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首页> 外文期刊>Health education research >A cultural research approach to instrument development: the case of breast and cervical cancer screening among Latino and Anglo women.
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A cultural research approach to instrument development: the case of breast and cervical cancer screening among Latino and Anglo women.

机译：一种用于仪器开发的文化研究方法：在拉丁裔和盎格鲁妇女中进行乳腺癌和宫颈癌筛查的案例。

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To illustrate the implementation of a bottom-up approach to the study of culture in health disparities, this article describes the development of a cultural cancer screening scale (CCSS) using mixed methodologies. The aim was to identify cultural factors relevant to breast and cervical cancer screening, develop an instrument to assess them and examine its preliminary psychometric properties among Latin American (Latino) and non-Latino White (Anglo) women in Southern California. Seventy-eight Latino and Anglo women participated in semi-structured interviews, which were content coded based on Triandis' methods for the analysis of subjective culture. Based on the emerging cultural elements, items relevant to cancer screening were developed and pilot tested with 161 participants. After the instrument was refined, 314 Latino and Anglo women from various socioeconomic backgrounds completed the CCSS and data were factor analyzed resulting in five cultural factors: cancer screening fatalism, negative beliefs about health professionals, catastrophic disease expectations, symptomatic deterrents and sociocultural deterrents. The instrument demonstrated measurement equivalence, adequate reliability and predictive validity. The research and the CCSS are discussed in terms of implications for the study of culture in relation to health disparities and the development of evidence-based interventions with culturally diverse populations and their health professionals.
机译：为了说明自下而上的健康差异文化研究的方法，本文介绍了使用混合方法开发文化癌症筛查量表（CCSS）的方法。目的是确定与乳腺癌和子宫颈癌筛查有关的文化因素，开发一种评估它们的工具，并检查其在南加州的拉丁美洲（拉丁美洲）和非拉丁美洲白人（盎格鲁）妇女的初步心理计量学特性。七十八名拉丁裔和盎格鲁妇女参加了半结构化访谈，访谈的内容基于Triandis的方法进行主观文化分析。基于新兴的文化元素，与癌症筛查相关的项目已开发并进行了161名参与者的试点测试。对该工具进行完善后，来自不同社会经济背景的314名拉丁裔和盎格鲁妇女完成了CCSS，并对数据进行了因素分析，得出了五个文化因素：癌症筛查宿命论，对卫生专业人员的负面信念，灾难性疾病期望，对症威慑和社会文化威慑。该仪器证明了测量等效性，足够的可靠性和预测有效性。讨论了该研究和CCSS对与健康差异有关的文化研究的意义，以及对具有文化多样性的人群及其卫生专业人员的循证干预措施的发展。

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