Murray Kate, Liang Annie, Barnack-Tavlaris Jessica, Navarro Ana M
University of California San Diego, 9500 Gilman Drive, 0725, La Jolla, CA, 92093-0725, USA,
J Cancer Educ. 2014 Mar;29(1):19-24. doi: 10.1007/s13187-013-0528-3.
Latinos living in the USA account for one third of the uninsured population and face numerous cultural, linguistic, and financial barriers to accessing healthcare services. Community health fairs have developed to address the unmet need for no- and low-cost services that target prevention and education among underserved communities. The current research describes an ongoing effort in a community in Southern California and examines the barriers to health care among participants registering to receive free breast health screenings, one of the major services offered at a 2010 health fair. A total of 186 adult Latina women completed a brief questionnaire assessing their healthcare utilization and self-reported barriers to engaging in preventive and screening services. Approximately two thirds of the participants reported never receiving or having more than 2 years passing since receiving a preventive health check-up. Participants identified cost (64.5%) and knowledge of locations for services (52.3%) as the primary barriers to engaging in routine healthcare services. Engaging with health professionals represents a leading way in which adults obtain health information; health fairs offering cancer health screenings represent a culturally appropriate venue for increased cancer health equity. Implications of the current research for future health fairs and their role in community cancer education are discussed.
生活在美国的拉丁裔占未参保人口的三分之一，在获取医疗服务方面面临诸多文化、语言和经济障碍。社区健康博览会应运而生，旨在满足未得到满足的需求，提供针对服务欠缺社区的免费和低成本预防与教育服务。当前的研究描述了南加州一个社区正在开展的一项工作，并调查了登记接受免费乳房健康筛查的参与者在医疗保健方面所面临的障碍，免费乳房健康筛查是2010年健康博览会上提供的主要服务之一。共有186名成年拉丁裔女性填写了一份简短问卷，评估她们的医疗保健利用情况以及自我报告的参与预防和筛查服务的障碍。约三分之二的参与者报告称从未接受过预防性健康检查，或距离上次接受预防性健康检查已过去两年多时间。参与者认为费用（64.5%）和对服务地点的了解（52.3%）是参与常规医疗保健服务的主要障碍。与医疗专业人员互动是成年人获取健康信息的主要方式；提供癌症健康筛查的健康博览会是促进癌症健康公平的一个符合文化背景的场所。本文讨论了当前研究对未来健康博览会及其在社区癌症教育中作用的启示。
