Department of Obstetrics and Gynecology, Louisiana State University Health Sciences Center, New Orleans, LA, USA.
Boston Medical Center, Boston University School of Medicine, Boston, MA, USA.
J Immigr Minor Health. 2022 Feb;24(1):111-117. doi: 10.1007/s10903-021-01297-2. Epub 2021 Oct 29.
Although multiple studies have shown that resettled refugee women are less likely to receive preventative cancer screenings like pap smears and mammograms, a small number have demonstrated the opposite. This retrospective chart review, conducted between January 2017 and October 2018, compares pap smear and mammogram rates of patients seen in a refugee-specific OB/GYN clinic with patients from the general OB/GYN clinic at the same institution. Data from 298 patients (149 refugee and 149 general clinic patients matched by age and date-of-visit) were analyzed. Pap smear screening rates were 90.60% in the refugee group and 73.83% in the general group [p < 0.009, aOR 3.46 (1.36-8.81)], while mammogram screening rates were 36.84% and 38.60%, respectively (p = 0.46). The provision of holistic services meeting refugee women's unique needs can effectively increase pap smear screening rates.
尽管多项研究表明，重新安置的难民女性接受巴氏涂片和乳房 X 光检查等预防性癌症筛查的可能性较低，但少数研究结果则相反。本回顾性图表研究于 2017 年 1 月至 2018 年 10 月进行，比较了在特定难民妇产科诊所就诊的患者与同一机构普通妇产科诊所患者的巴氏涂片和乳房 X 光检查率。对 298 名患者（年龄和就诊日期匹配的 149 名难民患者和 149 名普通诊所患者）的数据进行了分析。难民组的巴氏涂片筛查率为 90.60%，普通组为 73.83%[p<0.009，优势比 3.46（1.36-8.81）]，而乳房 X 光筛查率分别为 36.84%和 38.60%（p=0.46）。提供满足难民女性独特需求的整体服务可以有效提高巴氏涂片筛查率。
