Thompson Beti, Coronado Gloria D, Solomon Cam C, McClerran Dale F, Neuhouser Marian L, Feng Ziding
Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA.
Cancer Causes Control. 2002 Oct;13(8):719-28. doi: 10.1023/a:1020280427712.
Socioeconomic status is explored as a predictor of differences between Hispanics and non-Hispanic Whites in cancer prevention behavior.
In a cross-sectional study, in-person interviews (n = 1795) were conducted in a population-based random sample of adults in 20 communities with a high proportion of Hispanics.
Hispanics were significantly less likely than non-Hispanic Whites to ever have had cervical (p < 0.001), breast (p = 0.007), or colorectal cancer (FOBT p = 0.008; sigmoidoscopy/colonoscopy p < 0.002) screening. After adjusting for socioeconomic status (education and having health insurance), only differences in cervical cancer remained significant (p = 0.024). After adjusting for socioeconomic status, Hispanics had a significantly higher intake of fruits and vegetables per day (4.84 servings) than non-Hispanic Whites (3.84 servings) (p < 0.001); and fat behavior score was marginally significant after adjustment for socioeconomic status (p = 0.053). Significantly fewer Hispanics were current smokers than non-Hispanic Whites (p < 0.001).
There is only limited support for the hypothesis that socioeconomic status is a major determinant of some cancer-related behaviors; specifically, socioeconomic status is related to mammography and colorectal screening, but not cervical cancer, dietary behavior, or smoking.
探讨社会经济地位作为西班牙裔和非西班牙裔白人在癌症预防行为方面差异的预测因素。
在一项横断面研究中，对20个西班牙裔人口比例较高的社区中以人群为基础的成年人随机样本进行了面对面访谈（n = 1795）。
西班牙裔比非西班牙裔白人进行宫颈癌（p < 0.001）、乳腺癌（p = 0.007）或结直肠癌筛查（粪便潜血试验p = 0.008；乙状结肠镜检查/结肠镜检查p < 0.002）的可能性显著更低。在对社会经济地位（教育程度和是否拥有医疗保险）进行调整后，仅宫颈癌方面的差异仍然显著（p = 0.024）。在对社会经济地位进行调整后，西班牙裔每天摄入的水果和蔬菜量（4.84份）显著高于非西班牙裔白人（3.84份）（p < 0.001）；在对社会经济地位进行调整后，脂肪行为得分边缘显著（p = 0.053）。当前吸烟的西班牙裔人数显著少于非西班牙裔白人（p < 0.001）。
社会经济地位是某些癌症相关行为的主要决定因素这一假设仅得到有限支持；具体而言，社会经济地位与乳房X线摄影和结直肠癌筛查有关，但与宫颈癌、饮食行为或吸烟无关。
