Use of Pap test among Hispanics and non-Hispanic whites in a rural setting
Use of Pap test among Hispanics and non-Hispanic whites in a rural setting
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DOI：
10.1016/j.ypmed.2004.01.009
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发表时间：
2004-06-01
影响因子：
5.1
通讯作者：
McLerran, D
中科院分区：
文献类型：
--
作者：
Coronado, GD;Thompson, B;McLerran, D
背景。在美国，西班牙裔妇女比非西班牙裔白人有更高的侵袭性宫颈癌发病率。与发病率相对较高相关的一个关键因素是癌症筛查服务的利用不足。先前的几项调查报告说，西班牙裔妇女不太可能遵守巴氏试验的筛查建议；一些人已经确定了与不遵守筛查建议有关的因素。使用来自随机社区试验的基线个人访谈数据。在农村地区的癌症预防中，我们评估了健康障碍与不遵守子宫颈筛查建议之间的关系。在西班牙裔女性（n = 382）中，文化适应程度较低的女性比文化适应程度较高的西班牙裔和非西班牙裔白人女性（n = 385）更有可能将个人障碍作为不进行初始或后续筛查检查的原因。这些障碍包括害怕发现癌症，害怕发现癌症以外的疾病，以及对接受身体检查感到尴尬。据报道，某些结构性障碍，如护理费用、没有休息时间和缺乏交通，与不遵守常规宫颈癌筛查有关，特别是在非西班牙裔白人妇女中。未来的研究应该检查在不同文化适应水平的西班牙裔人群中与初始和后续筛查相关的障碍。(C) 2004癌症预防研究所和爱思唯尔公司。所有航班预订。
Background. Hispanic women in the United States have a higher incidence of invasive cervical cancer than non-Hispanic whites. A key factor related to the relatively high incidence is the underutilization of cancer-screening services. Several previous investigations have reported that Hispanic women are less likely to comply with screening recommendations for Pap testing; some have identified factors that are associated with non-compliance with screening recommendations.Methods. Using baseline personal interview data from a randomized community trial on. cancer prevention in a rural area, we assessed the association between health barriers and non-compliance with cervical screening recommendations.Results. Among Hispanic women (n = 382), those with a lower level of acculturation were more likely than highly acculturated Hispanic and non-Hispanic white women (n = 385) to report personal barriers as reasons for not getting an initial or subsequent screening exam. Such barriers include fear of finding cancer, fear of finding diseases other than cancer, and embarrassment about receiving a physical exam. Certain structural barriers, such as cost of care, no time off work, and lack of transportation, were reported to be associated with non-compliance with routine cervical cancer screening, especially among non-Hispanic white women.Conclusions. Future research should examine barriers related to initial and subsequent screening among Hispanics with varying levels of acculturation. (C) 2004 The Institute For Cancer Prevention and Elsevier Inc. All fights reserved.