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美国和外国出生人口的癌症信息差距。

Cancer information disparities between U.S.- and foreign-born populations.

机构信息

Department of Communication, George Mason University, Fairfax, VA 22030, USA.

出版信息

J Health Commun. 2010;15 Suppl 3:5-21. doi: 10.1080/10810730.2010.522688.

Abstract

Immigrant health is an important component of American public health. But relatively little is known about immigrants' cancer information use. Using the 2005 Health Information National Trends Survey (HINTS) data, this study examined potential disparities between foreign-born (n = 563) and U.S.-born (n = 4,830) populations in their access to and experience with cancer information. Logistic regressions showed that foreign-born Hispanics were less likely than the U.S.-born to have ever sought cancer information (adjusted odds ratio [OR] = .51). Foreign-born individuals overall were also less likely to have had somebody else look for cancer information for them (OR = .66). Compared with the U.S.-born, foreign-born individuals in general faced greater obstacles during the process of cancer information seeking (ORs = 1.98-2.27). They were also less trusting of some important sources of health information (ORs = .50-.64), a pattern that was particularly pronounced among Hispanics (ORs = .20-.43). Implications of these disparities were explored through multiple linear regressions that revealed negative associations between cancer information use and undesirable cancer beliefs.

摘要

移民健康是美国公共卫生的一个重要组成部分。但是,对于移民获取癌症信息的情况,人们知之甚少。本研究利用 2005 年健康信息国家趋势调查(HINTS)的数据,考察了出生在国外(n=563)和出生在美国(n=4830)的人群在获取和获取癌症信息方面的潜在差异。逻辑回归显示,与出生在美国的人相比,出生在国外的西班牙裔人寻求癌症信息的可能性较小(调整后的优势比[OR]为.51)。总体而言,出生在国外的人也不太可能让别人为他们寻找癌症信息(OR=0.66)。与出生在美国的人相比,一般来说,出生在国外的人在获取癌症信息的过程中面临着更大的障碍(ORs=1.98-2.27)。他们对一些重要的健康信息来源的信任度也较低(ORs=0.50-0.64),这种情况在西班牙裔人中尤为明显(ORs=0.20-0.43)。通过多项线性回归探讨了这些差异的影响,这些回归表明癌症信息的使用与不良的癌症信念之间存在负相关关系。

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