Department of Obstetrics and Gynecology, Penn State Hershey Medical Center, 500 University Drive, Hershey, PA, 17033, USA.
Division of Gynecologic Oncology, Penn State Hershey Medical Center, 500 University Drive, Hershey, PA, 17033, USA.
J Racial Ethn Health Disparities. 2016 Sep;3(3):489-95. doi: 10.1007/s40615-015-0166-z. Epub 2015 Oct 20.
Cervical cancer in the USA has transformed from a leading cause of cancer death, to a now largely preventable disease. Despite these advances, however, certain segments of the population, including Hispanic women, continue to be at increased risk.
A literature review was performed to summarize epidemiologic trends and barriers to care affecting Hispanic women.
Hispanic women suffer a disproportionate burden of cervical cancer in the USA. The reasons why Hispanic women remain at increased risk are multifactorial and include resource limitations within the healthcare system. Language, cultural, and knowledge barriers also play a significant role.
The greatest modifiable risk factor for the development of cervical carcinoma is non-compliance with recommended preventative care, yet the reasons why women fail to receive this care are varied. A multi-faceted approach to risk reduction is needed, including improved health care access, population-targeted outreach, language-appropriate services, and culturally competent care.
美国的宫颈癌已从主要的癌症死因转变为现在基本可以预防的疾病。然而，尽管取得了这些进展，但某些人群，包括西班牙裔女性，仍然面临更高的风险。
进行文献综述，总结影响西班牙裔女性的流行病学趋势和护理障碍。
西班牙裔女性在美国宫颈癌的负担不成比例。西班牙裔女性仍然面临更高风险的原因是多方面的，包括医疗体系内的资源限制。语言、文化和知识障碍也起着重要作用。
发展为宫颈癌的最大可改变风险因素是不遵守推荐的预防保健，然而女性未能获得这种保健的原因是多种多样的。需要采取多方面的方法来降低风险，包括改善医疗保健的可及性、针对特定人群的宣传、提供适合语言的服务以及提供文化上合适的护理。
