School of Public Health, Universidad de Antioquia, Medellin, Colombia.
Matern Child Health J. 2012 Jan;16(1):242-8. doi: 10.1007/s10995-010-0737-x.
To examine factors associated with perceived susceptibility to cervical cancer among Latina immigrants in two counties in Alabama. Datasets from two anonymous cross-sectional surveys from two studies were combined for these analyses. The total sample size was 743 women. Participants' average age was 30 ± 6.8 years and they were mainly from Mexico (89.2%). Almost 36% of the participants did not perceive themselves as being susceptible to cervical cancer, 33.9% did not know if they were susceptible, and 30.4% perceived themselves as susceptible. Educational attainment, thinking they may have been exposed to an STI in the past, thinking they may be at risk of HPV currently, having had a Pap smear within the last year, and having a relative with cancer were significantly associated with perceived susceptibility to cervical cancer in the multinomial logistic regression. Greater knowledge about cervical cancer risk factors reduced the uncertainty about perceived susceptibility. Perceived susceptibility to cervical cancer seems to be influenced more importantly by the current or past perception of HPV/STI exposure, and by having a relative with cancer. This finding is critical in the development of interventions that are tailored to Latina immigrants as well as efforts to educate providers in a state where Latino immigration is a recent phenomenon.
本研究旨在调查阿拉巴马州两个县的拉丁裔移民对宫颈癌易感性的认知相关因素。对两项研究的两项匿名横断面调查的数据进行了合并分析。总样本量为 743 名女性。参与者的平均年龄为 30±6.8 岁，主要来自墨西哥（89.2%）。近 36%的参与者认为自己不易患宫颈癌，33.9%不知道自己是否易患宫颈癌，30.4%认为自己易患宫颈癌。多变量逻辑回归分析显示，教育程度、认为过去可能接触过性传播感染（STI）、认为当前有感染人乳头瘤病毒（HPV）的风险、过去一年接受过巴氏涂片检查和有癌症亲属与对宫颈癌易感性的认知显著相关。对宫颈癌危险因素的了解增加了对易感性认知的确定性。对宫颈癌易感性的认知似乎更多地受到当前或过去对 HPV/STI 暴露的感知以及有癌症亲属的影响。这一发现对于针对拉丁裔移民的干预措施的制定以及在拉丁裔移民为近期现象的州对医疗服务提供者进行教育的努力至关重要。
