Acculturation and breast cancer screening among Hispanic women in New York City
Acculturation and breast cancer screening among Hispanic women in New York City
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DOI：
10.2105/ajph.89.2.219
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发表时间：
1999-02-01
影响因子：
12.7
通讯作者：
Mandelblatt, J
中科院分区：
文献类型：
--
作者：
O'Malley, AS;Kerner, J;Mandelblatt, J
目标。这项研究调查了1992年纽约市18至74岁的哥伦比亚、厄瓜多尔、多米尼加和波多黎各妇女接受临床乳房检查和乳房X光检查是否与文化适应有关。一项双语的、有针对性的、随机数字拨号的电话调查从基于人口的配额样本中对908名拉美裔妇女进行了调查。结果测量包括曾经和最近的使用；临床乳房检查和乳房X光检查。采用多因素Logistic回归模型分析文化适应对筛查使用的影响。当控制人口、社会经济和卫生系统特征以及取消态度和信念时，文化适应程度较高的女性接受临床乳房检查(P小于或等于0.01)、曾经(P小于或等于0.01)和最近(P小于或等于0.05)接受乳房X光检查的几率显著高于文化适应程度较低的女性。对于所有的筛查措施，调整后的被筛查的概率作为文化适应的函数线性增加。社区和卫生系统的干预措施，以增加拉美裔妇女的筛查，应该针对文化适应程度较低的人。
Objectives. This study investigated whether acculturation was associated with the receipt of clinical breast examination nations and mammograms among Colombian, Ecuadorian, Dominican, and Puerto Rican women, aged 18 to 74 years in New York City in 1992.Methods. A bilingual, targeted, random-digit-dialed telephone survey was conducted among 908 Hispanic women from a population-based quota sample. Outcome measures included ever and recent use of;clinical breast examinations and mammograms. Multivariate logistic regression models were used to assess the effect of acculturation on screening use.Results. When demographic, socioeconomic, and health system characteristics and cancel attitudes and beliefs were controlled for, women who were more acculturated had significantly higher odds of ever and recently receiving a clinical breast examination (P less than or equal to.01) and of ever (P less than or equal to.01) and recently (P less than or equal to.05) receiving a mammogram than did less acculturated women. For all screening measures, there was a linear increase in the adjusted probability of being screened as a function of acculturation.Conclusions. Neighborhood and health system interventions to increase screening among Hispanic women should target the less acculturated.