拉丁裔和英国人对癌症的误解
E J Pérez-Stable1, F Sabogal, R Otero-Sabogal
1Department of Medicine, University of California, San Francisco.
JAMA
|December 9, 1992
概括
与英国人相比,拉丁裔人对癌症的误解更大,持有更注定性的态度,突出了对文化定制的癌症控制策略的需求. 这项研究强调了癌症知识和信仰的显著种族差异.
科学领域:
- 健康差异研究 研究健康差异研究
- 癌症流行病学癌症流行病学
- 在医疗保健领域的文化能力.
背景情况:
- 了解癌症知识和态度对于有效的公共卫生干预至关重要.
- 种族和文化因素可以显著影响健康信仰和行为.
- 之前的研究表明,拉丁裔和英格兰裔人口之间的癌症感知可能存在差异.
研究的目的:
- 评估和比较成年拉丁裔和英语健康计划成员对癌症的知识和态度.
- 确定每个群体中普遍存在的特定误解和信仰.
- 为文化敏感的癌症控制计划的发展提供信息.
主要方法:
- 在预付费健康计划的成年会员中进行了一项横截面调查.
- 一个随机抽样包括844名拉丁裔和510名英国人.
- 通过采访收集数据,随后使用多变量逻辑回归进行分析.
主要成果:
- 拉丁裔比英国人更有可能相信各种非因果因素 (例如,糖替代品,微波炉) 导致癌症.
- 拉丁裔更经常错误地识别症状,并对癌症持有宿命主义的信仰 (例如,'死刑','上帝的惩罚').
- 拉丁裔种族是这些知识和态度差异的重要预测因素,即使在调整了人口统计和健康状况变量之后.
结论:
- 关于癌症原因和症状的误解在拉丁裔中比英国人更为普遍.
- 某些拉丁裔对癌症的态度与"命运主义"的文化主题保持一致.
- 这些发现对于设计针对拉丁裔社区的文化适当的癌症控制干预措施至关重要.
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