the CBCS questionnaire as predictors of mammography use (Aim 3). Lower utilization of breast cancer screening is probably responsible for a greater proportion of tumors found at a later stage among Chinese American women compared to United States white women. The CBCS questionnaire will facilitate development of future intervention programs that succeed in increasing the use of mammography screening by Chinese American women. It is anticipated that the CBCS questionnaire will also benefit a variety of studies designed for the United States minority populations, especially Asian Americans, in which cultural beliefs about cancer and cancer screening are important elements for performing cancer early detection.

描述：（申请人的描述） 乳腺癌是中国最常见的癌症， 随着中国妇女从中国和其他国家移居美国， 在亚洲国家，她们患乳腺癌的几率增加， 乳腺癌的发病率也在不断上升。乳腺癌 乳房X光检查是一种有效的早期检测措施，但 华裔美国人不愿意为例行或预防性护理而访问。 初步研究表明，关于健康和疾病的文化信念 预防对中国妇女的健康行为有重要影响， as mammography乳房X光筛查.与亚洲人做研究的复杂性 美国人要求评估工具的文化适应性。 然而，具有可靠性的适当研究工具， 有效性，以衡量妇女的文化信仰和 他们缺乏癌症筛查行为。建议的目标 本研究的目的是建立一个中英双语的心理测量学特征 “文化信仰和癌症筛查（CBCS）”问卷，测量 从先前的经验和有希望的理论中得出的全方位概念 工作在对健康信念进行文化适应的指导下 模型（HBM），我们将在必要时采用现有的工具（例如， 冠军的乳腺癌筛查信念量表和情绪的文化 所属关系量表），翻译并预测中英双语CBCS 测量理论和实践衍生概念的问卷 认为与乳房X线摄影的使用有关（目的I）。根据中国的数据 美国妇女使用文化敏感的抽样方法，我们将 评估CBCS问卷各组成部分的信度和效度 使用文化上适当的定性和定量研究（目标2）。 最后，我们将评估中独立变量的充分性 CBCS问卷作为乳腺X射线摄影使用的预测因子（目的3）。利用率低 乳腺癌筛查可能导致更大比例的 与美国女性相比， 白色女人。CBCS调查问卷将有助于制定 未来的干预计划，成功地增加使用乳房X光检查， 美国华裔女性的筛查。预计CBCS 问卷调查也将有利于为美国设计的各种研究 美国少数民族人口，特别是亚裔美国人， 对癌症和癌症筛查的信念是 进行癌症早期检测。