Department of Development Sociology, Cornell University, Ithaca, NY 14853, USA.
J Immigr Minor Health. 2012 Dec;14(6):975-82. doi: 10.1007/s10903-012-9598-2.
American Indians have one of the lowest colorectal cancer (CRC) screening rates for any racial/ethnic group in the U.S., yet reasons for their low screening participation are poorly understood. We examine whether tribal language use is associated with knowledge and use of CRC screening in a community-based sample of American Indians. Using logistic regression to estimate the association between tribal language use and CRC test knowledge and receipt we found participants speaking primarily English were no more aware of CRC screening tests than those speaking primarily a tribal language (OR = 1.16 [0.29, 4.63]). Participants who spoke only a tribal language at home (OR = 1.09 [0.30, 4.00]) and those who spoke both a tribal language and English (OR = 1.74 [0.62, 4.88]) also showed comparable odds of receipt of CRC screening. Study findings failed to support the concept that use of a tribal language is a barrier to CRC screening among American Indians.
美国印第安人是美国所有种族/族裔群体中结直肠癌 (CRC) 筛查率最低的人群之一，但他们低筛查参与率的原因尚不清楚。我们研究了在基于社区的美国印第安人群体样本中，部落语言的使用是否与 CRC 筛查的知识和使用相关。我们使用逻辑回归来估计部落语言使用与 CRC 检测知识和接受度之间的关联，结果发现，主要说英语的参与者对 CRC 筛查测试的了解并不比主要说部落语言的参与者多（OR = 1.16 [0.29, 4.63]）。在家中只说部落语言的参与者（OR = 1.09 [0.30, 4.00]）和既说部落语言又说英语的参与者（OR = 1.74 [0.62, 4.88]）接受 CRC 筛查的几率也相当。研究结果并未支持部落语言的使用是美国印第安人 CRC 筛查障碍的概念。
