Multi-Dimensional Cultural Values

多维度的文化价值观

• 批准号: 6923482
• 负责人: Chanita A. Hughes-Halbert
• 金额: $ 25.18万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-06-01 至 2010-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6923482
• 关键词: African American; Hispanic Americans; behavioral /social science research tag; cancer prevention; caucasian American; clinical research; culture; health behavior; health disparity; health surveys; human subject; interview; longitudinal human study; psychological values; psychometrics; racial /ethnic difference; technology /technique development

DESCRIPTION (provided by applicant): Even though recent work has demonstrated that the disparity in cancer incidence and mortality is decreasing among members of ethnic and racial groups, African Americans and Hispanics continue to experience excess rates of cancer morbidity and mortality. Research is now being conducted to disentangle the effects of biological, behavioral, and sociocultural determinants of racial and ethnic disparities in cancer morbidity and mortality. Although understanding the role of cultural factors to cancer prevention and control behaviors has been the focus of much of this research, knowledge about the contribution of these factors to screening behaviors and avoidance of cancer risk factors has proceeded at slow rate because of the limited availability of reliable and valid methods for assessing these characteristics in ethnically and racially diverse populations. Culture is a multi-dimensional construct that includes beliefs and values; however, previous studies have focused on describing myths and folk beliefs about cancer among African Americans and Hispanics. This method of assessing cultural factors has had a limited impact on minimizing cancer disparities because myths and folk beliefs are not generalizable to all members of ethnic and racial groups. Methods for assessing cultural values related to cancer prevention and control that are reliable and valid for ethnically and racially diverse populations is needed to achieve the long-term objective of reducing and eliminating ethnic and racial disparities in cancer morbidity and mortality. Therefore, the specific aims of this study are to (1) develop a multi-dimensional cultural values assessment tool (MCVAT) that is sensitive to cultural values for cancer prevention and control among African Americans, Hispanics, and Caucasians; (2) evaluate the psychometric properties of the MCVAT among these diverse ethnic and racial groups; and (3) evaluate the construct, discriminant, and predictive validity of the instrument in these groups. Subjects eligible to participate in the study are African American, Caucasian, and Hispanic men and women ages 18-75. The study will be implemented in three phases. In Phase I we will conduct qualitative research to generate items for the MCVAT and in Phase II, we will conduct a cross-sectional survey study to evaluate the psychometric properties of the MCVAT. In Phase III, we will conduct a prospective, longitudinal survey study to evaluate the construct, discriminate, and predictive validity of the MCVAT. To accomplish these goals, we have assembled an investigative team of experts in culture, psychometrics, cancer prevention and control, and survey research. This study will provide a psychometrically sound instrument that can be used in clinical and research settings to provide culturally sensitive care and interventions to ethnically and racially diverse populations.

描述（由申请人提供）：尽管最近的研究表明，不同民族和种族群体中癌症发病率和死亡率的差异正在缩小，但非裔美国人和西班牙裔美国人的癌症发病率和死亡率仍然过高。目前正在进行研究，以阐明生物、行为和社会文化决定因素对癌症发病率和死亡率的种族和民族差异的影响。尽管了解文化因素对癌症预防和控制行为的作用一直是这项研究的重点，但由于现有资料有限，关于这些因素对筛查行为和避免癌症危险因素的贡献的了解进展缓慢。评估民族和种族不同人群的这些特征的可靠和有效的方法。文化是一种多维结构，包括信仰和价值观；然而，之前的研究主要集中在描述非裔美国人和西班牙裔人中关于癌症的神话和民间信仰。这种评估文化因素的方法对最大限度地减少癌症差异的影响有限，因为神话和民间信仰并不适用于所有民族和种族群体的成员。为了实现减少和消除癌症发病率和死亡率方面的民族和种族差异的长期目标，需要采用对不同民族和种族人群可靠且有效的与癌症预防和控制相关的文化价值观评估方法。因此，本研究的具体目的是（1）开发一种对非裔美国人、西班牙裔和白种人癌症预防和控制文化价值观敏感的多维文化价值观评估工具（MCVAT）； (2) 评估这些不同民族和种族群体中 MCVAT 的心理测量特性； (3) 评估该工具在这些组中的构造、判别和预测有效性。有资格参加该研究的受试者是年龄 18-75 岁的非裔美国人、白人和西班牙裔男性和女性。该研究将分三个阶段进行。在第一阶段，我们将进行定性研究，为 MCVAT 生成项目；在第二阶段，我们将进行横断面调查研究，以评估 MCVAT 的心理测量特性。在第三阶段，我们将进行一项前瞻性纵向调查研究，以评估 MCVAT 的构建、区分和预测有效性。为了实现这些目标，我们组建了一支由文化、心理测量、癌症预防和控制以及调查研究方面的专家组成的调查团队。这项研究将提供一种心理测量学上合理的工具，可用于临床和研究环境，为民族和种族不同的人群提供文化敏感的护理和干预措施。