Cancer prevention and control among Asian and Pacific Islander Americans - Findings and recommendations
Cancer prevention and control among Asian and Pacific Islander Americans - Findings and recommendations
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DOI：
10.1002/(sici)1097-0142(19981015)83:8
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发表时间：
1998-10-15
期刊：
影响因子：
6.2
通讯作者：
Chen, MS
中科院分区：
文献类型：
--
作者：
Chen, MS
癌症已成为亚洲和太平洋岛民女性美国人的主要死因。尽管他们在过去二十年中构成了美国增长最快的种族/族裔人口，并将在可预见的未来这样做，但亚洲和太平洋岛民的癌症预防一直被忽视。这篇综述论文的目的是介绍一个关于亚洲和太平洋岛民美国人癌症预防和控制的公共卫生背景，并提出行动步骤。作者采用Milne和Chambers的标准评估综述文章的科学质量，并从四个文献数据库和其他出版物的系统检索中检索文章撰写这篇综述论文。亚洲及太平洋岛民主要是第一代移民，他们在使用的语言和社会经济指标方面有相当大的差异。汇总数据比按种族群体、性别或移民历史分列的数据更健康。数据不足已被记录在案，夏威夷土著人已经经历了六个地点的最高癌症死亡率。华裔美国人在肝癌死亡率方面领先。由于成年男性吸烟率远高于主流人口，肺癌死亡率将进一步增加。亚裔和太平洋岛民中更高的B型肝炎患病率表明肝癌的发病率更高。必须有意识、有系统地收集亚裔和太平洋岛民的健康数据。按性别进一步分类的具体种族数据将是最有帮助的。有效的癌症预防和控制措施必须包括科学有效性、语言适当性和文化能力。癌症1998;83：1856-64. (C)1998年美国癌症协会。
Cancer has become the leading cause of death for female Asian and Pacific islander Americans. Although they have constituted the nation's fastest growing racial/ethnic population for the past two decades and will do so for the foreseeable future, cancer prevention for Asian and Pacific Islanders has been overlooked. The purpose of this review paper is to present a public health context with regard to cancer prevention and control for Asian and Pacific Islander Americans and to recommend action steps. The author employed Milne and Chambers' criteria for assessing the scientific quality of review articles and retrieved articles from systematic searches of four literature databases and other publications to write this review paper. Asian and Pacific Islanders are principally first-generation immigrants, and they are considerably heterogenous in terms of languages used and socioeconomic indicators. Aggregated data paint the appearance of a healthier profile than when data are disaggregated by ethnic group, gender, or immigration history. Inadequacies of data have been documented, Native Hawaiians already experience the highest cancer mortality rates for six sites. Chinese Americans lead with respect to liver cancer deaths. Mortality due to lung cancer will increase even more, because adult male smoking prevalence rates are much higher than those of the mainstream populations. The higher prevalence of hepatitis B among Asian and Pacific Islander Americans point toward even higher rates of liver cancer. Data on Asian and Pacific Islander American health must be collected deliberately and systematically. Ethnically specific data that are categorized further by gender would be most helpful. Effective cancer prevention and control initiatives must incorporate scientific validity, linguistic appropriateness, and cultural competence. Cancer 1998;83:1856-64. (C) 1998 American Cancer Society.