Wu Z H, Black S A, Markides K S
Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, 77555, USA.
Prev Med. 2001 Oct;33(4):268-73. doi: 10.1006/pmed.2001.0880.
The aim of this study was to identify patterns of mammogram and Papanicolaou (Pap) screenings among Mexican American women ages 67 and over.
Data on 1,403 Mexican American women from the Hispanic Established Population for the Epidemiological Study of the Elderly, a cohort study of community-dwelling Mexican Americans ages 65 years or over from the southwestern United States, were analyzed.
Mexican American women age 75 or older were less likely to ever have had breast or cervical screening than women ages 67 to 74, even controlling for sociodemographic, cultural, and selected health factors. Overall, fewer medical conditions and never having had a hysterectomy were found to be associated with a decreased chance of ever having had a mammogram or a Pap test. Women who lacked insurance coverage and had fewer doctor visits were less likely to ever have had a mammogram, whereas women with low education, low acculturation, and lower cognitive status scores were less likely to ever have had a Pap test.
If these results withstand more detailed studies (e.g., with the addition of important variables such as awareness), better communication with health professional doctors and improvement of access to heath care services should increase rates of both mammogram and Pap screenings.
本研究旨在确定67岁及以上墨西哥裔美国女性的乳房X光检查和巴氏涂片检查模式。
对来自西班牙裔老年人流行病学研究既定人群的1403名墨西哥裔美国女性的数据进行了分析，该队列研究对象为美国西南部65岁及以上居住在社区的墨西哥裔美国人。
75岁及以上的墨西哥裔美国女性比67至74岁的女性进行乳房或宫颈癌筛查的可能性更小，即使对社会人口统计学、文化和选定的健康因素进行了控制。总体而言，发现较少的医疗状况和从未进行过子宫切除术与进行乳房X光检查或巴氏试验的机会减少有关。缺乏保险覆盖且看医生次数较少的女性进行乳房X光检查的可能性较小，而教育程度低、文化适应程度低和认知状态得分较低的女性进行巴氏试验的可能性较小。
如果这些结果经得起更详细的研究（例如，增加诸如意识等重要变量），与健康专业医生更好地沟通以及改善获得医疗保健服务的机会应能提高乳房X光检查和巴氏涂片检查的比例。
