Effect of social networks on cancer-screening behavior of older Mexican-American women.
Effect of social networks on cancer-screening behavior of older Mexican-American women.
复制标题
社交网络对墨西哥裔美国老年女性癌症筛查行为的影响。
DOI：
10.1093/jnci/86.10.775
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发表时间：
1994
期刊：
影响因子：
--
通讯作者：
Pulley,L
中科院分区：
文献类型：
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作者：
Suarez,L;Lloyd,L;Weiss,N;Rainbolt,T;Pulley,L
背景以前的研究已经确定，西班牙裔妇女，特别是墨西哥裔美国妇女在美国任何种族和民族中癌症筛查率最低。在为这一人群制定癌症控制战略时，很少注意鼓励墨西哥裔美国妇女寻求癌症预防护理的因素。最近的研究表明，社交网络可以有积极的影响，对癌症筛查participation.PurposeWe确定在何种程度上的差异，社交网络帐户的变化，在乳腺癌和宫颈癌筛查的做法之间的低收入墨西哥裔美国妇女。在实施社区干预措施之前进行的癌症筛查实践，旨在改善居住在美国沿着的40岁及以上低收入墨西哥裔美国妇女的巴氏涂片检查和乳房X光检查-德克萨斯州埃尔帕索县的墨西哥边境。随机选择1 300户家庭作为抽样框架，以确定40岁及以上的墨西哥裔美国妇女进行个人访谈。在549户被确定至少有一名符合条件的妇女的家庭中，450名妇女完成了为这项研究提供数据的个人访谈。个人访谈收集了年龄、收入、婚姻状况、出生地、教育、医疗保险覆盖范围、巴氏涂片和乳房X光检查做法等信息，以及与社会网络有关的六个问题。通过以下六个变量的总和为每位女性分配社交网络评分：知己人数，亲密朋友人数，近亲人数，每月与这些亲密朋友或亲戚联系的频率，教会成员和教会出席率。根据得分的三分位数，妇女被分为社会网络的三个线性阶层（低、中、高）。癌症筛查的历史也被确定在interview.ResultsThe 2年的患病率巴氏涂片和乳房X光检查的使用增加与社会网络。对于社交网络水平的每一次提高（低、中、高），经社会人口学因素调整后，巴氏涂片检查的优势比为1.33（95%置信区间= 1.02-1.73）;乳房X线检查的优势比为1.40（95%置信区间= 1.02-1.93）。六个社会网络的组成部分，亲密的朋友的数量是最重要的预测乳腺癌X线检查（P= 0.002）和巴氏涂片（P= 0.025）screening.ConclusionSocial网络似乎是一个重要的决定因素，低收入，老年墨西哥裔美国妇女的癌症筛查行为。
BackgroundPrevious studies have determined that Hispanic women and, in particular, Mexican-American women have the lowest rates of cancer screening of any race and ethnic group in the United States. In the development of cancer control strategies for this population, little attention has been given to factors that encourage Mexican-American women to seek cancer preventive care. Recent studies suggest that social networks can have a positive influence on cancer-screening participation.PurposeWe determined the extent to which differences in social networks account for variations in breast and cervical cancer-screening practices among low-income Mexican-American women.MethodsThe data analyzed in this study were obtained from a baseline survey of knowledge, attitudes, and cancer-screening practices conducted prior to implementation of community interventions designed to improve Pap smear and mammography screening in low-income Mexican-American women 40 years old and older living along the U.S.-Mexican border in El Paso County, Texas. A random selection of 1300 households served as a sampling frame to identify Mexican-American women 40 years old and older for personal interviews. Of the 549 households identified as having at least one eligible female, 450 women completed the personal interviews that provided the data for this study. Personal interviews solicited information on age, income, marital status, place of birth, education, health insurance coverage, Pap smear- and mammogram-screening practices, and six questions relating to social network. A social network score was assigned to each woman by summation of the following six variables: number of confidants, number of close friends, number of close relatives, frequency of contact with these close friends or relatives per month, church membership, and church attendance. Women were grouped into three linear strata of social network (low, medium, high) based on tertiles of the scores. Cancer-screening history was also ascertained during the interview.ResultsThe 2-year prevalence of Pap smear and mammography use increased with social network. For each gain in social network level (low, medium, high), adjusted for sociodemographic factors, the odds ratio for Pap smear use was 1.33 (95% confidence interval = 1.02–1.73); it was 1.40 (95% confidence interval = 1.02–1.93) for mammogram use. Of the six social network components, the number of close friends was the most important predictor of mammography (P= .002) and Pap smear (P= .025) screening.ConclusionSocial networks appear to be an important determinant of cancer-screening behavior among low-income, older Mexican-American women.