Prioritizing prevention: culture, context, and cervical cancer screening among Vietnamese American women.

Prioritizing prevention: culture, context, and cervical cancer screening among Vietnamese American women.
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优先预防:越南裔美国妇女的文化、背景和宫颈癌筛查。

DOI:
10.1007/s10903-011-9493-2
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发表时间:
2011
影响因子:
1.9
通讯作者:
Kobus,Amy
Kobus,Amy
中科院分区:
医学4区
文献类型:
--
作者:
Gregg,Jessica;Nguyen-Truong,ConnieKY;Wang,Pei-ru;Kobus,Amy

文献摘要

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很少有研究调查越南裔美国女性对巴氏涂片的看法,或者这些信念可能如何影响行为。通过滚雪球抽样招募的31名越南裔美国妇女接受了采访,了解她们对巴氏涂片的看法。访谈采用理论知情、归纳的方法进行定性分析。接受采访的妇女强调了通过了解文化知识的个人健康养生法进行疾病初级预防的重要性。他们在很大程度上也不熟悉巴氏涂片,但认为妇科检查总体上是有效的,对于疾病检测是必要的。最后,当获得妇科护理困难时,妇女对自己预防行为的信心有助于缓解她们对缺乏护理的担忧。虽然与文化相关的信仰不会简单地导致越南裔美国女性寻求或避免巴氏涂片,但它们确实在或多或少的程度上影响筛查行为,这取决于其他背景变量。
Few studies have investigated what Vietnamese American women believe about the Pap smear or how those beliefs might influence behavior. Thirty-one Vietnamese American women recruited through snowball sampling were interviewed about their beliefs regarding the Pap smear. Interviews were qualitatively analyzed using a theoretically informed, inductive approach. The women interviewed emphasized the importance of primary prevention of disease through culturally-informed personal health regimens. They were also largely unfamiliar with the Pap smear, but believed that gynecological exams in general were effective and necessary for disease detection. Finally, when access to gynecological care was difficult, women’s faith in their own preventive behaviors helped alleviate their concerns over lack of care. While culturally associated beliefs do not simply “cause” Vietnamese American women to seek or avoid Pap smears, they do influence screening behaviors to a greater or lesser degree, depending on other contextual variables.