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南亚移民女性临床乳房检查的预测因素。

Predictors of clinical breast examination among South Asian immigrant women.

作者信息

Ahmad Farah, Stewart Donna E

机构信息

Women's Health Program, University Health Network, and Faculty of Medicine, University of Toronto, Ontario, Canada.

出版信息

J Immigr Health. 2004 Jul;6(3):119-26. doi: 10.1023/b:joih.0000030227.41379.13.

Abstract

To determine predictors of clinical breast examination (CBE) among South Asian immigrant women residing in Toronto, Canada. A cross-sectional self-administered survey with women patients visiting family physician group practices. Fifty-four women participated in the study (response rate 77%). Twenty women (38.5%) "ever had" CBE. Compared to women who never had CBE, women who had CBE were statistically older, had lived more years in Canada, had better knowledge of breast cancer, had lower perceived barriers to CBE, and were more likely to have ever had a periodic health exam. No significant differences were found between the two groups for education, employment, English language abilities, perceived health, and perceived benefits of CBE. A direct logistic regression with five predictor variables, significant at a univariate level, was statistically reliable, chi(2) (5, n=51) = 34.7, p < 0.001 and explained 67% of the variance in the CBE status. Age and perceived barriers to CBE remained significant over and above other predictor variables. The odds of "ever had" CBE increased with age and decreased with more perceived barriers. The study highlights the need for education interventions on breast cancer and screening among SA recent immigrant women.

摘要

为确定居住在加拿大多伦多的南亚移民女性进行临床乳腺检查(CBE)的预测因素。对前往家庭医生团体诊所就诊的女性患者进行了一项横断面自填式调查。54名女性参与了该研究(应答率77%)。20名女性(38.5%)“曾进行过”CBE。与从未进行过CBE的女性相比,进行过CBE的女性在统计学上年龄更大、在加拿大居住的年限更长、对乳腺癌的了解更好、对CBE的感知障碍更低,并且更有可能进行过定期健康检查。两组在教育程度、就业情况、英语语言能力、感知健康状况以及对CBE的感知益处方面未发现显著差异。对五个在单变量水平上具有显著性的预测变量进行的直接逻辑回归在统计学上是可靠的,卡方值(5,n = 51)= 34.7,p < 0.001,解释了CBE状态中67%的方差。年龄和对CBE的感知障碍在其他预测变量之外仍然具有显著性。“曾进行过”CBE的几率随着年龄的增加而增加,随着更多的感知障碍而降低。该研究强调了对南亚新移民女性进行乳腺癌教育干预和筛查的必要性。

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