Graduate School of Public Health, San Diego State University, 9245 Sky Park Court, San Diego, CA 92123, USA.
Womens Health Issues. 2011 Mar-Apr;21(2):165-70. doi: 10.1016/j.whi.2010.09.001. Epub 2011 Jan 13.
Disparities in breast cancer (BC) screening continue to affect Latinas significantly, but the factors that explain these disparities remain unclear.
The objective of this study was to investigate whether physician's instruction on breast examination and mammography recommendations predicted Latinas' adherence to mammography screening above and beyond other influential variables.
A cross-sectional, descriptive design was utilized. Convenience and snowball sampling techniques were followed to recruit 344 Latinas aged 41 years and older from predominantly Latino neighborhoods in Denver, Colorado.
Latinas' adherence to mammography screening recommendations by the American Cancer Society.
Characteristics that were significantly associated with mammography adherence were age, Pap smear adherence, physician's breast examination instructions, and physician's mammography recommendations.
The study provides evidence that the BC screening disparities that significantly affect Latinas can be addressed by increasing physician's involvement through BC screening instruction and referral.
乳腺癌(BC)筛查方面的差异继续对拉丁裔女性产生重大影响,但解释这些差异的因素仍不清楚。
本研究的目的是调查医生对乳房检查和乳房 X 光检查建议的指导是否可以预测拉丁裔女性对乳房 X 光筛查的依从性,而不仅仅是其他有影响的变量。
采用横断面、描述性设计。科罗拉多州丹佛市以拉丁裔为主的社区采用方便抽样和雪球抽样技术招募了 344 名年龄在 41 岁及以上的拉丁裔女性。
拉丁裔女性对美国癌症协会乳腺癌筛查建议的依从性。
与乳房 X 光检查依从性显著相关的特征是年龄、巴氏涂片检查的依从性、医生的乳房检查指导和医生的乳房 X 光检查建议。
该研究提供了证据,表明可以通过增加医生的参与度来解决显著影响拉丁裔女性的乳腺癌筛查差异,具体方法是通过 BC 筛查指导和转诊来提高医生的参与度。