Shelton Rachel C, Jandorf Lina, Thelemaque Linda, King Sheba, Erwin Deborah O
Columbia University, Mailman School of Public Health, Department of Sociomedical Sciences, 722 West 168th Street, Room 548, New York, NY 10032, USA.
J Health Care Poor Underserved. 2012 Nov;23(4):1768-92. doi: 10.1353/hpu.2012.0191.
This paper seeks to examine differences in sociodemographic characteristics and culturally-relevant psychosocial and interpersonal factors across four sub-groups of immigrant Latinas, and how these factors are associated with adherence to age-specific breast and cervical cancer screening. Data come from a baseline survey using an electronic audience response system from a randomized controlled trial to test the effectiveness of a cancer screening program in New York and Arkansas (n=1,548). Mexican women were least likely to be adherent to cancer screening tests (clinical breast exam, mammogram, or Pap test). Mexican women also differed from the other sub-groups in terms of sociodemographics, barriers, and interactions within the health care system. Correlates of screening adherence differed by country of origin, with the exception of spouse/partner attendance at the program, which was negatively associated with adherence across several sub-groups. Findings provide important information about Latina sub-group variability that can help inform the development of breast and cervical cancer screening interventions.
本文旨在研究拉丁裔移民四个亚组在社会人口学特征以及与文化相关的心理社会和人际因素方面的差异，以及这些因素如何与特定年龄段的乳腺癌和宫颈癌筛查的依从性相关联。数据来自一项基线调查，该调查使用了电子观众反应系统，取自一项随机对照试验，以测试纽约和阿肯色州一项癌症筛查项目的有效性（n = 1548）。墨西哥女性最不可能坚持进行癌症筛查测试（临床乳房检查、乳房X光检查或巴氏试验）。墨西哥女性在社会人口统计学、障碍以及医疗保健系统内的互动方面也与其他亚组不同。筛查依从性的相关因素因原籍国而异，但配偶/伴侣参与该项目除外，在几个亚组中，这与依从性呈负相关。研究结果提供了有关拉丁裔亚组变异性的重要信息，有助于为乳腺癌和宫颈癌筛查干预措施的制定提供参考。
