Racial/Ethnic Disparities in Cervical Cancer Screening Services Among Contractors of the Connecticut Breast and Cervical Cancer Early Detection Program.
Racial/Ethnic Disparities in Cervical Cancer Screening Services Among Contractors of the Connecticut Breast and Cervical Cancer Early Detection Program.
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DOI：
10.1089/heq.2017.0038
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发表时间：
2018
期刊：
影响因子：
2.7
通讯作者：
Kaufman JS
中科院分区：
文献类型：
--
作者：
Pratte MA;Griffin A;Ogazi C;Yurasevecz S;Blanks CA;McCooey L;Kaufman JS
目的：少数种族/民族妇女患宫颈癌的风险增加。本研究的目的是利用康涅狄格州乳腺癌和宫颈癌早期检测计划（CBCCEDP）的绩效管理数据，确定在CBCCEDP承包商中，人乳头瘤病毒（HPV）联合检测的吸收是否存在种族/民族差异。方法：对参与CBCCEDP的10家承包商2013-2015年康涅狄格州最低数据要素数据进行二次分析。参与者包括有资格通过CBCCEDP接受常规宫颈癌筛查服务的30-64岁女性（n= 5262）。采用卡方检验和Fisher精确检验对承包商和每个承包商内的种族/族裔群体的HPV联合检测情况进行比较。结果：总体而言，62.9%的女性接受了HPV联合检测服务。当对所有承包商的数据进行检查时，发现种族/民族群体之间的共同测试率存在显著差异（p<0.001）。黑人妇女接受联合检测的可能性最小（49.1%），而西班牙裔妇女接受联合检测的可能性最大（68.2%）。当在个体承包商水平上检查数据时，在50%的承包商中观察到种族/民族群体之间的显著差异。结论：本研究确定了参与CBCCEDP的个体承包商在接受HPV联合检测方面的种族/民族差异。这些发现将用于指导项目改进，目标是提高所有寻求筛查服务的妇女的护理质量和一致性。
Purpose: Racial/ethnic minority women are at increased risk for cervical cancer. The objective of this study is to use performance management data from the Connecticut Breast and Cervical Cancer Early Detection Program (CBCCEDP) to determine whether race/ethnicity disparities exist in human papillomavirus (HPV) co-testing uptake across CBCCEDP contractors. Methods: Secondary analysis of Connecticut's Minimum Data Elements data for 2013–2015 among 10 contractors participating in the CBCCEDP. Participants included women aged 30–64 years and eligible to receive routine cervical cancer screening services through the CBCCEDP (n=5,262). HPV co-testing uptake was compared across contractors and race/ethnicity groups within each contractor using chi-square and Fisher's exact tests as appropriate. Results: Overall, 62.9% of women received HPV co-testing services. Significant differences in co-testing rates were detected between racial/ethnic groups when data were examined across all contractors (p<0.001). Black women were least likely to receive co-testing (49.1%), while Hispanic women were most likely to receive co-testing (68.2%). When data were examined at the individual contractor level, significant differences between racial/ethnic groups were observed in 50% of the contractors. Conclusions: This study identified racial/ethnic disparities in uptake of HPV co-testing both overall and within individual contractors involved in the CBCCEDP. These findings will be used to guide program improvement with the goal of increasing quality and consistency of care for all women seeking screening services.