Sheppard Vanessa B, Hurtado-de-Mendoza Alejandra, Song Minna, Hirpa Fikru, Nwabukwu Ify
Breast Cancer Program and Office of Minority Health and Health Disparities, Lombardi Comprehensive Cancer Center, Department of Oncology, Georgetown University Medical Center, Washington, DC, United States.
African Women's Cancer Awareness Association, Silver Spring, MD, United States.
Prev Med Rep. 2015 Jun 12;2:517-23. doi: 10.1016/j.pmedr.2015.05.012. eCollection 2015.
African women have lower use of cancer screening services compared to women born in the United States yet empirical data are limited about their cancer screening attitudes.
To examine factors that are associated with higher endorsement of screening.
We conducted a cross-sectional study of 200 women of African origin recruited via community-based outreach activities in Washington, DC. Endorsement of screening was assessed via self-report. The primary independent variables were cancer knowledge and English-language proficiency. Information was also collected about access, cancer-related beliefs, and prior breast screening behaviors.
Most participants (60%) were ≥ 40 years of age, 54% were married, and 77% were insured. Participants more likely to endorse breast cancer screening were insured (vs. uninsured) (odds ratio = 3.37; 95% confidence interval: 1.24, 9.17) and married (odds ratio = 3.23; 95% confidence interval: 1.14, 9.10) controlling for other factors. The likelihood of endorsing screening was higher among participants with English as a primary language (odds ratio = 3.83; 95% confidence interval: 1.24, 11.87) and those with greater breast cancer knowledge (odds ratio = 1.04; 95% confidence interval: 1.01, 1.08, per 1 point increase).
Average cancer knowledge in the sample was low as were non-conventional causes of cancer. Study results highlight the importance of improving cancer knowledge and reducing barriers related to language and insurance. Future studies are needed to consider nuances among diverse women of African origin.
与出生在美国的女性相比，非洲裔女性对癌症筛查服务的利用率较低，但关于她们对癌症筛查态度的实证数据有限。
研究与更高筛查认可度相关的因素。
我们对通过华盛顿特区基于社区的外展活动招募的200名非洲裔女性进行了一项横断面研究。通过自我报告评估对筛查的认可度。主要自变量是癌症知识和英语水平。还收集了有关可及性、癌症相关信念和既往乳腺癌筛查行为的信息。
大多数参与者（60%）年龄≥40岁，54%已婚，77%有保险。在控制其他因素的情况下，有保险（与无保险相比）（优势比=3.37；95%置信区间：1.24，9.17）和已婚（优势比=3.23；95%置信区间：1.14，9.10）的参与者更有可能认可乳腺癌筛查。以英语为主要语言的参与者（优势比=3.83；95%置信区间：1.24，11.87）和癌症知识更丰富的参与者（优势比=1.04；95%置信区间：1.01，1.08，每增加1分）认可筛查的可能性更高。
样本中的平均癌症知识水平较低，癌症的非传统病因知识也较低。研究结果凸显了提高癌症知识水平以及减少与语言和保险相关障碍的重要性。未来的研究需要考虑不同非洲裔女性之间的细微差别。
