Determinants of mammography screening participation among Turkish immigrant women in Germany - a qualitative study reflecting key informants' and women's perspectives
Determinants of mammography screening participation among Turkish immigrant women in Germany - a qualitative study reflecting key informants' and women's perspectives
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DOI：
10.1111/ecc.12334
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发表时间：
2016-01-01
影响因子：
2.1
通讯作者：
Razum, O.
中科院分区：
文献类型：
--
作者：
Berens, E-M.;Yilmaz-Aslan, Y.;Razum, O.
大多数欧洲国家实施了旨在降低乳腺癌死亡率的乳房X线检查方案。在几个欧洲国家，移民妇女参与的可能性低于各自的土著居民妇女，但在德国并非如此。定性，半结构化访谈进行了16个关键的线人和10名土耳其移民妇女年龄在50-69岁，分析影响他们的筛选参与德国的因素。访谈进行了分析，使用总结内容分析。计划行为理论被用于构建结果。关键的信息提供者表示，德语能力差和对乳腺癌和筛查的知识不足是影响筛查参与的因素。移民妇女表现出对筛查的基本知识，但他们对筛查的态度各不相同。筛查方案邀请函中的信息往往被家庭成员过滤。关键的举报人倾向于强调障碍和系统相关的因素，而土耳其妇女更注重个人层面的因素。对比这两种观点有助于卫生专业人员批判性地评估自己的观点。提高筛查参与率的措施不仅需要消除障碍，还需要考虑到妇女的态度和规范，从而帮助妇女做出知情决定。
Mammography screening programmes aiming to reduce mortality from breast cancer are implemented in most European countries. Immigrant women are less likely to participate than women of the respective autochthonous populations in several European countries but not in Germany. Qualitative, semi-structured interviews were conducted with 16 key informants and 10 Turkish immigrant women aged 50-69 years to analyse the factors influencing their screening participation in Germany. Interviews were analysed using summarising content analysis. The Theory of Planned Behaviour was used for structuring the results. Key informants stated poor German language skills and insufficient knowledge about breast cancer and screening as factors influencing screening participation. Immigrant women demonstrated basic knowledge about screening, but their attitudes towards screening varied. Information from the invitation letter of the screening programme was often filtered by family members. Key informants tended to emphasise barriers and system-related factors while the Turkish women focused more on factors on the individual level. Contrasting both perspectives is helpful for health professionals to critically assess their own views. Measures to improve screening participation need to address not only barriers but also take women's attitudes and norms into account, thus helping women to make an informed decision.