ラテン系と英語系の人々の間で,がんに関する誤解
E J Pérez-Stable1, F Sabogal, R Otero-Sabogal
1Department of Medicine, University of California, San Francisco.
JAMA
|December 9, 1992
まとめ
ラテン系アメリカ人は,アングロアメリカ人に比べて,がんに関する誤解が大きくなり,より宿命主義的な態度をとり,文化に合わせたがん対策戦略の必要性を強調しています. この研究は,がんに関する知識と信念における有意な民族的格差を強調しています.
科学分野:
- 健康格差の研究 健康格差の研究
- 癌の流行病学 がん流行病学
- 医療における文化的能力
背景:
- 癌に関する知識と態度を理解することは,効果的な公衆衛生介入に不可欠です.
- 民族的,文化的要因は,健康に関する信念や行動に大きな影響を与える可能性があります.
- 以前の研究では,ラテン系と英語系の人々の間で,がんに対する認識の潜在的違いが示唆されている.
研究 の 目的:
- 大人のラテン系とイギリス系健康保険加入者の癌に関する知識と態度を評価し,比較する.
- 各グループで流行している特定の誤解や信念を特定する.
- 文化的に敏感ながん対策プログラムの開発を促す.
主な方法:
- プリペイドヘルスケアプランの成人の会員を対象に横断調査が行われました.
- ランダムなサンプルには,ラテン系844人とイギリス系510人が含まれていた.
- データはインタビューによって収集され,多変数ロジスティック回帰を用いて分析された.
主要な成果:
- ラテン系の人々は,さまざまな非因果的な要因 (例えば,砂糖の代用品,マイクロ波炉) が癌を引き起こすと信じる可能性が,英語系よりもかなり高かった.
- ラテン系の人々は,より頻繁に症状を誤認し,癌に関する宿命論的な信念 (例えば",死刑","神の罰") を持っていた.
- ラテン系の人種は,人口統計と健康状態の変数を調整した後でさえ,これらの知識と態度の格差の重要な予測要因でした.
結論:
- 癌の原因と症状に関する誤解は,ラテン系の人々の中で,イギリス系の人々よりも,より一般的です.
- がんに対するラテン系の特定の態度は",fatalismo"という文化的テーマと一致しています.
- これらの発見は,ラテン系コミュニティをターゲットとした,文化的に適切ながん対策の策定に不可欠です.
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