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美国亚洲裔亚组人群的乳腺癌和宫颈癌筛查:2008年、2010年及2013年美国国家健康访谈调查的评估结果

Breast and cervical cancer screening among Asian subgroups in the USA: estimates from the National Health Interview Survey, 2008, 2010, and 2013.

作者信息

Shoemaker Meredith L, White Mary C

机构信息

Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway NE, Mailstop F-76, Atlanta, GA, 30341, USA.

出版信息

Cancer Causes Control. 2016 Jun;27(6):825-9. doi: 10.1007/s10552-016-0750-5. Epub 2016 Apr 22.

Abstract

PURPOSE

This study describes variations in mammography and Pap test use across and within subgroups of Asian women in the USA.

METHODS

Using data from the National Health Interview Survey (2008, 2010, and 2013), we calculated weighted proportions for selected Asian subgroups (Asian Indian, Chinese, Filipino, Other Asian) of women reporting mammography and Pap test use.

RESULTS

The proportion of women aged 50-74 years who reported a mammogram within the past 2 years did not differ significantly across Asian subgroups. The proportion of women aged 21-65 years who received a Pap test within the past 3 years differed significantly across Asian subgroups, with lower proportions among Asian Indian, Chinese, and Other Asian women. Recent immigrants, those without a usual source of care, and women with public or no health insurance had lower proportions of breast and cervical cancer screening test use.

CONCLUSIONS

Patterns of mammography and Pap test use vary among subgroups of Asian women, by length of residency in the USA, insurance status, usual source of care, and type of cancer screening test. These findings highlight certain Asian subgroups continue to face significant barriers to cancer screening test use.

摘要

目的

本研究描述了美国亚洲女性亚组之间以及亚组内部乳房X线摄影和巴氏试验使用情况的差异。

方法

利用国家健康访谈调查(2008年、2010年和2013年)的数据,我们计算了报告使用乳房X线摄影和巴氏试验的特定亚洲女性亚组(印度裔亚洲人、华裔、菲律宾裔、其他亚洲人)的加权比例。

结果

在过去2年内报告进行过乳房X线摄影检查的50 - 74岁女性比例在亚洲各亚组之间没有显著差异。在过去3年内接受巴氏试验的21 - 65岁女性比例在亚洲各亚组之间存在显著差异,印度裔亚洲人、华裔和其他亚洲女性中的比例较低。新移民、没有固定医疗服务来源的人以及有公共医疗保险或无医疗保险的女性进行乳腺癌和宫颈癌筛查试验的比例较低。

结论

乳房X线摄影和巴氏试验的使用模式在亚洲女性亚组之间存在差异,这取决于在美国的居住时长、保险状况、通常的医疗服务来源以及癌症筛查试验类型。这些发现凸显了某些亚洲亚组在进行癌症筛查试验时仍然面临重大障碍。

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