Department of Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390-9165, USA.
J Immigr Minor Health. 2011 Oct;13(5):883-90. doi: 10.1007/s10903-010-9334-8.
Disparities exist in mammography use based on nativity status. Using the 2005 National Health Interview Survey, we examined the link between nativity status and mammography use in the past 2 years among women (≥40 years) and investigated whether acculturation was associated with mammography use among foreign-born women using multivariate analyses. Foreign-born women were less likely (OR = 0.75; 95% CI = 0.65, 0.87) to report mammography use compared to US born women. After adjusting for selected covariates, results were no longer statistically significant. Foreign-born women (≥65 years) who were not US citizens (i.e. less acculturated) were less likely (OR = 0.17; 95% CI = 0.06, 0.46) to report mammography use compared to naturalized citizens. Based on our findings, mammography use did not differ between US and foreign-born women. Therefore, the disparities in incidence and mortality rates observed between these groups may be due to other factors.
基于出生国的不同，在乳房 X 光检查的使用上存在差异。我们使用了 2005 年全国健康访谈调查的数据，研究了出生国与过去两年中≥40 岁女性乳房 X 光检查使用之间的联系，并通过多变量分析调查了在外国出生的女性中，文化适应是否与乳房 X 光检查的使用有关。与美国出生的女性相比，外国出生的女性（OR=0.75；95%CI=0.65，0.87）报告使用乳房 X 光检查的可能性较低。在调整了选定的协变量后，结果不再具有统计学意义。≥65 岁、未成为美国公民（即文化适应程度较低）的外国出生女性（OR=0.17；95%CI=0.06，0.46）与入籍公民相比，报告使用乳房 X 光检查的可能性较低。基于我们的研究结果，美国和外国出生的女性在乳房 X 光检查的使用上没有差异。因此，这些群体之间观察到的发病率和死亡率的差异可能是由于其他因素造成的。
