Impacting cultural attitudes in African-American women to decrease breast cancer mortality
Impacting cultural attitudes in African-American women to decrease breast cancer mortality
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DOI：
10.1016/s0002-9610(02)01009-7
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发表时间：
2002-11-01
影响因子：
3
通讯作者：
Swanson, MS
中科院分区：
文献类型：
--
作者：
Lannin, DR;Mathews, HF;Swanson, MS
背景：在过去十年中，白人女性的乳腺癌死亡率每年下降1%或2%，而非裔美国女性则没有。由此产生的“死亡率差距”是一个严重的国家问题，必须高度优先了解其原因并制定解决办法。方法：回顾文献资料，阐述死亡率差距产生的原因及解决方法的现状。此外，在北卡罗来纳州进行的大规模人口调查的新结果可能会揭示这个问题。结果：死亡率差距的最重要原因是非裔美国妇女比白人妇女更容易被诊断为晚期乳腺癌。这是由于乳房x光检查的使用率较低，以及可触及肿块的妇女出现延迟。这既与影响获得医疗服务的社会经济因素有关，也与往往阻碍妇女及早就医的文化因素有关。结论：了解影响患者行为的文化信仰将极大地帮助医生照顾他们的非裔美国患者，并最终有助于减少乳腺癌死亡率的种族差异。(C) 2002年摘录医药股份有限公司版权所有。
Background: Over the past decade breast cancer mortality has decreased 1% or 2% per year in white women, but not in African-American women. The resulting "mortality gap" is a serious national problem, and it must be a high priority to understand the reasons for it and develop solutions.Methods: The literature is reviewed to elucidate reasons for the mortality gap and the current status of possible solutions to the problem. In addition, new results of large population-based surveys in North Carolina are presented that may shed light on the problem.Results: The most important reason for the mortality gap is that African-American women tend to be diagnosed with snore advanced stage breast cancer than white women. This is due both to lower utilization of screening mammography and to delayed presentation for women with palpable lumps. This is related both to socioeconomic factors that influence access to medical care and to cultural factors that tend to discourage women from seeking care early for breast problems.Conclusions: Understanding the cultural beliefs that influence patient behavior will greatly aid physicians in caring for their African-American patients, and ultimately may help reduce the racial gap in breast cancer mortality. (C) 2002 Excerpta Medica Inc. All rights reserved.