Women & Infants' Hospital of Rhode Island, The Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Women & Infants' Hospital of Rhode Island, The Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Womens Health Issues. 2014 Mar-Apr;24(2):e231-6. doi: 10.1016/j.whi.2013.12.005. Epub 2014 Feb 16.
The purpose of this study was to compare cervical cancer knowledge and prevention strategy participation among Chinese-American women compared with Southeast-Asian-American women.
We performed a cross-sectional survey of Chinese and Southeast Asian women in Rhode Island. Anonymous surveys were administered following informed consent. The survey included demographics and questions related to health care practices, cervical cancer, and the human papilloma virus (HPV). Categorical variables were compared by Fisher's exact test. Mean scores of correct answers on the knowledge questions were compared by Student's t-test and analysis of variance.
Ninety-six Chinese women and 132 Southeast Asian women were included in the analysis. Sixty-seven percent of Chinese women had at least a college education compared with 37% of Southeast Asian women (p < .0001). Nineteen percent of Chinese women reported annual household incomes of greater than $100,000 compared with 3% of Southeast Asian women (p = .0003). Twenty percent of Southeast Asian women did not have health insurance compared with 10% of Chinese women (p = .06). Among both groups, 25% of participants either never had a pap test or did not know if they ever had a pap test. There was a greater lack of knowledge about the relationship between HPV and cervical cancer among Chinese (mean 2.9 out of 8 questions) compared with Southeast Asian (mean 3.6 out of 8 questions; p = .02).
Regardless of ethnic subgroup, education, or income, all participants had a poor knowledge of cervical cancer and HPV. This study supports the need for improvement in cervical cancer prevention education among all Asian women.
本研究旨在比较美国华裔女性和东南亚裔美国女性的宫颈癌知识和预防策略参与情况。
我们在罗德岛对华裔和东南亚裔女性进行了横断面调查。在获得知情同意后，我们进行了匿名调查。调查问卷包括人口统计学信息以及与医疗保健实践、宫颈癌和人乳头瘤病毒（HPV）相关的问题。采用 Fisher 确切检验比较分类变量。采用 Student's t 检验和方差分析比较正确答案的平均得分。
共纳入 96 名华裔女性和 132 名东南亚裔女性。67%的华裔女性至少受过大学教育，而 37%的东南亚裔女性受过大学教育（p<0.0001）。19%的华裔女性报告年收入超过 10 万美元，而 3%的东南亚裔女性报告年收入超过 10 万美元（p=0.0003）。20%的东南亚裔女性没有医疗保险，而 10%的华裔女性没有医疗保险（p=0.06）。在这两个群体中，25%的参与者要么从未进行过巴氏涂片检查，要么不知道自己是否做过巴氏涂片检查。华裔女性（平均 8 个问题中答对 2.9 个）对 HPV 和宫颈癌之间的关系的认识明显不如东南亚裔女性（平均 8 个问题中答对 3.6 个；p=0.02）。
无论族裔亚群、教育程度或收入如何，所有参与者对宫颈癌和 HPV 的知识都很差。本研究支持需要改进所有亚裔女性的宫颈癌预防教育。
