Saint-Germain M A, Longman A J
Department of Political Science, University of Texas, El Paso 79968.
Health Educ Q. 1993 Winter;20(4):539-53. doi: 10.1177/109019819302000412.
A survey was conducted with 409 Hispanic and 138 Anglo women in Tucson, Arizona, to assess their knowledge of breast cancer and cancer screening tests, their attitudes toward breast cancer and cancer screening, and their use of screening tests. There were few differences between these two groups in use of breast cancer screening tests, with both group falling well below the recommended levels of screening frequency. Clinical breast exam was most often used, followed by breast self-exam, with mammography a distant third. Levels of knowledge about the risks for breast cancer and the ways to detect it were also low. Comparison with national data show Arizona women to have lower rates of breast cancer screening than the national average; this may be due to the absence of the Medicaid program in Arizona. The rates for Tucson Hispanics, although lower than that for Anglos, are comparable with the findings of other studies. More needs to be done to alert all older women about breast cancer screening, but more specific attention needs to be paid to the population of older Hispanic women. We suggest some culturally relevant strategies to address this problem.
在亚利桑那州图森市，对409名西班牙裔女性和138名盎格鲁女性进行了一项调查，以评估她们对乳腺癌和癌症筛查检测的了解、她们对乳腺癌和癌症筛查的态度以及她们对筛查检测的使用情况。这两组在乳腺癌筛查检测的使用方面几乎没有差异，两组的筛查频率均远低于推荐水平。临床乳房检查是最常用的，其次是乳房自我检查，乳房X光检查则远远排在第三位。对乳腺癌风险及检测方法的了解程度也很低。与全国数据相比，亚利桑那州女性的乳腺癌筛查率低于全国平均水平；这可能是由于亚利桑那州没有医疗补助计划。图森市西班牙裔女性的筛查率虽然低于盎格鲁女性，但与其他研究结果相当。需要做更多工作来提醒所有老年女性进行乳腺癌筛查，但需要更特别关注老年西班牙裔女性群体。我们建议一些与文化相关的策略来解决这个问题。
