Miles-Richardson Stephanie, Blumenthal Daniel, Alema-Mensah Ernest
Department of Community Health and Preventive Medicine at Morehouse School of Medicine, 720 Westview Drive SW, Atlanta, GA 30310, USA.
J Health Care Poor Underserved. 2012 May;23(2 Suppl):98-108. doi: 10.1353/hpu.2012.0074.
We identified legislation (1989-2005) relating to breast and cervical cancer in Georgia, North Carolina, and South Carolina and examined its impact on screening rates for these cancers and on Black-White disparities in screening rates. Legislation was identified using the National Cancer Institute's (NCI) State Cancer Legislative Database (SCLD) Program. Screening rates were identified using the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System. Georgia and North Carolina enacted more laws on breast and cervical cancer than did South Carolina. The laws specifically intended to increase breast and cervical cancer screening were mandates requiring that insurance policies cover such screening; Georgia and North Carolina enacted such laws, but South Carolina did not. However, we were unable to demonstrate an effect of these laws on either screening rates or disparities. This may reinforce the importance of evidence-based health promotion programs to increase screening.
我们确定了佐治亚州、北卡罗来纳州和南卡罗来纳州1989年至2005年期间与乳腺癌和宫颈癌相关的立法,并研究了其对这些癌症筛查率以及筛查率方面黑人与白人差异的影响。通过美国国立癌症研究所(NCI)的州癌症立法数据库(SCLD)项目确定立法情况。利用疾病控制与预防中心的行为风险因素监测系统确定筛查率。佐治亚州和北卡罗来纳州制定的有关乳腺癌和宫颈癌的法律比南卡罗来纳州更多。专门旨在提高乳腺癌和宫颈癌筛查率的法律是要求保险政策涵盖此类筛查的强制规定;佐治亚州和北卡罗来纳州颁布了此类法律,但南卡罗来纳州没有。然而,我们无法证明这些法律对筛查率或差异有影响。这可能强化了基于证据的健康促进项目对提高筛查率的重要性。