Breast and Cervical Cancer Screening in Korean-Americans

该研究计划的长期目标是开发， 实施并评估针对文化的干预措施，以提高 获得乳房 X 光检查、CBE 和子宫颈抹片检查以及 BSE 实践的比率 韩裔美国 (KA) 女性。 Choi 博士在本次拟议培训中的目标是 1) 获得开发文化上有效的乐器的高级技能； 2） 增强她对健康促进和疾病预防问题的了解； 3） 生成与 KA 女性利用癌症筛查相关的知识 测试； 4) 生成与医疗保健提供者相关的知识 KA 女性筛查测试的建议。理论框架 这个拟议项目的基础是安德森行为模型的补充 与文化解释模型。本研究的具体目标 40 岁以上 KA 移民女性的情况及其利用情况 测试是： 1) 开发适合文化的工具并进行测试； 2） 检验KA女性易感变量的假设；使能 变量和需求变量将与它们的利用率有关 筛选测试； 3) 确定特定文化和人口特征 影响医生建议或实践的变量 筛选测试。为实现具体目标，本拟议项目将 分 5 个阶段进行：1）对 30 名 KA 女性进行单独访谈； 2）六大焦点 与 KA 女性组成的团体； 3) 修改现有文书和/或 根据个人访谈的结果开发新工具 和焦点小组； 4) 对 10 名 KA 和 10 名白人美国人进行单独采访 医生； 5) 基于社区的 350 KA 随机样本调查 妇女，以便进行试点测试并建立心理测量特性 仪器。该提议的项目具有创新性，因为还没有已发布的项目 从双方接受者的角度看待癌症筛查服务 及其提供商，以提供对 KA 女性对这些测试的利用率较低的原因。这个项目是 对于产生文化上准确的信息和工具具有重要意义 用于流行病学研究和文化定制干预 KA 女性癌症筛查测试应用的研究。

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.