Breast and Cervical Cancer Screening in Korean-Americans

这项研究计划的长期目标是开发， 实施和评估一项针对文化的干预措施， 获得乳房X光检查、CBE和巴氏涂片筛查以及实施BSE的比率， 韩裔美国人（KA）Choi博士在本次拟议培训期间的目标是 1）获得开发文化有效工具的高级技能; 2） 加强她对促进健康及预防疾病的认识; 3） 了解KA妇女利用癌症筛查的情况 测试;以及4）生成与卫生保健提供者的 对KA妇女进行筛查的建议。理论框架 本文的研究是以安德森的行为模型为基础， 文化解释模型。这项拟议研究的具体目标是 40岁以上的KA移民妇女及其利用这些 测试是：（1）开发文化上适当的工具并对其进行测试;（2） 检验KA妇女的易感变量的假设;使 变量和需求变量将与他们对 筛选测试;以及3）确定文化特定和人口统计 影响医生推荐或实践的变量 筛选测试为达致上述具体目标，本建议项目将 分5个阶段进行：1）与30名KA妇女进行个别访谈; 2）6个重点 3）修改现有工具和/或 根据个别访谈的结果制定新的工具 和焦点小组; 4）与10名KA和10名白人美国人的个人访谈 医生;和5）以社区为基础的350 KA随机样本的调查 妇女，以试点测试，并建立心理测量特性的 仪器.这个项目是创新的，因为没有公开的项目 从接受者双方的角度来看待癌症筛查服务 以及他们的供应商提供一个全面的了解， KA妇女对这些测试的利用率较低的原因。这个项目是 在产生文化上准确的信息和工具， 用于流行病学研究和针对特定文化的干预措施 研究癌症筛查测试在KA妇女中的应用。

The long-term objective of this program of research is to develop, implement, and evaluate a culturally tailored intervention to increase the rates of obtaining mammogram, CBE, and Pap smear screens and practicing BSE in Korean American (KA) women. Dr. Choi's goals during this proposed training are to: 1) Gain advanced skills in developing culturally valid instruments; 2) Enhance her understanding of health promotion and disease prevention issues; 3) Generate knowledge related to KA women's utilization of the cancer screening tests; and 4) Generate knowledge related to health care providers' recommendations of the screening tests for KA women. The theoretical framework of this proposed project is based on Anderson's Behavioral Model supplemented with the Cultural Explanatory Model. The specific aims of this proposed study of KA immigrant women older than 40 years of age and their utilization of these tests are: 1) To develop culturally appropriate instruments and test them; 2) To test the hypothesis that KA women's predisposing variables; enabling variables, and need variables will be related to their utilization of the screening tests; and 3) To identify culturally specific and demographic variables that influence physicians' recommendation or practice of the screening tests. To achieve the specific aims, this proposed project will be conducted in 5 phases: 1) individual interviews with 30 KA women; 2) six focus groups with KA women; 3) modification of existing instruments and/or development of new instruments based on the results of individual interviews and focus groups; 4) individual interviews with 10 KA and 10 Caucasian American physicians; and 5) a survey with a community based random sample of 350 KA women in order to pilot test and to establish psychometric properties of the instruments. This proposed project is innovative since no published project has approached cancer screening services from the perspectives of both recipients as well as their providers to provide a comprehensive understanding of the reasons KA women have lower utilization rates of these tests. This project is significant in generating culturally accurate information and instruments to be used in both epidemiological research and culturally tailored intervention research for cancer screening test utilization in KA women.