Characteristics Associated with Mammography Screening among Both Hispanic and Non-Hispanic White Women
Characteristics Associated with Mammography Screening among Both Hispanic and Non-Hispanic White Women
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DOI：
10.1089/jwh.2008.1009
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发表时间：
2009-10-01
影响因子：
3.5
通讯作者：
Giuliano, Anna
中科院分区：
文献类型：
--
作者：
Borrayo, Evelinn A.;Hines, Lisa;Giuliano, Anna
目的：本研究探讨生活在美国西南部的西班牙裔和非西班牙裔白人（NHW）女性是否与乳腺x线摄影筛查指南的依从性有关。方法：一项以人群为基础的研究（4-Corners乳腺癌研究）的参与者包括790名西班牙裔妇女和1441名非西班牙裔妇女。使用多变量逻辑回归来计算结果变量（坚持vs.不坚持）及其相关因素之间的种族特异性校正优势比（OR）和95%置信区间（CI）。如果女性在41岁至50岁之间进行了第一次乳房x光检查，并且每两年或更短时间至少接受一次乳房x光检查，那么她们就是坚持的。结果：观察到特定人群特征和乳房x光检查依从性与种族特异性关联。具体而言，与依从性显著相关的西班牙裔妇女的特征是年龄较年轻（50-59岁），有乳腺癌家族史，无生育，使用激素替代疗法（HRT），使用非甾体抗炎药（NSAID），并定期进行乳房自我检查（BSE）。在NHW妇女中，年龄较小（50-59岁）、乳腺癌家族史、肥胖、适量饮酒和接受激素替代疗法与乳房x光检查依从性相关。当调整评估的人群特征时，种族和乳房x光检查依从性之间的关系不再明显。结论：种族特异性特征似乎可以解释西班牙裔和非西班牙裔妇女乳房x光检查依从性的差异。影响西班牙裔妇女的筛查率、晚期疾病和乳腺癌死亡率方面的差异，可以通过专门针对西班牙裔人口独特特征的干预措施更有效地加以解决。
Aims: This study explores whether certain population characteristics are associated with adherence to mammography screening guidelines among Hispanic and non-Hispanic white (NHW) women living in the southwestern United States.Methods: Participants in a population-based study (4-Corners' Breast Cancer Study) included in this analysis were 790 Hispanic women and 1441 NHW women. Multivariate logistic regression was used to compute the ethnic-specific adjusted odds ratios (OR) and 95% confidence intervals (CI) for the association of the outcome variable (adherent vs. nonadherent) and its correlates. Women were adherent if they had obtained their first mammogram between 41 and 50 years of age and had received at least one mammogram per 2 years or less.Results: Ethnic-specific associations were observed with certain population characteristics and mammography adherence. Specifically, characteristics that were significantly associated with adherence among Hispanic women were younger age (50-59 years), having a family history of breast cancer, nulliparity, hormone replacement therapy (HRT) use, nonsteroidal anti-inflammatory drug (NSAID) use, and performing regular breast self-examinations (BSE). Among NHW women, younger age (50-59 years), family history of breast cancer, obesity, consuming moderate amounts of alcohol, and taking HRT were associated with mammography adherence. When adjusting for the evaluated population characteristics, the relationship between ethnicity and mammography adherence was no longer apparent.Conclusions: Ethnic-specific characteristics appear to explain differences in mammography adherence among Hispanic and NHW women. Disparities in screening rates, late-stage disease and breast cancer mortality that impact Hispanic women could potentially be addressed more effectively by interventions that specifically target the unique characteristics of the Hispanic population.