Abstract：
:Southeast Asian immigrants have lower levels of Pap testing than any other racial/ethnic group in the US, and are particularly unfamiliar with western culture and biomedical concepts of prevention. We completed an ethnographic study (N = 42) focusing on cervical cancer screening among Cambodian American women. We also conducted a community-based survey (N = 413) to examine the generalizability of our qualitative results. This report summarizes the results, and describes how we used our findings to influence the content of a multifaceted intervention program targeting Cambodian immigrants. The following constructs were found to be barriers to cervical cancer control: a traditional orientation to the prevention, causation, and treatment of disease; lack of familiarity with western early detection concepts; low levels of knowledge about cervical cancer; concerns about the Pap testing procedure; and health care access issues. In general, the quantitative results confirmed our ethnographic findings. The intervention program, which is delivered by bicultural outreach workers, includes home visits, presentations at small group meetings, barrier-specific counseling, use of a Khmer-language video, and tailored logistic assistance (e.g., transportation and medical interpretation). Both the video and presentation provide cultural context while simultaneously addressing multiple barriers to screening (e.g., women's fear of surgery and preference for female providers). Outreach workers are trained to counsel women about 10 potential barriers including avoidance of biomedicine, perceptions that gynecologic exams are embarrassing, and lack of English proficiency. Our results reinforce the importance of considering health problems within the context of a population's traditional belief systems and daily routines.
journal_name
J Community Healthjournal_title
Journal of community healthauthors
Carey Jackson J,Taylor VM,Chitnarong K,Mahloch J,Fischer M,Sam R,Seng Pdoi
10.1023/a:1005123700284subject
Has Abstractpub_date
2000-10-01 00:00:00pages
359-75issue
5eissn
0094-5145issn
1573-3610journal_volume
25pub_type
杂志文章abstract：:This paper presents a baseline evaluation of four demonstration family support programs located in communities identified as having a disproportionate number of families at risk for malfunctioning. In this baseline evaluation, a one year cohort of 422 family support participants were assessed along key dimensions of p...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01321513
更新日期：1986-07-01 00:00:00
abstract：:Urban food swamps are typically situated in low-income, minority communities and contribute to overweight and obesity. Changing the food landscape in low income and underserved communities is one strategy to combat the negative health consequences associated with the lack of access to healthy food resources and an abu...
journal_title：Journal of community health
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journal_title：Journal of community health
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更新日期：2012-12-01 00:00:00
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journal_title：Journal of community health
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更新日期：1979-01-01 00:00:00
abstract：:This paper describes the first year of an ongoing village health care and economic development project in the Krong Buk district of Dak Lak province in Vietnam's Central Highlands. The project serves 21 villages with a total population of just over 15,000. Most belong to ethnic minority groups. Physicians from the pro...
journal_title：Journal of community health
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更新日期：2001-02-01 00:00:00
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journal_title：Journal of community health
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更新日期：2010-12-01 00:00:00
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journal_title：Journal of community health
pub_type： 临床试验,杂志文章,多中心研究
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更新日期：1996-02-01 00:00:00
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journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-010-9229-6
更新日期：2010-06-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/s10900-012-9639-8
更新日期：2013-06-01 00:00:00
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journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-015-0050-0
更新日期：2015-12-01 00:00:00
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journal_title：Journal of community health
pub_type： 杂志文章
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更新日期：1982-01-01 00:00:00
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journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-006-9016-6
更新日期：2006-08-01 00:00:00
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journal_title：Journal of community health
pub_type： 杂志文章
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更新日期：2017-12-01 00:00:00
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doi：10.1007/s10900-017-0388-6
更新日期：2018-02-01 00:00:00
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更新日期：2014-06-01 00:00:00
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journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-010-9325-7
更新日期：2011-06-01 00:00:00
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journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-008-9119-3
更新日期：2009-02-01 00:00:00
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journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1023/a:1025172903135
更新日期：1997-10-01 00:00:00
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journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-014-9850-x
更新日期：2014-10-01 00:00:00
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pub_type： 杂志文章
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更新日期：2011-06-01 00:00:00
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更新日期：1996-12-01 00:00:00
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更新日期：2020-06-01 00:00:00
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更新日期：2020-06-01 00:00:00
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pub_type： 杂志文章
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更新日期：2011-10-01 00:00:00
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pub_type： 杂志文章
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更新日期：2018-02-01 00:00:00
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journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-013-9662-4
更新日期：2013-08-01 00:00:00
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journal_title：Journal of community health
pub_type： 杂志文章,已发布勘误
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更新日期：2018-06-01 00:00:00
abstract：:HIV prevalence and socio-demographic data were analyzed to assess the alignment of CDC-funded HIV testing activity in 2012 with its high-impact prevention approach. CDC-funded HIV-testing was conducted in counties with high HIV prevalence and in places potentially more affected by HIV as measured by urbanicity, percen...
journal_title：Journal of community health
pub_type： 杂志文章
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更新日期：2015-10-01 00:00:00
