MMWR Morb Mortal Wkly Rep. 2004 Aug 27;53(33):765-7.
Asians account for an increasing proportion of the U.S. population. Koreans are the fifth largest Asian subpopulation, totaling 1.2 million in 2000. In Santa Clara County (2000 population: 1.7 million), California, Koreans constitute 1.3% of the population. In 1994 and 2002, two population-based surveys were conducted among Korean women (2000 population: approximately 12,000) in Santa Clara County regarding breast- and cervical-cancer screening. The results were contrasted with two surveys of the general population of California women conducted during the same years. This report summarizes the findings of those surveys, which indicated that Korean women received less frequent breast- and cervical-cancer screening compared with all California women. This report also assesses compliance with the 2010 national health objectives for Papanicolaou (Pap) tests and mammography screening. Multifaceted community programs that include culturally and linguistically sensitive education of community members and their health-care providers, along with improved health-care access, will be required to achieve the 2010 national health objectives.
亚洲人在美国人口中所占比例日益增加。韩国人是亚洲第五大群体,2000年总数达120万。在加利福尼亚州圣克拉拉县(2000年人口:170万),韩国人占该县人口的1.3%。1994年和2002年,针对圣克拉拉县的韩国女性(2000年人口:约12000人)进行了两项基于人群的乳腺癌和宫颈癌筛查调查。结果与同年对加利福尼亚州女性总体进行的两项调查进行了对比。本报告总结了这些调查结果,结果表明,与所有加利福尼亚州女性相比,韩国女性接受乳腺癌和宫颈癌筛查的频率较低。本报告还评估了对2010年帕潘icolaou(巴氏)试验和乳房X线筛查国家卫生目标的遵守情况。若要实现2010年国家卫生目标,需要开展多方面的社区项目,包括对社区成员及其医疗服务提供者进行文化和语言方面的敏感性教育,以及改善医疗服务的可及性。