医患特征一致性对阿拉伯裔美国女性及其医疗保健而言重要性降低——横断面研究。
Concordant physician-patient characteristics lose importance for Arab American women and their healthcare- cross-sectional study.
作者信息
Harper Diane M, Sen Ananda, Tariq Madiha, Khoury Christelle El, Haro Elizabeth K, Alman Emma, Patel Minal R, Resnicow Ken
机构信息
Department of Family Medicine, University of Michigan School of Medicine, Ann Arbor, 1018 Fuller Street, MI 48104, USA.
Department of Obstetrics & Gynecology, University of Michigan School of Medicine, Ann Arbor, MI, USA.
出版信息
Lancet Reg Health Am. 2022 Jun;10. doi: 10.1016/j.lana.2022.100225. Epub 2022 Mar 3.
BACKGROUND
Arab American women have preferred women physicians of their own culture in the past. The primary aim of this study is to determine the current influence of religion/culture among MENA women and their preferences for physicians of same sex, culture, and religion on the avoidance and uncomfortableness of routine and women's health exams.
METHODS
A cross sectional community survey including religiosity and the importance of physician matched sex, culture, and religion was completed. Outcome measures were avoidance of a routine physical exam, or a women's health exam because of religious/cultural issues; and the uncomfortableness of the women's health exam. Linear regression modeling was used to evaluate the association between outcomes and potential predictors, with significance assessed using a bootstrap method.
FINDINGS
The responses of 97 MENA women 30-65 years old showed that MENA women agreed that they would avoid routine health exams because of religious/cultural issues if their physician was of the same religion or culture as they were ( < 0.001, < 0.05, respectively) or they had less education ( < 0.05). MENA women also avoided women's health exams due to religious/cultural issues if her physician was of the same religion as she ( < 0.01).
INTERPRETATION
MENA women 30-65 years old may no longer be bound to a female physician of their same religion/culture for their health exams.
背景
过去，阿拉伯裔美国女性更倾向于选择与自己同文化背景的女性医生。本研究的主要目的是确定宗教/文化目前对中东和北非地区（MENA）女性的影响，以及她们对同性、同文化和同宗教医生的偏好对常规健康检查和女性健康检查中的回避行为及不适感的影响。
方法
完成了一项横断面社区调查，内容包括宗教信仰以及医生性别、文化和宗教匹配的重要性。结果指标包括因宗教/文化问题而回避常规体检或女性健康检查；以及女性健康检查中的不适感。采用线性回归模型评估结果与潜在预测因素之间的关联，并使用自助法评估显著性。
研究结果
97名年龄在30至65岁之间的中东和北非地区女性的回答表明，如果医生与她们有相同的宗教或文化背景（分别为P<0.001，P<0.05），或者她们受教育程度较低（P<0.05），中东和北非地区女性表示会因宗教/文化问题而回避常规健康检查。如果医生与她有相同的宗教信仰，中东和北非地区女性也会因宗教/文化问题而回避女性健康检查（P<0.01）。
解读
30至65岁的中东和北非地区女性在进行健康检查时，可能不再局限于选择与自己同宗教/文化背景的女性医生。
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