Mouton Charles P, Carter-Nolan Pamela L, Makambi Kepher H, Taylor Teletia R, Palmer Julie R, Rosenberg Lynn, Adams-Campbell Lucile L
Department of Community and Family Medicine, Howard Univ. College of Medicine, 520 W Street, N.W., Washington, DC 20059, USA.
J Health Care Poor Underserved. 2010 Feb;21(1):287-300. doi: 10.1353/hpu.0.0273.
Perceived discrimination has been shown to be related to health screening behavior. The present study examines the effect of discrimination on cancer screening among women in the Black Women's Health Study. Five self-report items measured discrimination in everyday life and three items measured experiences of major discrimination. Logistic regression was used to test associations of discrimination with Pap smear, mammography, or colonoscopy utilization. At the start of follow-up, 88.8% had a Pap smear in the previous year, 52.7% had a mammogram, and 20.0% had received a colonoscopy. Both everyday and major discrimination were associated with not having received a Pap smear, even after adjusting for other variables. Discrimination was not associated with mammography or colonoscopy utilization. In conclusion, perceived everyday and major discrimination is associated with poorer utilization of Pap smears for cervical cancer screening among Black women.
研究表明，感知到的歧视与健康筛查行为有关。本研究考察了在黑人女性健康研究中，歧视对女性癌症筛查的影响。五个自我报告项目衡量日常生活中的歧视，三个项目衡量重大歧视经历。采用逻辑回归分析来检验歧视与巴氏涂片检查、乳房X光检查或结肠镜检查利用率之间的关联。在随访开始时，88.8%的女性在前一年进行了巴氏涂片检查，52.7%进行了乳房X光检查，20.0%接受了结肠镜检查。即使在对其他变量进行调整后，日常生活中的歧视和重大歧视都与未进行巴氏涂片检查有关。歧视与乳房X光检查或结肠镜检查的利用率无关。总之，在黑人女性中，感知到的日常歧视和重大歧视与宫颈癌筛查中巴氏涂片检查的较差利用率有关。
