Martha S. Pitzer Center for Women, Children & Youth, College of Nursing, The 2647Ohio State University, Columbus, OH, USA.
J Med Screen. 2021 Jun;28(2):108-113. doi: 10.1177/0969141320920900. Epub 2020 May 11.
Breast and cervical cancers are screen-detectable; yet, challenges exist with ensuring uptake of mammography and Pap smear. Family, a central factor in developing knowledge to carry out health promotion behaviors, may be an asset to improving intention to screen among non-adherent women from underrepresented minority groups. We explored familial cancer; communication; and breast and cervical screening intention among non-adherent Black, Latina, and Arab women in the United States who participated in a randomized controlled trial of the Kin Keeper Cancer Prevention Intervention study. The intervention was a culturally-targeted breast and cervical cancer literacy tool for Black, Latina, and Arab women, consisting of two family-focused education sessions on the cancers, their screening guidelines, and risk-reducing health-related behaviors.
For this secondary analysis, we assessed family cancer history, family communication, and screening intention for breast and cervical cancer in age-eligible, non-adherent participants. Descriptive statistics examined sample characteristics of the intervention and control groups. Odds ratios were estimated from logistic regression modeling to assess the intervention and sample characteristic effects on screening intention.
Of the 516 participants, 123 and 98 were non-adherent to breast and cervical cancer screening, respectively. The intervention (OR = 1.95 for mammography; OR = 1.62 for Pap smear) and highly communicative (OR = 2.57 for mammography; OR = 3.68 for Pap smear) families reported greater screening intention. Family history of cancer only increased screening intention for mammography (OR = 2.25).
Family-focused approaches supporting communication may increase breast and cervical cancer screening intention among non-adherent, underrepresented minority groups.
乳腺癌和宫颈癌可通过筛查发现；然而，确保接受乳房 X 光检查和巴氏涂片检查仍然存在挑战。家庭是发展知识以实施健康促进行为的核心因素，对于提高代表性不足的少数族裔群体中不依从的女性进行筛查的意愿可能具有重要作用。我们探讨了美国家庭中存在的癌症；沟通；以及不依从的黑种人、拉丁裔和阿拉伯妇女的乳腺癌和宫颈癌筛查意向，这些妇女参加了 Kin Keeper 癌症预防干预研究的一项随机对照试验。该干预措施是针对黑种人、拉丁裔和阿拉伯妇女的乳腺癌和宫颈癌文化针对性的知识普及工具，包括两个以家庭为重点的癌症教育课程，以及有关癌症筛查指南和降低风险的健康相关行为。
在这项二次分析中，我们评估了年龄适宜的不依从参与者的家族癌症史、家庭沟通和乳腺癌及宫颈癌筛查意向。描述性统计数据检查了干预组和对照组的样本特征。使用逻辑回归模型估计了优势比，以评估干预和样本特征对筛查意向的影响。
在 516 名参与者中，分别有 123 名和 98 名不依从乳腺癌和宫颈癌筛查。家庭干预（对于乳房 X 光检查的优势比 = 1.95；对于巴氏涂片检查的优势比 = 1.62）和高度沟通的家庭（对于乳房 X 光检查的优势比 = 2.57；对于巴氏涂片检查的优势比 = 3.68）报告了更高的筛查意向。家族癌症史仅增加了对乳房 X 光检查的筛查意向（优势比 = 2.25）。
以家庭为中心的方法支持沟通，可能会提高不依从的代表性不足的少数族裔群体的乳腺癌和宫颈癌筛查意向。
