Disparities in the receipt of fecal occult blood test versus endoscopy among Filipino American immigrants.
Disparities in the receipt of fecal occult blood test versus endoscopy among Filipino American immigrants.
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DOI：
10.1158/1055-9965.epi-07-2800
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发表时间：
2008-08
期刊：
影响因子：
--
通讯作者：
Bastani R
中科院分区：
文献类型：
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作者：
Maxwell AE;Danao LL;Crespi CM;Antonio C;Garcia GM;Bastani R
本报告探讨了特定种族/族裔群体（菲律宾裔美国移民）内与结直肠筛查测试类型、粪便潜血测试 (FOBT) 与内窥镜检查相关的差异。 2005年7月至2006年10月期间，来自洛杉矶31个社区组织的50-75岁的菲律宾裔美国人用英语（65%）或菲律宾语（35%）完成了一项15分钟的调查。在本次分析中纳入的 487 名受访者中，257 名 (53%) 从未接受过任何类型的结直肠癌 (CRC) 筛查。在曾经接受过常规筛查测试的 230 名受试者中，78 名受试者仅进行了 FOBT（占总样本的 16%），152 名受试者进行了内窥镜检查，有或没有 FOBT（占总样本的 31%）。在多变量分析中控制获得护理的机会和关键人口变量后，仅接受 FOBT 的受访者与接受内窥镜检查的受访者之间只有两个特征不同：文化适应，根据在美国的寿命百分比和访谈语言以及收入进行评估。我们的数据显示了一个两层系统，即针对文化程度较低、收入较低的菲律宾裔美国人进行 FOBT，而针对文化程度和收入较高的菲律宾移民进行内窥镜检查。在调整获得医疗服务的机会后，这种差距仍然存在。不应将少数群体视为一个整体，而是需要检查群体内部的差异，以便采取适当的干预措施。
This report examines disparities associated with the type of colorectal screening test, fecal occult blood test (FOBT) versus endoscopy, within a particular racial/ethnic group, Filipino American immigrants. Between July 2005 and October 2006, Filipino Americans age 50-75 from 31 community organizations in Los Angeles completed a 15-minute survey in English (65%) or Filipino (35%). Of the 487 respondents included in this analysis, 257 (53%) had never received any type of colorectal cancer (CRC) screening. Among the 230 subjects who had ever received a routine screening test, 78 had FOBT only (16% of the total sample) and 152 had endoscopy with or without FOBT (31% of the total sample). After controlling for access to care and key demographic variables in a multivariate analysis, only two characteristics distinguished between respondents who had FOBT only versus those who had endoscopy: acculturation, assessed by percent lifetime in the U.S. and language of interview, and income. Our data suggest a two tier system, FOBT for less acculturated Filipino Americans with lower income versus endoscopy for Filipino immigrants with higher levels of acculturation and income. The disparity persists after adjusting for access to care. Instead of treating minority groups as monolithic, differences within groups need to be examined so that interventions can be appropriately targeted.