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Open Access The Health-Care Practices of Vietnamese-Canadian Women: Cultural Influences on Breast and Cervical Cancer Screening Les pratiques en matière de santé chez les Canado-Vietnamiennes : les influences culturelles en matière de dépistage de cancers du sein et du col utérin

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Breast and cervical cancer are major contributors to morbidity and mortality among Vietnamese-Canadian women. Vietnamese women are at risk due to their low participation rate in screening programs for these cancers. The purpose of this exploratory qualitative study, informed by Kleinman's Exploratory Model of Health and Illness, was to explore the participation of Vietnamese-Canadian women in screening for breast and cervical cancer; the appropriateness of current cancer-prevention services for Vietnamese women; and the influence of social, cultural, political, historical, and economic factors, shaped by race, gender, and class, on the screening practices of Vietnamese-Canadian women. Fifteen Vietnamese-Canadian women and 6 health-care providers were interviewed. Analysis revealed that several factors influenced the women's participation in cancer screening. This paper reports on the process by which cultural knowledge and beliefs contributed to the women's health-care practices. The study revealed that the following cultural factors influenced the women's level of participation in screening programs for breast and cervical cancer: cultural knowledge and values with regard to women's bodies, conceptualization of health and illness, and beliefs and values concerning the patient/health-care provider relationship. The author offers recommendations on the promotion of screening for breast and cervical cancer among Vietnamese-Canadian women.

Les cancers du sein et du col utérin figurent parmi les facteurs de morbidité et de mortalité majeurs chez les femmes canado-vietnamiennes. Les Vietnamiennes sont à risque en raison de leur faible taux de participation aux programmes de dépistage de ces cancers. S'appuyant sur le modèle exploratoire de santé et de maladie de Kleinman, cette étude a pour but d'explorer les points suivants : la participation des Canado-Vietnamiennes au processus de dépistage de cancers du sein et du col utérin; la pertinence des services de prévention du cancer actuels desservant cette population; et l'influence des facteurs sociaux, culturels, politiques, historiques et économiques façonnés par les rapports sociaux entre les races, les sexes et les classes sur les pratiques de ces femmes en matière de dépistage. Quinze femmes canado-vietnamiennes et six prestateurs de soins ont été interviewés. L'analyse des entrevues révèle la présence de plusieurs facteurs qui influent sur la participation des femmes aux programmes de dépistage du cancer. Cet article fait état du processus par le biais duquel les connaissances et les croyances culturelles influencent les pratiques des femmes en matière de santé. L'étude révèle que les facteurs culturels suivants influent sur le taux de participation des femmes aux programmes de dépistage des cancers du sein et du col utérin : les connaissances et les valeurs culturelles relativement au corps féminin; la conceptualisation de la santé et de la maladie; et les croyances et valeurs en ce qui a trait à la relation patiente-prestateur de soins. L'auteure émet certaines recommandations concernant la promotion du dépistage des cancers du sein et du col utérin chez les femmes canado-vietnamiennes.

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Document Type: Research Article

Publication date: 2006-03-01

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