Ogunwale Abayomi N, Sangi-Haghpeykar Haleh, Montealegre Jane, Cui Yiwen, Jibaja-Weiss Maria, Anderson Matthew L
Department of Obstetrics and Gynecology, Baylor College of Medicine, One Baylor Plaza, BCM611, Houston, TX, 77030, USA.
Department of Pediatrics-Oncology, Baylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA.
J Immigr Minor Health. 2016 Dec;18(6):1404-1412. doi: 10.1007/s10903-015-0287-9.
Despite improvements in health access, many underserved women abstain from cervical cancer screening. A self-administered questionnaire was used to identify factors determining whether medically underserved women attending a safety net health system regularly are screened for cervical cancer. Approximately 11 % of study subjects had never received a Pap test despite an average of nearly four clinic visits in the preceding 12 months. Never screeners were significantly younger, more likely to be Hispanic, non-U.S. born and less likely to have healthcare continuity. In multivariable analysis, odds for never screening were independently lower among women with male partner support (aOR 0.29) and physician's recommendation for screening (aOR 0.34) and higher among women who believed screening visits are too long (aOR 2.53). Educating male partners of Hispanic and immigrant women in addition to addressing recognized situational barriers may help to improve cervical cancer screening rates.
尽管在获得医疗服务方面有所改善，但许多未得到充分服务的女性仍未进行宫颈癌筛查。我们使用一份自填式问卷来确定决定定期前往安全网医疗系统就诊的医疗服务不足女性是否接受宫颈癌筛查的因素。尽管在过去12个月中平均就诊近4次，但约11%的研究对象从未接受过巴氏试验。从未筛查者明显更年轻，更有可能是西班牙裔、非美国出生，且医疗保健连续性较差。在多变量分析中，有男性伴侣支持的女性（调整后比值比[aOR]为0.29）和医生建议进行筛查的女性（aOR为0.34）中从未筛查的几率独立较低，而认为筛查就诊时间过长的女性中从未筛查的几率较高（aOR为2.53）。除了解决已认识到的情境障碍外，对西班牙裔和移民女性的男性伴侣进行教育可能有助于提高宫颈癌筛查率。
