美国中西部农村地区拉丁裔移民及季节性农场工人的乳腺癌和宫颈癌筛查
Breast and cervical cancer screening among rural midwestern latina migrant and seasonal farmworkers.
作者信息
Castañeda Sheila F, Rosenbaum Rene Perez, Gonzalez Patricia, Holscher Jessica T
机构信息
San Diego State University, San Diego, CA.
出版信息
J Prim Care Community Health. 2012 Apr 1;3(2):104-10. doi: 10.1177/2150131911422913. Epub 2012 Jan 10.
BACKGROUND
While cancer control and prevention efforts are well documented, limited information on this topic exists for Latina farmworkers in the rural Midwest. This study sought to examine correlates of breast cancer and cervical cancer screening practices of English- and Spanish-speaking Latina farmworkers in Michigan.
METHODS
Survey and anthropometric data were collected from a community-based cross-sectional sample of 173 Latina agricultural laborers in Michigan. Psychosocial-cultural and socioeconomic variables were examined as predictors of mammography and Papanicolaou screening.
FINDINGS
Results showed that individual characteristics that were significantly associated with having a Papanicolaou examination in the last 12 months included having higher language-based acculturation (odds ratio = 3.81), having ever done a breast self-examination (odds ratio = 2.82), and having health insurance (odds ratio = 5.58).
CONCLUSIONS
Acculturation, insurance, and performance of breast self-examination were key correlates of recent cervical cancer screening among Midwest Latina farmworkers. Findings suggest that education and targeted outreach strategies for Spanish-speaking Latina farmworker women in rural settings are urgently needed.
背景
虽然癌症控制和预防工作有详尽记录，但关于美国中西部农村地区拉丁裔农场工人在这方面的信息却很有限。本研究旨在调查密歇根州讲英语和西班牙语的拉丁裔农场工人乳腺癌和宫颈癌筛查行为的相关因素。
方法
从密歇根州173名拉丁裔农业劳动者的社区横断面样本中收集调查和人体测量数据。将心理社会文化和社会经济变量作为乳房X光检查和巴氏涂片检查的预测因素进行研究。
结果
结果显示，在过去12个月内进行巴氏涂片检查的显著相关个体特征包括较高的基于语言的文化适应程度（优势比=3.81）、曾进行过乳房自我检查（优势比=2.82）以及拥有医疗保险（优势比=5.58）。
结论
文化适应、保险和乳房自我检查是美国中西部拉丁裔农场工人近期宫颈癌筛查的关键相关因素。研究结果表明，迫切需要为农村地区讲西班牙语的拉丁裔农场工人女性开展教育和有针对性的外展策略。
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