中西部低文化适应程度拉丁裔社区样本中乳腺癌和宫颈癌筛查的患病率及相关因素
Prevalence and correlates of breast and cervical cancer screening among a Midwest community sample of low-acculturated Latinas.
作者信息
Martínez-Donate Ana P, Vera-Cala Lina M, Zhang Xiao, Vedro Rhea, Angulo Rosario, Atkinson Tanya
出版信息
J Health Care Poor Underserved. 2013 Nov;24(4):1717-38. doi: 10.1353/hpu.2013.0165.
Abstract
BACKGROUND
Low adherence to cervical and breast cancer (CBC) screening recommendations contributes to high CBC mortality among Latinas.
PURPOSE
To estimate the prevalence of, and factors associated with, last 12-month Pap smear and mammogram receipt among a Midwest community sample of low-acculturated Latinas.
METHODS
We conducted a cross-sectional study with 278 Latina immigrants in Dane County, Wisconsin. Participants completed a self-administered questionnaire. We estimated multivariate logistic regression models to identify factors associated with CBC screening receipt.
RESULTS
Rates of last 12-month Pap smear and mammogram receipt were 56.8% and 39.4%, respectively. Age, knowledge of screening recommendations, and having a regular health care provider were independently associated with both Pap smear and mammogram receipt. Having ever used Planned Parenthood and fear of cancer were uniquely correlated with Pap smear and mammogram receipt, respectively.
CONCLUSIONS
Modifiable individual, structural, and cultural factors contribute to suboptimal rates of CBC screening among low-acculturated Latino immigrants.
摘要
背景
对宫颈癌和乳腺癌（CBC）筛查建议的低依从性导致拉丁裔人群中CBC死亡率居高不下。
目的
评估中西部低文化适应程度拉丁裔社区样本中过去12个月内进行巴氏涂片检查和乳房X光检查的患病率及相关因素。
方法
我们对威斯康星州戴恩县的278名拉丁裔移民进行了一项横断面研究。参与者完成了一份自填式问卷。我们估计了多变量逻辑回归模型，以确定与接受CBC筛查相关的因素。
结果
过去12个月内进行巴氏涂片检查和乳房X光检查的比例分别为56.8%和39.4%。年龄、对筛查建议的了解程度以及有固定的医疗服务提供者与巴氏涂片检查和乳房X光检查的接受情况均独立相关。曾使用计划生育服务和对癌症的恐惧分别与巴氏涂片检查和乳房X光检查的接受情况独特相关。
结论
可改变的个体、结构和文化因素导致低文化适应程度的拉丁裔移民中CBC筛查率不理想。
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