Department of Health Services Policy and Management, South Carolina Rural Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina 29210, USA.
Womens Health Issues. 2013 Jul-Aug;23(4):e197-204. doi: 10.1016/j.whi.2013.03.003. Epub 2013 May 27.
Our objective was to determine the association of self-reported family history of cancer (FHC) on cervical cancer screening to inform a potential link with cancer preventive behaviors in a region with persistent cancer disparities.
Self-reported FHC, Pap test behavior, and access to care were measured in a statewide population-based survey of human papillomavirus and cervical cancer (n = 918). Random-digit dial, computer-assisted telephone interviews were used to contact eligible respondents (adult [ages 18-70] women in South Carolina with landline telephones]. Logistic regression models were estimated using STATA 12.
Although FHC+ was not predictive (odds ratio [OR], 1.17; 95% confidence interval [CI], 0.55-2.51), private health insurance (OR, 2.35; 95% confidence interval [CI], 1.15-4.81) and younger age (18-30 years: OR, 7.76; 95% CI, 1.91, 3.16) were associated with recent Pap test behavior. FHC and cervical cancer screening associations were not detected in the sample.
Findings suggest targeting older women with screening recommendations and providing available screening resources for underserved women.
我们的目的是确定自我报告的癌症家族史（FHC）与宫颈癌筛查之间的关联，以便在癌症差异持续存在的地区为癌症预防行为提供潜在联系。
在一项针对人乳头瘤病毒和宫颈癌的全州范围内的基于人群的调查中，测量了自我报告的 FHC、巴氏试验行为和获得护理的情况（n=918）。使用随机数字拨号、计算机辅助电话访谈联系合格的受访者（南卡罗来纳州的年龄在 18-70 岁之间的有固定电话的成年女性）。使用 STATA 12 估计逻辑回归模型。
尽管 FHC+ 没有预测性（比值比 [OR]，1.17；95%置信区间 [CI]，0.55-2.51），但私人健康保险（OR，2.35；95%CI，1.15-4.81）和较年轻的年龄（18-30 岁：OR，7.76；95%CI，1.91，3.16）与最近的巴氏试验行为有关。在样本中未发现 FHC 和宫颈癌筛查之间的关联。
研究结果表明，应针对年龄较大的女性提出筛查建议，并为服务不足的女性提供可用的筛查资源。
