Breast and Cervical Cancer Screening in Korean-Americans

这项研究计划的长期目标是开发， 实施并评估针对文化定制的干预措施，以增加 乳房X线片、CBE和巴氏涂片筛查和实施疯牛病的比率 韩裔美国人(KA)女性。崔博士在这项拟议的培训中的目标是 为了：1)在开发具有文化效力的工具方面获得高级技能；2) 加强她对健康促进和疾病预防问题的了解；3) 产生与KA妇女利用癌症筛查有关的知识 测试；以及4)生成与医疗保健提供者的 对KA妇女筛查试验的建议。理论框架 是在安德森行为模型的基础上补充的 文化解释模式。这项拟议研究的具体目的 40岁以上的克族移民妇女及其对这些资源的利用 测试是：1)开发适合文化的工具并进行测试；2) 来检验KA女性的易感变量的假设；使 变量和需要变量将与它们对 筛查测试；以及3)确定特定文化和人口统计 影响医生推荐或实践的变量 筛查测试。为了实现具体目标，这个拟议的项目将是 分5个阶段进行：1)对30名KA妇女进行个人访谈；2)6个焦点 有KA妇女的群体；3)修改现有文书和/或 根据个人访谈结果开发新的工具 和焦点小组；4)对10名KA和10名高加索美国人的个人采访 医生；5)以社区为基础的随机抽样350 KA的调查 女性为了试验和建立心理测量学特性 乐器。这个拟议的项目是创新的，因为没有任何已发布的项目 从受助者和受助者的角度探讨癌症筛查服务 以及它们的提供者，以提供对 KA女性对这些测试的使用率较低的原因。这个项目是 在产生文化上准确的信息和工具方面具有重要意义 在流行病学研究和文化干预中使用 克雅族妇女癌症筛查试验应用研究。

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.