Oviedo Astrid D
Department of Nursing, University of North Carolina Pembroke, Room 329, Weinstein Health Sciences Building, 001 University Drive, Pembroke, NC, 28372, USA.
J Immigr Minor Health. 2022 Jun;24(3):639-644. doi: 10.1007/s10903-021-01223-6. Epub 2021 Jun 5.
Filipino American women experience breast cancer disparities including being diagnosed with breast cancer at a younger age and at a later stage. More Filipino women have breast cancer tumors that are ER-negative or overexpress Her2-neu. These disparities could be effectively minimized with screening mammograms. This study aims to determine factors that influence mammogram adherence in Filipino American women using Andersen's Behavioral Health Model of Services for Vulnerable Populations as the conceptual framework. Logistic regression models determined the influence of predisposing, enabling and need variables with mammogram adherence. Among all variables-breast cancer literacy, mammogram reminder, sociocultural deterrents, cultural beliefs, and years of residence in the United States-only a mammogram reminder from a healthcare provider was significantly associated with mammogram adherence. Convenience and snowballing sampling generated a group of women who were highly-educated Filipinas limiting the generalizability of the study's findings.
菲律宾裔美国女性面临乳腺癌差异问题,包括被诊断出患有乳腺癌时年龄更小且处于更晚期。更多菲律宾女性的乳腺癌肿瘤雌激素受体呈阴性或人表皮生长因子受体2过度表达。通过乳房X光筛查可有效减少这些差异。本研究旨在以安德森针对弱势群体的行为健康服务模型为概念框架,确定影响菲律宾裔美国女性乳房X光检查依从性的因素。逻辑回归模型确定了易患因素、促成因素和需求变量对乳房X光检查依从性的影响。在所有变量中——乳腺癌知识素养、乳房X光检查提醒、社会文化阻碍因素、文化信仰以及在美国居住的年限——只有医疗服务提供者发出的乳房X光检查提醒与乳房X光检查依从性显著相关。便利抽样和滚雪球抽样产生了一组高学历菲律宾女性群体,这限制了该研究结果的普遍性。