Can language-concordant prevention care managers improve cancer screening rates?
Can language-concordant prevention care managers improve cancer screening rates?
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DOI：
10.1158/1055-9965.epi-07-0373
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发表时间：
2007-10-01
影响因子：
3.8
通讯作者：
Dietrich, Allen J.
中科院分区：
文献类型：
--
作者：
Beach, Michael L.;Flood, Ann Barry;Dietrich, Allen J.
目标：有证据表明，在美国，非英语人士获得的医疗保健和预防服务质量低于英语人士。我们测试了这样一个假设：讲西班牙语的女性对提高癌症筛查最新状态的干预措施会有不同的反应。 研究设计和设置：一项多中心随机对照试验表明，由预防护理经理 (PCM) 提供的脚本电话支持提高了乳腺癌、宫颈癌和结直肠癌筛查的最新率。该亚组分析调查了选择用西班牙语与英语与 PCM 进行交流的女性中 PCM 的相对功效。结果：在本次分析中的 1,346 名女性中，63% 是西班牙语使用者。尽管 PCM 干预总体上提高了癌症筛查率，但西班牙语女性在宫颈癌筛查方面的获益似乎比英语女性要高得多（未经调整的比值比，1.77；95% 置信区间，1.03-3.05）。此外，在这项探索性分析中，有一种趋势是，在提高乳腺癌和结直肠癌筛查率的干预措施中，讲西班牙语的女性比讲英语的女性受益更多。 结论：在旨在提高癌症筛查率的双语电话支持干预中，讲西班牙语的女性似乎比讲英语的女性受益更多。
Objective: There is evidence that non-English speakers in the United States receive lower quality health care and preventive services than English speakers. We tested the hypothesis that Spanish-speaking women would respond differently to an intervention to increase up-to-date status for cancer screening.Study Design and Setting: A multisite randomized controlled trial showed that scripted telephone support, provided by a Prevention Care Manager (PCM), increased up-to-date rates for breast, cervical, and colorectal cancer screening. This subgroup analysis investigated the relative efficacy of the PCM among women who chose to communicate with the PCM in Spanish versus English.Results: Of 1,346 women in this analysis, 63% were Spanish speakers. Whereas the PCM intervention increased cancer screening rates generally, Spanish-speaking women seemed to benefit disproportionately more than English-speaking women for cervical cancer screening (unadjusted odds ratio, 1.77; 95% confidence interval, 1.03-3.05). In addition, in this exploratory analysis, there was a trend toward Spanish-speaking women receiving more benefit than English-speaking women from the intervention in increased breast and colorectal cancer screening rates.Conclusion: Spanish-speaking women seemed to benefit more than did English-speaking women from a bilingual telephone support intervention aimed at increasing cancer screening rates.