Katz Steven J, Lantz Paula M, Paredes Yvonne, Janz Nancy K, Fagerlin Angela, Liu Lihua, Deapen Dennis
Department of Medicine, University of Michigan, Ann Arbor, MI 48109-0429, USA.
Am J Public Health. 2005 Dec;95(12):2225-30. doi: 10.2105/AJPH.2004.057950. Epub 2005 Oct 27.
We examined breast cancer treatment experiences of and outcomes for Latinas in Los Angeles County.
We conducted a population-based survey of women who were diagnosed with breast cancer between December 2001 and November 2002 (n=910) to evaluate the types of treatments received, communication with clinicians, and satisfaction.
About two thirds were non-Latina White, 18.8% were African American, and 18.9% were Latina (with 11.0% preferring English and 7.9% preferring Spanish). The rest indicated other ethnic groups. Latinas who preferred Spanish were more likely to experience a delay of 3 months or more from diagnosis to surgical treatment (36.4% vs 9.1% for non-Latina Whites, 18.6% for African Americans, and 12.7%, for other Latinas, P<.001). African Americans and Latinas who preferred Spanish had very low rates of reconstruction (13.8% and 9.2%, respectively, compared with 42.1% for Whites and 34.5% for Latinas who preferred English, P=.009). Latinas who preferred Spanish had the highest odds ratio for low satisfaction.
Latinas who preferred Spanish received different treatments and perceived a different treatment experience than did other cultural groups.
我们调查了洛杉矶县拉丁裔女性的乳腺癌治疗经历及治疗结果。
我们对2001年12月至2002年11月期间被诊断为乳腺癌的女性进行了一项基于人群的调查（n = 910），以评估所接受的治疗类型、与临床医生的沟通情况以及满意度。
约三分之二为非拉丁裔白人，18.8%为非裔美国人，18.9%为拉丁裔（其中11.0%倾向使用英语，7.9%倾向使用西班牙语）。其余表示为其他种族群体。倾向使用西班牙语的拉丁裔女性从诊断到手术治疗经历3个月或更长时间延迟的可能性更高（36.4%，而非拉丁裔白人这一比例为9.1%，非裔美国人为18.6%，其他拉丁裔为12.7%，P <.001）。倾向使用西班牙语的非裔美国人和拉丁裔女性进行重建手术的比例非常低（分别为13.8%和9.2%，相比之下，白人为42.1%，倾向使用英语的拉丁裔为34.5%，P = 0.009）。倾向使用西班牙语的拉丁裔女性对治疗满意度低的比值比最高。
倾向使用西班牙语的拉丁裔女性与其他文化群体接受的治疗不同，且感知到的治疗体验也不同。
