Comparison of Breast Cancer Screening Rates Between Korean Women in America Versus Korea

Comparison of Breast Cancer Screening Rates Between Korean Women in America Versus Korea
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DOI:
10.1089/jwh.2009.1584
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发表时间:
2010-06-01
影响因子:
3.5
通讯作者:
Juon, Hee-Soon
Juon, Hee-Soon
中科院分区:
医学3区
文献类型:
--
作者:
Choi, Kui Son;Lee, Sunmin;Juon, Hee-Soon

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背景:乳腺癌是韩裔美国妇女和韩国妇女中最常见的癌症。然而,许多亚洲女性并没有意识到筛查乳房X光检查的重要性。本研究比较了韩国妇女在加州和在韩国的乳腺癌筛查方法:2005年加州健康访谈调查(CHIS)和2005年韩国全国癌症筛查调查(KNCSS)被用来检查乳腺癌筛查和相关因素。样本包括252名加州的韩裔美国妇女和889名年龄≥ 40岁的韩裔妇女。Logistic回归用于预测在过去2年中进行筛查性乳房X线检查的几率。对于CHIS数据,SUDAAN软件(三角研究所,三角研究园,NC)被用来考虑到设计的复杂和多阶段的samples.Results:韩国妇女报告的比率低于韩裔美国妇女曾经有过筛查乳腺X线摄影(50.8%比77.8%)。在过去2年中,韩国女性接受筛查性乳房X光检查的比例也低于韩裔美国女性(39.5% vs. 57.2%)。如果韩裔美国人年龄较大,他们不太可能接受筛查性乳房X光检查。韩国妇女不太可能接受筛查乳房X光检查,如果他们是老年人,失业,缺乏私人癌症保险,缺乏健康检查,不运动,健康状况不佳,或目前smoked.Conclusions:我们发现显着差异,在韩国妇女的癌症筛查行为取决于他们居住的地方。这些差异可能反映了社会因素对预防保健行为的重要影响。
Background: Breast cancer is the most commonly diagnosed cancer among Korean American women and among Korean women in Korea. However, many Asian women are not aware of the importance of screening mammography. This study compares breast cancer screening in Korean women in California and in Korea.Methods: The 2005 California Health Interview Survey (CHIS) and 2005 Korean National Cancer Screening Survey (KNCSS) were used to examine breast cancer screening and related factors. The sample included 252 Korean American women in California and 889 Korean women aged >= 40 years. Logistic regression was used to predict the odds of having had a screening mammography in the past 2 years. For CHIS data, SUDAAN software (Research Triangle Institute, Research Triangle Park, NC) was used to take into account the design of the complex and multistage samples.Results: Korean women reported a lower rate than Korean American women of ever having had a screening mammography (50.8% vs. 77.8%). Korean women also had lower rates of having had a screening mammography in the past 2 years than Korean American women (39.5% vs. 57.2%). Korean Americans were less likely to undergo screening mammography if they were older. Korean women were less likely to undergo screening mammography if they were older, unemployed, lacked private cancer insurance, lacked health checkups, did not exercise, had poor health status, or currently smoked.Conclusions: We found significant differences in cancer screening behavior in Korean women depending on where they lived. These differences may indicate an important influence of social factors on preventive health behavior.