癌症筛查参与情况：波多黎各圣胡安人与纽约市波多黎各人的比较意愿
Cancer screening participation: comparative willingness of San Juan Puerto Ricans versus New York City Puerto Ricans.
作者信息
Claudio Cristina, Katz Ralph V, Green B Lee, Kressin Nancy R, Wang Min Qi, Russell Stefanie L
机构信息
Community Dentistry Section, School of Dentistry, University of Puerto Rico, Rio Piedras, PR.
出版信息
J Natl Med Assoc. 2007 May;99(5):542-9.
OBJECTIVES
The specific aim of this study was to determine the self-reported likelihood of New York Puerto Ricans (NYPR) and San Juan Puerto Ricans (SJPR) to participate in: 10 site-specific cancer screenings, cancer-screenings conducted by different specific persons/agencies and cancer-screening under specific conditions of what one was asked to do as a part of cancer screening.
METHODS
The Cancer Screening Questionnaire (CSQ) was administered via random-digit-dial telephone interviews to 154 adults living in San Juan, PR and 155 in New York, NY.
RESULTS
Although the self-reported willingness to participate across the 10 site-specific cancer screening exams was consistently high in both cities, SJPR had higher rates, as compared to NYPR for all 10 site-specific cancer screening exams in the unadjusted analyses. A similar pattern was observed regarding the influence of both "who conducts the cancer-screening exam" and "what one is asked to do in a cancer-screening exam" as factors in the willingness to participate in such exams. Adjusted multivariate analysis showed that the odds of SJPR participating in skin cancer screening as compared to NYPR, were three-fold higher to participate in skin cancer screening and were two-fold higher to participate in a cancer screening where they have to be interviewed about their alcohol habits. These two observed differences might reflect the effect of acculturation in the NYPR.
目的
本研究的具体目的是确定纽约波多黎各人（NYPR）和圣胡安波多黎各人（SJPR）自我报告的参与以下活动的可能性：10种特定部位的癌症筛查、由不同特定人员/机构进行的癌症筛查以及在作为癌症筛查一部分被要求做的特定条件下的癌症筛查。
方法
通过随机数字拨号电话访谈，对居住在波多黎各圣胡安的154名成年人和纽约的155名成年人进行癌症筛查问卷调查（CSQ）。
结果
尽管在这两个城市中，自我报告的参与10种特定部位癌症筛查的意愿一直很高，但在未经调整的分析中，圣胡安波多黎各人在所有10种特定部位癌症筛查中的参与率均高于纽约波多黎各人。在“谁进行癌症筛查检查”和“在癌症筛查检查中被要求做什么”作为参与此类检查意愿的因素方面，也观察到了类似的模式。调整后的多变量分析显示，与纽约波多黎各人相比，圣胡安波多黎各人参与皮肤癌筛查的几率高出三倍，参与需要就饮酒习惯接受访谈的癌症筛查的几率高出两倍。这两个观察到的差异可能反映了纽约波多黎各人文化适应的影响。
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