Watts Luisa, Joseph Naima, Velazquez Amanda, Gonzalez Marisa, Munro Elizabeth, Muzikansky Alona, Rauh-Hain Jose A, Del Carmen Marcela G
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Am J Obstet Gynecol. 2009 Aug;201(2):199.e1-8. doi: 10.1016/j.ajog.2009.05.014.
We investigated issues affecting Papanicolaou smear screening access, health services utilization, acculturation, social networking, and media venues most conducive to acquiring health information among Hispanics.
Self-identified Hispanics were surveyed. Participants were stratified based on age, time living in the United States, and Papanicolaou screening frequency.
Of 318 participants, Hispanics aged 30 years or older and living in the United States less than 5 years prefer speaking Spanish. Women with 5 or more lifetime Papanicolaou smears were 1.610 times more likely to have lived in the United States 5 or more years, 1.706 times more likely to speak a second language, and 1.712 times less likely to need a translator during their health care encounter.
Age and years living in the United States may be independent risk factors for participation in Papanicolaou screening programs. Social difficulties inherent to acculturation inform health behavior and translate to health disparity among Hispanics. Our results may help design federally funded and community-level programs.
我们调查了影响巴氏涂片筛查可及性、医疗服务利用、文化适应、社交网络以及对西班牙裔人群获取健康信息最具促进作用的媒体渠道等问题。
对自我认定为西班牙裔的人群进行了调查。参与者根据年龄、在美国居住的时间以及巴氏涂片筛查频率进行分层。
在318名参与者中，年龄在30岁及以上且在美国居住时间不足5年的西班牙裔更喜欢说西班牙语。一生中接受过5次或更多次巴氏涂片检查的女性在美国居住5年或更长时间的可能性高1.610倍，会说第二语言的可能性高1.706倍，在就医时需要翻译的可能性低1.712倍。
年龄和在美国居住的时间可能是参与巴氏涂片筛查项目的独立风险因素。文化适应过程中固有的社会困难影响健康行为，并导致西班牙裔人群出现健康差异。我们的研究结果可能有助于设计由联邦资助的社区层面项目。
