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内布拉斯加州低收入女性的乳腺癌和宫颈癌筛查:1993 - 2004年“每个女性都重要”项目的研究结果

Breast and cervical cancer screening among low-income women in Nebraska: findings from the Every Woman Matters program, 1993-2004.

作者信息

Feresu Shingairai A, Zhang Wanqing, Puumala Susan E, Ullrich Fred, Anderson James R

机构信息

University of Nebraska Medical Center College of Public Health, Department of Epidemiology, Omaha, NE 68198-4395, USA.

出版信息

J Health Care Poor Underserved. 2008 Aug;19(3):797-813. doi: 10.1353/hpu.0.0065.

Abstract

OBJECTIVE

To examine the likelihood of enrollees in the Nebraska Every Woman Matters program being screened for breast and cervical cancer.

METHODS

We explored the relationship between sociodemographic characteristics and receiving cancer screening services.

RESULTS

Older and Native American women were more likely than younger and White women to have mammograms ordered [adjusted odds ratio (OR)=1.41, 95% confidence interval (CI) 1.08, 1.85]. African American [OR=0.54, 95% CI 0.46, 0.64] and Native American women [OR=0.47, 95% CI 0.39, 0.55] were less likely than White women to have clinical breast exams performed. Native American [OR=0.19, 95% CI 0.16, 0.23] and African American women [OR=0.56, 95% CI 0.46, 0.68] were less likely than White women to have a Pap test performed.

CONCLUSION

Receiving cancer screening services was related to race; thus, understanding barriers for screening for minority women is warranted.

摘要

目的

研究内布拉斯加州“关爱每位女性”项目的参与者接受乳腺癌和宫颈癌筛查的可能性。

方法

我们探究了社会人口学特征与接受癌症筛查服务之间的关系。

结果

与年轻女性和白人女性相比,年龄较大的女性和美国原住民女性更有可能接受乳房X光检查[调整优势比(OR)=1.41,95%置信区间(CI)为1.08,1.85]。非裔美国女性[OR=0.54,95%CI为0.46,0.64]和美国原住民女性[OR=0.47,95%CI为0.39,0.55]接受临床乳房检查的可能性低于白人女性。美国原住民女性[OR=0.19,95%CI为0.16,0.23]和非裔美国女性[OR=0.56,95%CI为0.46,0.68]进行巴氏试验的可能性低于白人女性。

结论

接受癌症筛查服务与种族有关;因此,有必要了解少数族裔女性在筛查方面的障碍。

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