Knowledge of, and beliefs about, access to screening facilities and cervical cancer screening behaviors among low-income women in New Jersey.
Knowledge of, and beliefs about, access to screening facilities and cervical cancer screening behaviors among low-income women in New Jersey.
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DOI：
10.1007/s10552-019-01244-5
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发表时间：
2020-01
影响因子：
2.3
通讯作者：
Demisse, Kitaw
中科院分区：
文献类型：
--
作者：
Silvera, Stephanie A. Navarro;Bandera, Elisa, V;Jones, Beth A.;Kaplan, Alejandra M.;Demisse, Kitaw
癌症结局中的种族/民族差异已得到充分记录。获得巴氏试验可能是宫颈癌结果中种族和社会经济差异的一些变化。缺乏文献探索感知获得护理，因为它涉及到有色人种和低收入妇女的妇女。这项研究的目的是评估和描述受访者对新泽西低收入妇女获得免费/低成本筛查设施和筛查行为的看法之间的关系。我们使用多变量逻辑回归，调查获得负担得起的筛查癌症筛查行为的信念，使用来自新泽西低收入妇女（n=430）的横断面研究数据。在过去3年内进行过巴氏试验与年龄呈负相关（OR= 0.94，95%CI = 0.92 - 0.97），与过去2年内有保险呈正相关（OR=32.48。95%CI = 1.04 - 5.91）、更高的宫颈癌感知风险（OR= 2.59，95%CI = 1.29- 5.66）和知道去哪里进行包括癌症检测在内的检查（OR= 1.97，95%CI = 1.11- 3.49）。这些结果表明，保险状况仍然是筛查行为的预测因素，但对去哪里进行癌症筛查的风险意识也可能影响利用筛查的可能性，这对于制定有针对性的预防策略非常重要。
Racial/ethnic disparities in cancer outcomes have been well documented. Access to Pap testing may account for some of the variation in the racial and socioeconomic differences in cervical cancer outcomes. Literature exploring perceived access to care as it relates to women of color and low-income women is lacking. The goal of the study was to evaluate and characterize the relationship between what respondents believe about access to free/low-cost screening facilities and screening behaviors among low-income women in New Jersey. We used multivariate logistic regression to investigate belief about access to affordable screening on cancer screening behaviors using data from a cross-sectional study of low-income women in New Jersey (n=430). Having had a Pap test in the past 3 years was inversely associated with age (OR= 0.94, 95% CI = 0.92 – 0.97) and was positively associated with having had insurance in the previous 2 years (OR=32.48. 95% CI = 1.04 – 5.91), higher perceived risk of cervical cancer (OR= 2.59, 95% CI= 1.29– 5.66), and knowing where to go to get a check-up that includes a cancer test (OR= 1.97, 95% CI= 1.11- 3.49). These results suggest that insurance status continues to be a predictor of screening behavior but also that perceived risk awareness of where to go to get cancer screenings in general may influence the likelihood of utilizing screening, which can be important in developing targeted prevention strategies.
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5.1
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