Use of cancer screening practices by Hispanic women: analyses by subgroup.

Use of cancer screening practices by Hispanic women: analyses by subgroup.
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西班牙裔女性癌症筛查实践的使用:按亚组进行分析。

DOI:
10.1006/pmed.1999.0566
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发表时间:
1999
影响因子:
5.1
通讯作者:
M. Gutiérrez
M. Gutiérrez
中科院分区:
医学2区
文献类型:
--
作者:
Ruth E. Zambrana;Nancy Breen;Sarah A. Fox;M. Gutiérrez

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目标 本研究比较了使用三种癌症筛查方法(巴氏涂片,乳房X光检查和临床乳腺检查)3年前采访五个亚组的西班牙裔妇女,并检查是否社会人口统计学;访问;健康行为,感知和知识;和文化适应因素预测任何亚组的筛查方法。 方法 对1990年和1992年全国健康访谈调查中报告自己是西班牙裔的妇女的数据进行了描述性和多元logistic回归分析。研究样本包括2,391名受访者:668名墨西哥裔美国人,537名墨西哥人,332名波多黎各人,143名古巴人和711名其他西班牙裔女性。 结果 亚组概况显示在教育,健康保险,使用英语和筛选使用的差异。墨西哥妇女最不可能接受任何程序的筛查。每种筛查方法的逻辑回归结果表明,在过去3年内,有一个通常的护理来源是获得三种筛查方法的积极预测因素。已婚、50岁以上、了解乳房自我检查都是进行巴氏涂片检查的预测因素。有健康保险和曾经有过临床乳房检查和巴氏涂片是有乳房X光检查的预测因素,而年龄,乳房自我检查的知识,曾经有过巴氏涂片和乳房X光检查,是一个非吸烟者都预测有临床乳房检查。 结论 我们的结论是访问因素和先前的筛选更强烈地与当前的筛选比语言和种族因素。我们的数据证实,西班牙裔妇女的低收入比例不成比例,并有被筛选不足的风险。我们的研究结果从一个具有全国代表性的西班牙裔样本的供应商的做法,特定民族的社区干预措施,以及未来的发展措施和数据收集方法的影响。
OBJECTIVES This study compares the use of three cancer screening practices (Pap smear, mammogram, and clinical breast examination) 3 years prior to interview among five subgroups of Hispanic women, and examines whether sociodemographic; access; health behavior, perception, and knowledge; and acculturation factors predict screening practices for any subgroup. METHODS Descriptive and multiple logistic regression analyses were conducted with data pooled from the 1990 and 1992 National Health Interview Surveys on women who reported that they were Hispanic. The study sample includes 2,391 respondents: 668 Mexican-American, 537 Mexican, 332 Puerto Rican, 143 Cuban, and 711 other Hispanic women. RESULTS Subgroup profiles reveal differences in education, health insurance, use of English language, and screening use. Mexican women were the least likely to be screened with any procedure. Logistic regression results for each screening practice show that having a usual source of care was a positive predictor for obtaining each of the three screening practices within the last 3 years. Being married, being more than 50 years of age, and having knowledge of breast self-examination were all predictors of having a Pap smear. Having health insurance and ever having had a clinical breast examination and Pap smear were predictors of having a mammography, while age, knowledge of breast self-examination, ever having had a Pap smear and mammogram, and being a nonsmoker all predicted having a clinical breast examination. CONCLUSIONS We conclude that access factors and prior screening are more strongly associated with current screening than are language and ethnic factors. Our data confirm that a disproportionate percentage of Hispanic women are low income and at risk of being underscreened. Our findings from a nationally representative sample of Hispanics have implications for provider practices, ethnic-specific community interventions, and future development of measures and data collection approaches.
社交网络对墨西哥裔美国老年女性癌症筛查行为的影响。
DOI: 10.1093/jnci/86.10.775
发表时间: 1994
期刊: Journal of the National Cancer Institute
影响因子: --
作者:
Suarez,L;Lloyd,L;Weiss,N;Rainbolt,T;Pulley,L
通讯作者: Pulley,L
新兴的西班牙裔人口:癌症预防和控制的基础。
DOI: --
发表时间: 1995
期刊: Journal of the National Cancer Institute. Monographs.
影响因子: --
作者:
Ramirez,AG;Villarreal,R;Suarez,L;Flores,ET
通讯作者: Flores,ET
DOI: --
发表时间: 1995
期刊: Journal of the National Cancer Institute. Monographs.
影响因子: --
作者:
Trapido,EJ;BurciagaValdez,R;Obeso,JL;Strickman-Stein,N;Rotger,A;Perez-Stable,EJ
通讯作者: Perez-Stable,EJ
DOI: --
发表时间: 1990
期刊: JAMA
影响因子: --
作者:
通讯作者: --
西班牙裔老年女性乳腺癌筛查的频率和充分性。
DOI: 10.1016/0091-7435(87)90016-8
发表时间: 1987
影响因子: 5.1
作者:
Richardson,JL;Marks,G;Solis,JM;Collins,LM;Birba,L;Hisserich,JC
通讯作者: Hisserich,JC