Disparities in mammographic screening for Asian women in California: a cross-sectional analysis to identify meaningful groups for targeted intervention.
Disparities in mammographic screening for Asian women in California: a cross-sectional analysis to identify meaningful groups for targeted intervention.
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DOI：
10.1186/1471-2407-7-201
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发表时间：
2007-10-26
期刊：
影响因子：
3.8
通讯作者：
Clarke CA
中科院分区：
文献类型：
--
作者：
Gomez SL;Tan S;Keegan TH;Clarke CA
乳腺癌是快速增长的亚裔美国人中最常见的癌症;它也是菲律宾人癌症死亡的最常见原因。亚裔妇女的乳房X光检查率仍然低于大多数其他种族/族裔群体的妇女。虽然先前的研究已经描述了妇女的社会人口学和其他特征对不遵守筛查指南的影响，但他们没有确定人口中仍然处于最高风险的人群。为了更好地描述与过去两年没有进行乳房X线检查相关的亚洲女性的特征，我们对2001年加州健康访谈调查（CHIS）的基于人群的数据（N = 1521）应用递归分割，针对7个感兴趣的种族/民族组：中国人、日本人、菲律宾人、韩国人、南亚人、越南人和所有亚洲人。我们确定了两个主要的亚洲女性亚组，他们报告在过去两年中没有进行乳房X光检查，因此没有遵循乳房X光检查的建议：1）从未进行过宫颈癌筛查的女性（68%没有乳房X光检查），以及2）进行过pap检查但没有女性健康问题的女性（骨质疏松症，使用绝经期激素治疗，和/或子宫切除术），也不是通常的护理来源（62%没有乳房X光检查）。在过去两年中，只有19%的接受过巴氏筛查并有女性健康问题的亚洲女性没有接受乳房X光检查。在几乎所有的种族亚组中，接受过pap或结直肠筛查是乳腺X线摄影使用的最强标志。最不可能接受乳房X光检查的女性的其他特征包括：中国非美国公民或没有通常医疗保健来源的公民，没有医疗保险的菲律宾人，没有女性健康问题和公共或没有医疗保险的韩国人，失业或非公民的50岁以下的南亚人，以及从未结婚的越南女性。我们确定了亚洲女性中不遵守乳腺X线摄影筛查指南风险最高的不同亚组;这些数据可以为旨在减少亚洲女性乳腺X线摄影筛查差异的外展工作提供信息。
Breast cancer is the most commonly diagnosed cancer among the rapidly growing population of Asian Americans; it is also the most common cause of cancer mortality among Filipinas. Asian women continue to have lower rates of mammographic screening than women of most other racial/ethnic groups. While prior studies have described the effects of sociodemographic and other characteristics of women on non-adherence to screening guidelines, they have not identified the distinct segments of the population who remain at highest risk of not being screened. To better describe characteristics of Asian women associated with not having a mammogram in the last two years, we applied recursive partitioning to population-based data (N = 1521) from the 2001 California Health Interview Survey (CHIS), for seven racial/ethnic groups of interest: Chinese, Japanese, Filipino, Korean, South Asian, Vietnamese, and all Asians combined. We identified two major subgroups of Asian women who reported not having a mammogram in the past two years and therefore, did not follow mammography screening recommendations: 1) women who have never had a pap exam to screen for cervical cancer (68% had no mammogram), and 2) women who have had a pap exam, but have no women's health issues (osteoporosis, using menopausal hormone therapies, and/or hysterectomy) nor a usual source of care (62% had no mammogram). Only 19% of Asian women who have had pap screening and have women's health issues did not have a mammogram in the past two years. In virtually all ethnic subgroups, having had pap or colorectal screening were the strongest delineators of mammography usage. Other characteristics of women least likely to have had a mammogram included: Chinese non-U.S. citizens or citizens without usual source of health care, Filipinas with no health insurance, Koreans without women's health issues and public or no health insurance, South Asians less than age 50 who were unemployed or non-citizens, and Vietnamese women who were never married. We identified distinct subgroups of Asian women at highest risk of not adhering to mammography screening guidelines; these data can inform outreach efforts aimed at reducing the disparity in mammography screening among Asian women.
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影响因子：
5
作者：
Calvocoressi, L;Stolar, M;Jones, BA
通讯作者：
Jones, BA
影响因子：
158.5
作者：
COLDITZ, GA;HANKINSON, SE;SPEIZER, FE
通讯作者：
SPEIZER, FE
影响因子：
5.1
作者：
Collins, R;Winkleby, MA
通讯作者：
Winkleby, MA
影响因子：
5.5
作者：
Chen, JY;Diamant, AL;Wold, C
通讯作者：
Wold, C
DOI：
10.7326/0003-4819-137-5_part_1-200209030-00012
发表时间：
2002-09-03
影响因子：
39.2
作者：
Humphrey, LL;Helfand, M;Woolf, SH
通讯作者：
Woolf, SH