乳腺癌筛查：柬埔寨裔美国女性的接受阶段
Breast cancer screening: stages of adoption among Cambodian American women.
作者信息
Tu Shin-Ping, Yasui Yutaka, Kuniyuki Alan, Schwartz Stephen M, Jackson J Carey, Taylor Vicky M
机构信息
Department of Medicine, University of Washington, Seattle 98104, USA.
出版信息
Cancer Detect Prev. 2002;26(1):33-41. doi: 10.1016/s0361-090x(02)00013-2.
BACKGROUND
Little information is available on the breast cancer screening behavior of Cambodian American women.
METHODS
We identified households from multiple sources using Cambodian surnames and conducted a cross-sectional survey, administered by bilingual and bicultural interviewers. Breast cancer screening stages of adoption were examined based on concepts from the transtheoretical model of behavioral change.
RESULTS
Our response rate was 73% (398 women in clinical breast exam (CBE) analysis, and 248 in mammography analysis) with approximately 25% each in the maintenance stage. We found significant associations between screening stage with physician characteristics. Asian American female physician increased the likelihood of being in the maintenance stage (CBE, OR = 10.1, 95% CI 2.8-37.1; mammogram, OR = 74.7,95% CI 8.3-674.6), compared to Asian American male physician with precontemplation/contemplation stage as our referent outcome.
CONCLUSION
Results from this study support the need to promote regular breast cancer screening among Cambodian American women.
背景
关于柬埔寨裔美国女性的乳腺癌筛查行为，现有信息很少。
方法
我们通过柬埔寨姓氏从多个来源确定家庭，并开展了一项横断面调查，由双语和双文化的访谈员进行。基于行为改变的跨理论模型概念，对乳腺癌筛查的采用阶段进行了研究。
结果
我们的回应率为73%（临床乳房检查（CBE）分析中有398名女性，乳房X光检查分析中有248名女性），维持阶段的比例各约为25%。我们发现筛查阶段与医生特征之间存在显著关联。与以处于未考虑/考虑阶段的亚裔美国男性医生为对照结果相比，亚裔美国女性医生增加了处于维持阶段的可能性（CBE，比值比=10.1，95%置信区间2.8-37.1；乳房X光检查，比值比=74.7，95%置信区间8.3-674.6）。
结论
本研究结果支持有必要促进柬埔寨裔美国女性定期进行乳腺癌筛查。
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