密歇根州西班牙裔移民及季节性农场工人的宫颈癌筛查实践与知识
Cervical cancer screening practice and knowledge among Hispanic migrant and seasonal farmworkers of Michigan.
作者信息
Knoff Jayne S, Harlow Siobán D, Yassine May, Soliman Amr S
机构信息
Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA.
出版信息
J Prim Care Community Health. 2013 Jul 1;4(3):209-15. doi: 10.1177/2150131913476303. Epub 2013 Feb 11.
BACKGROUND
High incidence of cervical cancer among Hispanics and low utilization of cervical screening among farmworkers led us to examine Pap test use and knowledge among Hispanic farmworkers in Michigan.
METHODS
Patients and potential patients of Northwest Michigan Health Services, Inc were surveyed in 2 communities (A and B) about their screening knowledge, attitudes, and practice.
RESULTS
In all, 324 farmworkers participated, including 184 seasonal and 125 migrant farmworkers. Among the entire study population, 87.7% women reported receiving a Pap test recently, with no difference between migrant and seasonal farmworkers (88.0% and 87.4%, respectively, P = .088). More women from community B reported a recent Pap (93%) compared with those from community A (83%, P = .01). Only 35% of the participants had knowledge of any cervical cancer risk factors.
DISCUSSION
Migrant farmworkers may not experience more difficulty in accessing Pap tests than seasonal farmworkers in Michigan. Knowledge about cervical cancer risk factors is low and needs to be addressed in future educational interventions.
背景
西班牙裔人群中宫颈癌发病率较高，而农场工人的宫颈筛查利用率较低，这促使我们对密歇根州的西班牙裔农场工人进行巴氏试验使用情况及相关知识的调查。
方法
对密歇根州西北部卫生服务公司的患者及潜在患者在两个社区（A和B）就其筛查知识、态度及行为进行了调查。
结果
共有324名农场工人参与，其中包括184名季节性农场工人和125名流动农场工人。在整个研究人群中，87.7%的女性报告最近接受了巴氏试验，流动农场工人和季节性农场工人之间无差异（分别为88.0%和87.4%，P = 0.088）。与社区A的女性（83%）相比，社区B更多的女性报告最近进行了巴氏试验（93%，P = 0.01）。只有35%的参与者了解任何宫颈癌风险因素。
讨论
在密歇根州，流动农场工人在接受巴氏试验方面可能并不比季节性农场工人面临更多困难。关于宫颈癌风险因素的知识水平较低，需要在未来的教育干预中加以解决。
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