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Cervical cancer screening beliefs among young Hispanic women.

机译:在西班牙裔年轻女性中进行宫颈癌筛查的信念。

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OBJECTIVES: This study examined beliefs, attitudes, and personal characteristics that correlated with self-reported cervical cancer screening history among Hispanic women aged 18 to 25 years old in El Paso, TX, a large metropolitan area on the U.S.-Mexico border. METHODS: Data were collected through a cross-sectional, face-to-face survey. The study questionnaire was based primarily on the Health Belief Model, and included scales that measured perceived susceptibility and seriousness of cervical cancer, and perceived benefits and barriers to Pap test screening. The study questionnaire also included measures of acculturation, Pap test history, pregnancy and sexual history, use of birth control, type of medical insurance, and educational attainment. RESULTS: Sixty-nine percent reported ever having had a Pap test and 56% reported having had a test in the past year. Eighty percent reported that they were sexually active, and of these, 63% reported using birth control. Respondents understood the seriousness of cervical cancer, their susceptibility to cervical cancer, and the benefits of Pap testing; however, only 61% agreed that most young women whom they know have Pap tests. Greater acculturation and the belief that most young unmarried women have Pap tests were positively associated with ever having screening. The perception that the test would be painful and not knowing where to go for the test were negatively associated with ever having a Pap test. CONCLUSIONS: This study found suboptimal rates of screening for cervical cancer in a sample of young Hispanic women residing along the U.S.-Mexico border. Although women may understand the seriousness of cervical cancer and the benefits of screening, perceptions about Pap tests may pose barriers to undergoing screening. Efforts to increase screening also may need to focus specifically on women who are least acculturated, as they also were least likely to have had prior Pap tests.
机译:目的:这项研究调查了与美国墨西哥边境大都市区德克萨斯州埃尔帕索市年龄在18至25岁的西班牙裔女性自我报告的宫颈癌筛查史相关的信念,态度和个人特征。方法:通过横断面,面对面调查收集数据。该研究问卷主要基于“健康信念模型”,包括量表,这些量表用于衡量子宫颈癌的敏感性和严重性,以及对子宫颈抹片检查筛查的感知益处和障碍。该研究问卷还包括适应程度,子宫颈抹片检查史,妊娠和性史,节育措施的使用,医疗保险的类型和受教育程度的测量。结果:在过去一年中,有69%的人曾经进行过巴氏试验,有56%的人曾进行过巴氏试验。 80%的人报告说他们有性行为,其中63%的人使用节育方法。受访者了解宫颈癌的严重性,对宫颈癌的易感性以及Pap检测的好处;但是,只有61%的人同意,他们认识的大多数年轻女性都进行了巴氏试验。更大的适应能力和大多数未婚女性都进行巴氏试验的信念与曾经接受筛查有正相关。认为测试会很痛苦并且不知道去哪里进行测试的感觉与曾经进行过Pap测试有负面关系。结论:这项研究发现,在居住在美墨边境的年轻西班牙裔女性样本中,宫颈癌筛查的次优率较低。尽管女性可能了解子宫颈癌的严重性以及筛查的好处,但对巴氏检测的认识可能会阻碍筛查的进行。加强筛查的工作可能还需要特别关注那些文化程度最差的女性,因为她们也不太可能接受过先前的巴氏试验。

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