Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, Box 1077, New York, NY, 10029, USA.
Department of Diagnostic, Molecular and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
J Cancer Educ. 2022 Aug;37(4):1076-1082. doi: 10.1007/s13187-020-01922-y. Epub 2020 Nov 9.
This study examines the relationship between language preference and screening mammogram adherence in medically underserved women in New York City. A survey was conducted with 518 women age 40 and over attending breast health education programs in English, Spanish, Chinese (Mandarin/Cantonese), and French. Women who preferred Chinese were 53% less likely to have had a mammogram within the past year compared to women who preferred English (p < .01). Women age 75 and older (p < .0001) and those without insurance (p < .05) were also found to be significantly less likely to have had a screening mammogram compared to women ages 55-74 and those with private insurance, respectively. This research indicates medically underserved women who prefer a non-English language may benefit from linguistically appropriate interventions to improve screening mammogram adherence. Future research should examine appropriateness of breast cancer screening for women age 75 and older and explore ways to improve screening mammogram use in the uninsured population.
本研究考察了在纽约市医疗服务不足的女性中，语言偏好与乳房 X 光筛查依从性之间的关系。对参加英语、西班牙语、中文（普通话/粤语）和法语的乳腺健康教育计划的 518 名 40 岁及以上的女性进行了调查。与偏好英语的女性相比，偏好中文的女性在过去一年中进行乳房 X 光检查的可能性低 53%（p<.01）。研究还发现，75 岁及以上的女性（p<.0001）和没有保险的女性（p<.05）与 55-74 岁的女性和有私人保险的女性相比，进行乳房 X 光筛查的可能性显著降低。这项研究表明，偏好非英语语言的医疗服务不足的女性可能受益于语言适宜的干预措施，以提高乳房 X 光筛查的依从性。未来的研究应检查 75 岁及以上女性进行乳腺癌筛查的适宜性，并探索改善无保险人群中乳房 X 光筛查使用的方法。
