CANCER SCREENING BEHAVIOR IN KOREAN AMERICAN WOMEN

这项研究的主要目的是探索和描述癌症筛查行为的性质，并确定韩裔美国女性的感知障碍和卫生保健资源。这项研究采用横断面设计。使用两阶段概率抽样方法，居住在马里兰州两个地区的450名40岁及以上的韩裔美国女性将参与调查。将利用现有的调查问卷并通过重点小组编制一份符合文化背景的调查问卷。面对面的面试将由会说两种语言的韩国女性面试者用韩语进行。具体目标是：1.估计乳腺癌和宫颈癌筛查测试在韩裔美国女性中的患病率；2.检验社会人口学特征和文化适应与癌症筛查行为的关系；3.确定与癌症筛查行为相关的感知障碍和卫生保健资源的作用和意义；4.确定这些感知障碍如何根据适应程度和社会经济地位而变化。研究结果将为制定韩裔美国女性预防性健康行为的理论框架提供必要的信息。通过这项研究获得的信息将对为韩裔美国妇女的经济弱势群体制定干预战略和计划具有价值，也将拓宽我们对移民人口总体癌症控制需求的了解。

The primary objective of the study is to explore and describe the nature of cancer screening behaviors and to identify perceived barriers and health care resources among Korean American women. The study employs a cross-sectional design. Using a two-stage probability sampling method, 450 Korean American women 40 years of age and older, who reside in two regions of Maryland will participate in the survey. A culturally appropriate questionnaire will be developed using the existing questionnaire and through focus groups. Face-to-face interviews will be conducted in Korean by female bilingual Korean interviewers. The specific aims are: 1. Estimating the prevalence rate of breast and cervical cancer screening tests in Korean American women; 2. Examining the relations of socio-demographic characteristics and acculturation to cancer screening behavior; 3. Identifying the role and significance of perceived barriers and health care resources related to cancer screening behavior; and 4. Determining how these perceived barriers vary depending on acculturation level and socioeconomic status. The findings of the study will provide essential information for formulating a theoretical framework of preventive health behaviors for Korean American women. The information obtained through this study will be valuable in developing intervention strategies and programs for economically disadvantaged groups of Korean American women, and will also broaden our understanding of cancer control needs in immigrant populations in general.