Racial and ethnic differences in cervical cancer screening barriers and intentions: The My Body My Test-3 HPV self-collection trial among under-screened, low-income women.
Racial and ethnic differences in cervical cancer screening barriers and intentions: The My Body My Test-3 HPV self-collection trial among under-screened, low-income women.
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DOI：
10.1371/journal.pone.0274974
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
Smith, Jennifer S.
中科院分区：
文献类型：
--
作者：
Zeno, Erica E.;Brewer, Noel T.;Spees, Lisa P.;Des Marais, Andrea C.;Sanusi, Busola O.;Hudgens, Michael G.;Jackson, Sarah;Barclay, Lynn;Wheeler, Stephanie B.;Smith, Jennifer S.
筛查不足的妇女更有可能在后期被诊断为浸润性宫颈癌，并且生存结果更差。没有保险或保险不足的妇女、低收入妇女和少数群体面临筛查障碍。筛查意愿是未来筛查行为的一个指标，但在低收入、筛查不足的妇女中研究不足。参与者是北卡罗来纳州710名年龄在25-64岁之间的低收入、无保险或有公共保险的妇女，根据国家指南，她们没有进行最新的宫颈癌筛查。参与者被问及筛查的障碍和筛查的意图。我们估计了按种族和民族（分类为白色、黑人和西班牙裔）分层的宫颈癌筛查障碍，并评估了筛查意愿的预测因素。61%的参与者报告了5个或更多的筛查障碍。最常报告的不接受筛查的原因是缺乏保险（白色：71%，黑人：62%，西班牙裔/拉丁裔：63%）和成本（白色：55%，黑人：44%，西班牙裔/拉丁裔：61%）。如果女性报告“接受筛查并不难”，则更有可能有筛查的意图（OR：1.47（1.00，2.15））。老年妇女报告说，不太可能打算进行筛查。据报告，黑人妇女比白色妇女更有可能打算进行筛查。缺乏健康保险和费用是经常报告的宫颈癌筛查的障碍。增加对负担得起的诊所的了解和扩大获得医疗补助的机会可能会减少障碍，增加宫颈癌筛查的接受率。
Under-screened women are more likely to be diagnosed with invasive cervical cancer at later stages and have worse survival outcomes. Under- or un-insured women, low-income women, and minoritized groups face barriers to screening. Intention to screen is an indicator of future screening behavior, yet is understudied among low-income, under-screened women. Participants were 710 low-income, uninsured or publicly insured women ages 25–64 years in North Carolina who were not up to date on cervical cancer screening according to national guidelines. Participants were asked about barriers to screening and intention to screen. We estimated reported barriers to cervical cancer screening stratified by race and ethnicity (categorized as White, Black, and Hispanic) and assessed predictors of intention to screen. Sixty-one percent of all participants reported 5 or more barriers to screening. The most commonly reported reasons for not getting screened were lack of insurance (White: 71%, Black: 62%, Hispanic/Latina: 63%) and cost (White: 55%, Black: 44%, Hispanic/Latina: 61%). Women were more likely to have an intention to screen if they reported “it was not hard to get screening” (OR: 1.47 (1.00, 2.15)). Older women reported being less likely to intend to screen. Black women reported being more likely to intend to screen than White women. Lack of health insurance and cost were frequently reported barriers to cervical cancer screening. Increasing knowledge of affordable clinics and expanding access to Medicaid may reduce barriers and increase cervical cancer screening uptake.
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影响因子：
3.5
作者：
Lea, Cary Suzanne;Perez-Heydrich, Carolina;Smith, Jennifer S.
通讯作者：
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影响因子：
4.4
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影响因子：
5.1
作者：
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McLerran, D
影响因子：
3.7
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Kreuter M
影响因子：
5.1
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Fernández-Esquer, ME;Cardenas-Turanzas, M
通讯作者：
Cardenas-Turanzas, M