Racial differences in use of cancer prevention services among older Americans
Racial differences in use of cancer prevention services among older Americans
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DOI：
10.1111/j.1532-5415.2000.tb04746.x
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发表时间：
2000-07-01
影响因子：
6.3
通讯作者：
Cohen, HJ
中科院分区：
文献类型：
--
作者：
Hegarty, V;Burchett, BM;Cohen, HJ
背景：接受癌症预防服务的种族差异可能与少数民族的不良结果有关。了解这种差异的原因可以帮助针对适当的interventions.补充：以确定是否存在种族差异，在使用癌症预防服务的老年黑人和白人，并探讨解释因素。产品设计：第六次随访调查采用概率抽样、四阶段分层住户设计，1986-1987年基线调查4162人，1992- 1993年调查2846人。地点：北卡罗来纳州的皮埃蒙特地区。在1992-1993年进行后续调查时，有1 486名妇女和726名男子年龄>70岁，其中1 246名是黑人，966名是白色。自我报告在过去两年中定期使用巴氏涂片（pap）检测、临床乳腺检查、乳房X线摄影、直肠检查和粪便潜血检测。与老年白人相比，老年黑人接受Fap测试的可能性更低（48.1%黑人vs 56.6%白色，P
CONTEXT: Racial differences in receipt of cancer prevention services may he related to poorer outcomes for minorities. Understanding reasons for such differences could help target appropriate interventions.OBJECTIVES: To determine if racial differences exist in the use of cancer prevention services among older blacks and whites and to explore explanatory factors. DESIGN: Sixth follow-up survey of probability sample, four-stage stratified household design with 4162 at baseline in 1986-1987 and 2846 surveyed in 1992-1993.SETTING: The Piedmont area of North Carolina.PARTICIPANTS: At time of follow-up survey in 1992-1993 there were 1486 women and 726 men age >70 years, of whom 1246 were black and 966 were white.MEASUREMENTS: Self-reported use of Papanicolou (pap) testing, clinical breast examination, mammography, rectal examination, and fecal occult blood testing on a regular basis within the last two years.RESULTS: Compared with older whites, older black persons are less likely to receive Fap test (48.1% black vs 56.6% white, P