Disaggregating data on Asian and Pacific Islander women to assess cancer screening
Disaggregating data on Asian and Pacific Islander women to assess cancer screening
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DOI：
10.1016/j.amepre.2004.03.013
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发表时间：
2004-08-01
影响因子：
5.5
通讯作者：
Wold, C
中科院分区：
文献类型：
--
作者：
Chen, JY;Diamant, AL;Wold, C
背景资料：虽然亚裔美国人和太平洋岛民（AAPI）妇女的癌症发病率正在增加，但她们的癌症筛查率低的问题没有得到充分解决。此外，将不同的AAPI民族作为一个群体进行研究的传统方法隐藏了癌症筛查中重要的群体内和群体间种族差异，以及缺乏代表性，因为调查不是以任何AAPI语言进行的。为了解决这些问题，本研究比较了癌症筛查率之间的特定AAPI组和非AAPI生活在一个种族多元化regions.Methods：本研究是在2001-2002年进行的数据，从1999-2000年洛杉矶县健康调查，人口为基础的电话调查，依靠随机数字拨号技术。宫颈癌和乳腺癌筛查率进行了测量，并使用双变量分析和多变量logistic回归筛选的关键决定因素进行了assessed.Results：AAPI有较低的筛查率比白人，与AAPI亚组之间的显着差异。此外，与白色妇女相比，AAPI妇女接受宫颈癌筛查的可能性较小，与主要的人口统计学，社会经济和健康状况因素无关。AAPI和白人接受癌症筛查的决定因素不同。移民因素是显着的障碍，癌症筛查AAPI.Conclusions：这些研究结果支持的证据，在接受癌症筛查服务的亚组AAPI妇女之间的差距。此外，这些研究结果强调了对异质性AAPI人群进行分类的重要性，以确定高风险亚组并促进制定有效的有针对性的干预措施。(C)2004年美国预防医学杂志
Background: Although incidence of cancer is increasing among Asian-American and Pacific-Islander (AAPI) women, their low cancer screening rates are inadequately addressed. Furthermore, the traditional approach of studying the diverse AAPI nationalities as one group hides important intra- and inter-group ethnic differences in cancer screening, as well as lack of representativeness because the surveys are not administered in any AAPI language. To address these problems, this study compared cancer screening rates among particular AAPI groups and non-AAPIs living in an ethnically diverse region.Methods: This study was conducted in 2001-2002 using data from the 1999-2000 Los Angeles County Health Survey, a population-based telephone survey that relied on random-digit-dialing techniques. Cervical and breast cancer-screening rates were measured, and key determinants of screening using bivariate analyses and multivariate logistic regression were assessed.Results: AAPIs had lower screening rates than whites, with significant variation among AAPI subgroups. Moreover, AAPI women were less likely to have undergone cervical cancer screening compared to white women, independent of major demographic, socioeconomic, and health status factors. Determinants for receipt of cancer screening differed for AAPIs and whites. Immigration factors were significant barriers to cancer screening for AAPIs.Conclusions: These findings support the evidence of disparities in receipt of cancer screening services among subgroups of AAPI women. Additionally, these findings highlight the importance of disaggregating the heterogeneous AAPI population to identify higher-risk subgroups and facilitate development of effective targeted interventions. (C) 2004 American journal of Preventive Medicine