Effect of language on colorectal cancer screening among Latinos and non-Latinos.
Effect of language on colorectal cancer screening among Latinos and non-Latinos.
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DOI：
10.1158/1055-9965.epi-07-2692
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发表时间：
2008-08
期刊：
影响因子：
--
通讯作者：
Eaton CB
中科院分区：
文献类型：
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作者：
Diaz JA;Roberts MB;Goldman RE;Weitzen S;Eaton CB
一些拉丁裔人群中的语言障碍可能导致拉丁裔和非拉丁裔白人之间结直肠癌（CRC）筛查率较低。本研究的目的是使用具有地域多样性的基于人群的成年人样本，检验拉丁裔和非拉丁裔人群中语言与接受结直肠癌筛查检测之间的关系。
对行为风险因素监测系统（BRFSS）调查进行横断面分析。分析对象包括50岁及以上的成年人，他们在一个记录了讲英语和讲西班牙语参与者数据的州完成了2006年的BRFSS调查。
主要的结果衡量指标是接受结直肠癌筛查检测（过去12个月内进行粪便潜血检测和/或10年内进行下消化道内镜检查）。在研究人群中的99895名受访者中，用西班牙语回答的拉丁裔中有33%报告进行过CRC检测，而用英语回答的拉丁裔中有51%以及讲英语的非拉丁裔中有62%报告接受过检测。在多变量分析中，与非拉丁裔相比，用英语回答的拉丁裔接受结直肠癌检测的可能性低16%（比值比为0.84，95%置信区间为0.73 - 0.98），用西班牙语回答的拉丁裔接受结直肠癌检测的可能性低43%（比值比为0.57，95%置信区间为0.44 - 0.74）。此外，与用英语回答的拉丁裔相比，用西班牙语回答的拉丁裔接受CRC检测的可能性低36%（比值比为0.64；95%置信区间为0.48 - 0.84）
与非拉丁裔以及用英语回答的拉丁裔相比，用西班牙语回答2006年BRFSS调查的拉丁裔接受CRC筛查检测的可能性显著更低。基于此分析，使用西班牙语与CRC筛查呈负相关，并可能导致CRC筛查方面的差异。
Language barriers among some Latinos may contribute to the lower rates of colorectal cancer (CRC) screening between Latinos and non-Latino Whites. The purpose of this study was to examine the relationship between language and receipt of colorectal cancer screening tests among Latinos and non-Latinos using a geographically diverse, population-based sample of adults. Cross-sectional analysis of the Behavioral Risk Factor Surveillance System (BRFSS) survey. Analysis included adults 50 years of age and older, who completed the 2006 BRFSS in a state that recorded data from English and Spanish-speaking participants. The primary outcome measure was receipt of colorectal screening tests (fecal occult blood testing within prior 12 months and/or lower endoscopy within 10 years). Of the 99,895 respondents included in the study populations, 33% of Latinos responding-in-Spanish reported having had CRC testing, while 51% of Latinos responding-in-English and 62% of English-speaking non-Latinos reported test receipt. In multivariable analysis, compared to non-Latinos, Latinos responding-in-English were 16% less likely (OR,0.84, 95 % CI, 0.73-0.98), and Latinos responding-in-Spanish were 43% less likely to have received colorectal cancer testing (OR,0.57, 95% CI, 0.44-0.74). Additionally, compared to Latinos responding-in-English, Latinos responding-in-Spanish were 36% less likely to have received CRC testing (OR, 0.64; 95% CI, 0.48-0.84) Latinos responding to the 2006 BRFSS survey in Spanish had a significantly lower likelihood of receiving CRC screening tests compared to non-Latinos and to Latinos responding-in-English. Based on this analysis, Spanish language use is negatively associated with CRC screening and may contribute to disparities in CRC screening.