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CULTURAL BELIEFS AND BREAST CANCER SCREENING

文化信仰与乳腺癌筛查

基本信息

批准号：
6377937
负责人：
MEI-YU Y YU
金额：
$ 7.56万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
2000
资助国家：
美国
起止时间：
2000-04-01 至 2003-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6377937
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

项目摘要

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：(申请人描述) 乳腺癌是中国人最常被诊断出的癌症。随着中国女性从中国等人移居美国亚洲国家患乳腺癌的几率增加，风险增加代代相传的乳腺癌发病率也在增加。乳腺癌众所周知，乳房X光检查是一种有效的早期发现措施，但华裔美国人不愿去医院接受常规或预防性护理。初步研究表明，关于健康和疾病的文化信仰预防对中国女性的健康行为有重要影响，如作为乳房X光检查。与亚洲人一起做研究的复杂性美国人要求评估工具的文化适当性。然而，充足的研究工具具有既定的可靠性和女性S文化信仰与女性关系的效度研究他们的癌症筛查行为缺失。建议的目标是研究目的是建立中英文对照的心理测量学特征 “文化信仰与癌症筛查(CBCS)”问卷从先前的经验和有希望的理论中衍生出来的各种概念工作。以特定于文化的适应健康信念为指导根据模式(HBM)，我们将在必要时采用现有的文书(例如，冠军乳腺癌筛查信念量表与情绪文化从属关系量表)、汉英双语CBCS翻译和预试测量理论和经验衍生概念的调查问卷被认为与乳房X光检查的使用有关(AIM I)。基于来自中国的数据美国妇女使用文化敏感的抽样方法，然后我们将评估CBCS问卷各组成部分的信度和效度使用符合文化背景的定性和定量研究(目标2)。最后，我们将评估独立变量的充分性 CBCS问卷作为乳房X光摄影使用的预测因子(目标3)。利用率较低乳腺癌筛查可能对更大比例的与美联航相比，在华裔美国女性中发现肿瘤的时间较晚各州的白人女性。CBCS调查问卷将有助于制定成功增加乳房X光检查使用的未来干预计划由华裔美国女性进行筛查。预计CBCS 调查问卷也将使为美国设计的各种研究受益美国的少数民族人口，特别是亚裔美国人，在他们的文化中对癌症和癌症筛查的信念是进行癌症早期检测。