Jun Jungmi, Nan Xiaoli
The Department of Communication, University of Maryland, College Park, MD, USA.
J Cancer Educ. 2018 Aug;33(4):757-768. doi: 10.1007/s13187-017-1211-x.
We conducted a systematic analysis of 24 peer-reviewed literary works that examined Asian Americans' breast, cervical, and colon cancer screening, focusing on empirical findings from large-scale public health surveys (i.e., NHIS, CHIS, HINTS, BRFSS). We provide an overview of relevant research in terms of study characteristics, samples, predictor/covariate of cancer screenings, and key findings. Our analysis indicates that Asian Americans' cancer screening rates are lower than for non-Hispanic Whites for all cancer types in four large-scale public health surveys throughout 17 study years. Acculturation and healthcare access were two significant factors in explaining Asian Americans' cancer screening rates. Cancer fatalism and family cancer history emerged as potential factors that may account for more variances. However, the screening disparities between Asian Americans and whites persist even after adjusting all covariates, including SES, acculturation, healthcare access, health status, and health perception/literacy. More individual and cultural factors should be identified to address these disparities.
我们对24篇经过同行评审的文献进行了系统分析，这些文献研究了亚裔美国人的乳腺癌、宫颈癌和结肠癌筛查情况，重点关注大规模公共卫生调查（即国家健康访谈调查、加利福尼亚健康访谈调查、健康信息全国趋势调查、行为危险因素监测系统）的实证研究结果。我们从研究特征、样本、癌症筛查的预测因素/协变量以及主要研究结果等方面对相关研究进行了概述。我们的分析表明，在17个研究年份的四项大规模公共卫生调查中，亚裔美国人所有癌症类型的筛查率均低于非西班牙裔白人。文化适应和医疗保健可及性是解释亚裔美国人癌症筛查率的两个重要因素。癌症宿命论和家族癌症病史是可能导致更多差异的潜在因素。然而，即使在调整了所有协变量（包括社会经济地位、文化适应、医疗保健可及性、健康状况以及健康认知/素养）之后，亚裔美国人和白人之间的筛查差异仍然存在。应该识别更多的个体和文化因素来解决这些差异。
