Limited English proficiency and breast and cervical cancer screening in a multiethnic population
Limited English proficiency and breast and cervical cancer screening in a multiethnic population
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DOI：
10.2105/ajph.2004.041418
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发表时间：
2005-08-01
影响因子：
12.7
通讯作者：
Powell, LH
中科院分区：
文献类型：
--
作者：
Jacobs, EA;Karavolos, K;Powell, LH
目标.我们在美国多种族女性群体中研究了英语口语能力与接受巴氏涂片检查、临床乳房检查和乳房X光检查之间的关系。方法。我们使用来自全国妇女研究的纵向数据，检查接受乳腺癌和宫颈癌筛查的中国、日本、西班牙裔和白色妇女，这些妇女报告阅读和口语（1）只有英语以外的一种语言，（2）另一种语言比英语更流利，或（3）只有英语或另一种语言和英语同样流利。采用Logistic回归分析。阅读和只说英语以外的语言，以及阅读和说另一种语言比英语更流利，在未调整的模型中与接受乳腺癌和宫颈癌筛查显著负相关。虽然这些发现在调整后的模型中有所减弱，但英语说得不好或根本不会与接受癌症筛查呈负相关。这些研究结果表明，语言障碍阻碍了充分的健康沟通，从而导致健康差异。
Objectives. We examined the relationship between ability to speak English and receipt of Papanicolaou tests, clinical breast examinations, and mammography in a multiethnic group of women in the United States.Methods. We used longitudinal data from the Study of Women Across the Nation to examine receipt of breast and cervical cancer screening among Chinese, Japanese, Hispanic, and White women who reported reading and speaking (1) only a language other than English, (2) another language more fluently than English, or (3) only English or another language and English with equal fluency. Logistic regression was used to analyze the data.Results. Reading and speaking only a language other than English and reading and speaking another language more fluently than English, were significantly and negatively associated with receipt of breast and cervical cancer screening in unadjusted models. Although these findings were attenuated in adjusted models, not speaking English well or at all remained negatively associated with receipt of cancer screening.Conclusions. These findings suggest that language barriers contribute to health disparities by impeding adequate health communication.