针对美籍韩裔妇女的社区宫颈癌教育和导航计划。

IF 2.4 4区 心理学 Q1 ETHNIC STUDIES
Alison C Brecher, Elizabeth A Handorf, Yin Tan, Joanne Rhee, Charles Kim, Grace X Ma, Carolyn Y Fang
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引用次数: 0

摘要

在美国,亚裔美国妇女(尤其是韩裔美国妇女)的宫颈癌筛查率远远落后于其他人群。因此,在健康信念模型的指导下,我们制定了一项多成分干预措施,以增强韩裔美国妇女对筛查的了解和信念,并提高筛查率。干预组(人数=341)接受了与文化相关的癌症教育计划和导航服务。对照组(人数=335)接受类似的宫颈癌风险和筛查项目,以及免费/低成本筛查场所的信息。对妇女的知识和信念进行了基线和计划后测量,并在计划后 12 个月对筛查行为进行了评估。根据假设,干预措施将使宫颈癌和筛查方面的健康信念和知识发生积极变化,然后将其作为干预措施对筛查行为的潜在中介因素进行评估。从计划前到计划后,干预组报告的知识增加幅度明显更大(pp=0.02),感知到的障碍减少幅度明显更大(pp=0.01)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Community-Based Cervical Cancer Education and Navigation Program for Korean American Women.

In the United States (US), rates of cervical cancer screening among Asian American women (notably Korean American women) lag far behind other populations. Thus, guided by the Health Belief Model, we developed a multi-component intervention to enhance Korean American women's knowledge and beliefs about screening and to increase screening uptake. The intervention group (N=341) received a culturally-relevant cancer education program and navigation services. The control group (N=335) received a similar program on cervical cancer risk and screening, along with information about free/low-cost screening sites. Women's knowledge and beliefs were measured at baseline and post-program, and screening behavior was assessed at 12-months post-program. It was hypothesized that the intervention would lead to positive changes in health beliefs and knowledge about cervical cancer and screening, which were then evaluated as potential mediators of the intervention on screening behavior. From pre- to post-program, the intervention group reported significantly greater increases in knowledge (p<0.01) and perceived risk (p=0.02) and significantly greater decreases in perceived barriers (p<0.001) compared to the control group. However, changes in knowledge and health beliefs did not mediate intervention effects on screening behavior. Use of navigation services was associated with greater odds of obtaining screening (OR=3.15, 95% CI=2.28-4.01, p<0.001) and attenuated the significant effect of group assignment (intervention vs. control) on screening behavior to non-significance. In conclusion, although our intervention program was effective in improving women's knowledge and beliefs about screening, delivery of navigation services was the critical component in increasing cervical cancer screening rates in this underserved population.

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来源期刊
CiteScore
3.40
自引率
6.70%
发文量
57
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