Dang Catherine M, Estrada Sylvia, Bresee Catherine, Phillips Edward H
Saul & Joyce Brandman Breast Center, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Am Surg. 2013 Oct;79(10):997-1000.
Breast cancer is now the leading cause of death in Hispanic women (HW). Internet, e-mail, and instant text messaging may be cost-effective in educating HW about breast health and in reducing breast cancer mortality. We surveyed 905 HW women attending a free health fair about their technology use, acculturation, insurance status, mammography use, and breast cancer knowledge. Data were analyzed by t test or χ(2) tests. Mean age was 51.9 ± 14.2 years (range, 18 to 88 years). Ninety-two per cent were foreign-born. Most had completed some high school (39%) or elementary (38%) education. Most (62%) were uninsured. The majority spoke (67%) and read (66%) only Spanish. Only 60 per cent of HW older than 40 years had a recent mammogram. HW older than 40 years who had not had a recent mammogram were younger (mean 54.9 ± 10.8 vs 58 ± 10.4 years) and less likely to have health insurance (25 vs 44%; P < 0.001). Most HW never use the Internet (58%) or e-mail (64%). However, 70 per cent have mobile phones (66% older than 40 years), and 65 per cent use text messaging daily (58% older than 40 years, P = 0.001). In fact, 45 per cent wish to receive a mammogram reminder by text. Text messaging may be an inexpensive way to promote breast health and screening mammography use among uninsured HW.
乳腺癌目前是西班牙裔女性（HW）死亡的主要原因。互联网、电子邮件和即时短信在教育HW了解乳房健康以及降低乳腺癌死亡率方面可能具有成本效益。我们对905名参加免费健康博览会的HW女性进行了调查，了解她们的技术使用情况、文化适应程度、保险状况、乳房X光检查使用情况以及乳腺癌知识。数据通过t检验或χ(2)检验进行分析。平均年龄为51.9±14.2岁（范围为18至88岁）。92%为外国出生。大多数人完成了一些高中（39%）或小学（38%）教育。大多数人（62%）没有保险。大多数人（67%）只会说西班牙语，（66%）只会读西班牙语。40岁以上的HW中只有60%最近进行了乳房X光检查。40岁以上未进行最近乳房X光检查的HW更年轻（平均54.9±10.8岁对58±10.4岁），且拥有医疗保险的可能性更小（25%对44%；P<0.001）。大多数HW从不使用互联网（58%）或电子邮件（64%）。然而，70%的人有手机（40岁以上的人中有66%），65%的人每天使用短信（40岁以上的人中有58%，P = 0.001）。事实上，45%的人希望通过短信接收乳房X光检查提醒。短信可能是一种低成本的方式，可促进未参保HW的乳房健康和乳房X光筛查的使用。
