Cervical cancer screening among English- and Spanish-speaking Hispanic women in an urban safety net health system, 2015-2020.
Cervical cancer screening among English- and Spanish-speaking Hispanic women in an urban safety net health system, 2015-2020.
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DOI：
10.1186/s12905-023-02448-3
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发表时间：
2023-06-15
影响因子：
2.5
通讯作者：
Montealegre, Jane R.
中科院分区：
文献类型：
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作者：
Amboree, Trisha L.;Parker, Susan Lackey;Bulsara, Shaun;Anderson, Matthew L.;Schmeler, Kathleen M.;Chiao, Elizabeth Y. Y.;Montealegre, Jane R.
西班牙裔人口具有异质性，不同亚群体的健康行为因出生地和首选语言而存在差异。我们评估了在安全网卫生系统接受护理的讲英语和西班牙语的西班牙裔患者的宫颈癌筛查依从性。电子健康记录用于识别 46,094 名 30-65 岁女性的身份。最新 (UTD) 筛查是根据上次巴氏涂片检查、人乳头瘤病毒 (HPV) 检查或巴氏涂片/HPV 联合检查的日期来定义的。总体而言，31,297 名西班牙裔女性中有 81.5% 是 UTD。与讲西班牙语的西班牙裔女性相比，讲英语的西班牙裔女性 UTD 患病率较低（aPR：0.94，95% CI：0.93 – 0.96）。此外，与拥有私人保险的人相比，拥有贫困医疗保健计划的人 UTD 筛查率更高（aPR：1.10，95% CI：1.09 – 1.12），而与私人保险相比，所有其他健康保险计划的 UTD 筛查率较低。这些发现表明需要筛查西班牙裔人群中的差异，强调需要进行分类研究来评估种族/族裔群体内的异质性，特别是西班牙裔人群中的异质性。在线版本包含可在 10.1186/s12905-023-02448-3 获取的补充材料。
The Hispanic population is heterogeneous with differences in health behaviors across subgroups by nativity and preferred language. We evaluated cervical cancer screening adherence among English- and Spanish-speaking Hispanic patients receiving care at a safety net health system. Electronic health records were used to identify 46,094 women aged 30–65. Up to date (UTD) screening was defined based on date of last Pap test, human papillomavirus (HPV) test, or Pap/HPV co-test. Overall, 81.5% of 31,297 Hispanic women were UTD. English-speaking Hispanic women had a lower prevalence of being UTD when compared to Spanish-speaking Hispanic women (aPR: 0.94, 95% CI: 0.93 – 0.96). Further, those with indigent healthcare plans had a higher prevalence of being UTD when compared to those with private insurance (aPR: 1.10, 95% CI: 1.09 – 1.12), while all other health insurance plans were associated with lower UTD screening when compared to private insurance. These findings suggest screening differences within the Hispanic population, highlighting the need for disaggregated research assessing heterogeneity within racial/ethnic groups, specifically among Hispanic populations. The online version contains supplementary material available at 10.1186/s12905-023-02448-3.
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DOI：
10.3122/jabfm.2022.05.220257
发表时间：
2022-10-18
期刊：
Journal of the American Board of Family Medicine : JABFM
影响因子：
--
作者：
Truong, Oanh
通讯作者：
Truong, Oanh
影响因子：
3.1
作者：
Massey PM;Langellier BA;Sentell T;Manganello J
通讯作者：
Manganello J
影响因子：
13.8
作者：
Suk R;Hong YR;Rajan SS;Xie Z;Zhu Y;Spencer JC
通讯作者：
Spencer JC
影响因子：
4.6
作者：
Lamminmaki, Maarit;Leivonen, Aku;Sarkeala, Tytti;Virtanen, Anni;Heinavaara, Sirpa
通讯作者：
Heinavaara, Sirpa
影响因子：
2.3
作者：
Montealegre, Jane R.;Zhou, Renke;Scheurer, Michael E.
通讯作者：
Scheurer, Michael E.