ABSTRACT

American Indian women experience disproportionately high rates of cervical cancer morbidity and mortality, yet cancer screening services tend to be underutilized. Using the Health Belief Model (HBM) with a survey of American Indian women (N = 286) in South Dakota, findings indicate that only 59% received Pap test within the past 2 years. Significant predictors of Pap test included advanced age, higher BMI, greater awareness of Pap test, greater motivation, and lower barriers to screening. Findings highlight the importance of considering awareness of cancer screening and HBM constructs (barriers and motivation) in the examination of programs to improve screening among this population.

摘要

美国印第安妇女的宫颈癌发病率和死亡率高得不成比例，但癌症筛查服务往往没有得到充分利用。使用健康信念模型 (HBM)对南达科他州的美国印第安妇女 ( N = 286) 进行调查，结果表明只有 59% 的人在过去 2 年内接受了巴氏试验。巴氏试验的重要预测因素包括高龄、较高的 BMI、对巴氏试验的更高认识、更大的动力和较低的筛查障碍。研究结果强调了在检查计划以改善该人群筛查时考虑癌症筛查意识和 HBM 结构（障碍和动机）的重要性。